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171 9690 0935 0072 9701 09 <br />SAN JOAQUIN COUNTY 9171 9690 0935 0044 9308 03 <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East Hazelton Avenue, Stockton, California 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: www.sFgov.org/ehd <br />UNDERGROUND STORAGE TANK (UST) PROGRAM INSPECTION REPORT <br />Facility Fast and Easy #16 <br />y <br /># <br />Facility 1399 E Yosemite Ave., Manteca <br />Inspection Jun 5, 2014 <br />Name: <br />Code Section <br />Address: <br />Date: <br />Contact: Viney Vikram <br />101 HSC 25284 No permit to operate <br />102 HSC 25404.5 Annual operating fees not paid <br />Title. Owner/operator <br />Phone: (559)213-0459 <br />105 X CCR 2711 Current Unified Program Consolidated Forms not on file with the EHD (Facility and tank form) <br />106 X CCR 2632(b) Monitoring Program (Monitoring & Response Plans) is not current or approved by the EHD <br />107 CCR 2632(d)(1)(C) Plot plan/site map not submitted or fails to completely show where monitoring is performed <br />108 CCR 2637 Secondary containment: (a) test not performed; (e) test report not submitted within 30 days; (f) test notification <br />notprovide to the EHD at least 48 hours prior to conducting the test <br />Monitoring equipment certification: (a) not performed annually; (d) test report not submitted within 30 days; <br />109 CCR 2638 (e) test notification not provided to the EHD at least 48 hours prior to conducting an installation, repair, <br />replacement, calibration, or certification <br />Inspection <br />Type: XRoutine XMonitoring System Certification F1 Installation ❑Complaint - ID#: El Other: <br />(Authority HSC 25289) <br />Consentfor: Xlnspection XSampling XPhotos <br />Grantedby:Ruchi Vikram (Via phone) Title: Owner/operator <br />Monitoring ng Veeder-Root TLS -350 <br />Panel: <br />Piping <br />System: <br />$Pressurized ❑Suction EJ Gravity <br />overfill <br />prevention: XMechanical ❑Audible/visual <br />UST_ <br />5 <br />6 <br />7 <br />7—M :- <br />- , <br />On Site Records <br />Maintenance & monitoring records not maintained 3 years, cathodic protection records for 6'% years, written <br />performance claims pertaining to release detection systems for 5 years, or records of repairs, linings, and <br />upgrades for the life of the tank. Monitoring records include: (1) date and time of all monitoring or sampling; <br />(2) monitoring equipment calibration and maintenance records; (3) results of any visual observations; (4) <br />results of sample analysis performed a lab or in the field; (5) logs of all readings of gauges or other monitoring <br />equipment, round water elevations, or other test results; 6 results of inventory readings and reconciliations <br />201 <br />CCR 2712(b) <br />202 <br />CCR 2712(i) <br />- Product - <br />---- <br />87 -octane <br />...9 <br />- <br />91 -octane - <br />- -DSL- <br />- - <br />- - - - - - - <br />- - - - - - - <br />--------T <br />---------- <br />------------ <br />------------- <br />Designated <br />Operator: Zane Nlmmo <br />ICC Exp. <br />Date: <br />3-3-16 <br />Violations: XM1-Release Detection 7 M2 -Release Prevention ❑ M3 - Both <br />On Site Service <br />Dave Winkler <br />ICC Exp. <br />Manufacturer's <br />3-3-16 VR: 2-10-16 VMI: 11-10-15 <br />Technician: <br />Date: <br />Training: <br />VIOLATIONS <br /># <br />C1 <br />C2 <br />M <br />Code Section <br />HSC = California Health and Safety Code; CCR = California Code of Regulations <br />C1 = Class 1 violation; C2 = Class 2 violation; M = Minor violation <br />File Review <br />101 HSC 25284 No permit to operate <br />102 HSC 25404.5 Annual operating fees not paid <br />103 HSC 25284(a)(3) No written agreement between the person that the operating permit was issued to and the tank operator to <br />monitor the tanks stem <br />104 HSC 25292.2 Current financial responsibility documents not on file with the Environmental Health Department (EHD) <br />105 X CCR 2711 Current Unified Program Consolidated Forms not on file with the EHD (Facility and tank form) <br />106 X CCR 2632(b) Monitoring Program (Monitoring & Response Plans) is not current or approved by the EHD <br />107 CCR 2632(d)(1)(C) Plot plan/site map not submitted or fails to completely show where monitoring is performed <br />108 CCR 2637 Secondary containment: (a) test not performed; (e) test report not submitted within 30 days; (f) test notification <br />notprovide to the EHD at least 48 hours prior to conducting the test <br />Monitoring equipment certification: (a) not performed annually; (d) test report not submitted within 30 days; <br />109 CCR 2638 (e) test notification not provided to the EHD at least 48 hours prior to conducting an installation, repair, <br />replacement, calibration, or certification <br />110 HSC 25291 (1) Annual line leak detector test not performed (M1) <br />111 HSC 25284.2 Annual spill containment testing not performed <br />112 CCR 2636(f)(4) Annual line tightness test not performed if positive shutdown or fail safe not present (M1) <br />113 CCR 2715(a) Failed to inform the EHD of a change of designated operator within 30 days <br />114 CCR 2715(b) Designated operator does not possess a current ICC CA UST System Operator certification <br />115 CCR 2660(k) Repair for tank or piping not tested for tightness after completion of the repair pursuant to (M2) <br />permit conditions <br />116 HSC 25292.5 Enhanced leak detection (ELD) testing not performed on a system located within 1000' of public well, or <br />failures not repaired and retested <br />117 CCR 2661 Permit to repair UST system not obtained <br />118 HSC 25286(a) Operational permit not amended when UST storage and/or monitoring system changed <br />119 HSC 25298(b) Permit to temporarily close UST system not obtained <br />120 HSC 25298(c) Permit to close UST system not obtained <br />7—M :- <br />- , <br />On Site Records <br />Maintenance & monitoring records not maintained 3 years, cathodic protection records for 6'% years, written <br />performance claims pertaining to release detection systems for 5 years, or records of repairs, linings, and <br />upgrades for the life of the tank. Monitoring records include: (1) date and time of all monitoring or sampling; <br />(2) monitoring equipment calibration and maintenance records; (3) results of any visual observations; (4) <br />results of sample analysis performed a lab or in the field; (5) logs of all readings of gauges or other monitoring <br />equipment, round water elevations, or other test results; 6 results of inventory readings and reconciliations <br />201 <br />CCR 2712(b) <br />202 <br />CCR 2712(i) <br />Monitoring plan, response plan, and/or operating permit and all conditions not onsite <br />203 <br />CCR 2650 <br />Unauthorized release that: (c) did not escape secondary containment and cleaned up within eight hours (M1) <br />was not recorded; (e) escaped secondary containment, not cleaned up after eight hours, or a sudden loss of <br />product was not reported to the EHD within 24 hours <br />Inspector: Received By:` Title: <br />Elena Manzo (209) 953-7699 \A0,e� . � <br />EHD 23-02 Rev 04/19/12 Page 1 UST INSPECTION REPORT <br />