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SAN ) O A Q U I N Environmental Health Department - - COUNTY Underground Storage Tank Program Inspection Report Facility Name: Facility Phone: Date: PACIFIC BELL-UE058(TRACY) (209)603-9726 February 11, 2019 Facility Address: CERS ID: 10 E TWELFTH St, TRACY, CA 95376 10181547 Inspection Contact: Title: Phone: Thuy Tran Environmental site manage (209)474-4022 Inspection Type: Program: ROUTINE INSPECTION-Operating Permit 12361 - UST FACILITY Consent For: Consent Given By: 0 Inspection 0 Photos O Samples Thuy Tran, Environmental site manager Service Technician Onsite: Exp.Date: Designated Operator. Exp.Date: Gage Heart 06/12/2019 George Koffel 10/23/2019 Service Technician Manufacturer's Training: Veeder Root,07/06/19; SB,07/12/19 CCR=Title 23 California Code of Regulations HSC=Health and Safety Code CFR=Code of Federal Regulations V=Violation R=Repeat violation COS=Corrected on site during inspection File Review 101 HSC 25284 Failed to obtain a permit to operate from the EHD including but not limited to unpaid permit fees ❑V o R o COS 102 HSC 25284(a)(3)(A)/(B) No written agreement between tank owner and tank operator to monitor the tank system o V ❑R o COS 103 HSC 25292.2,25299.30 Failure to submit and maintain complete and current financial responsibility documents ❑V ❑R ❑COS 104 CCR 2711 UST operating permit application for facility and tank information not submitted or current o V o R o COS 105 CCR 2632(d)(1), Failed to have an approved UST monitoring plan o V ❑R o COS 2634(d) 106 CCR 2632(d)(2), Failed to have an approved UST response plan o V o R o COS 2634(e) 107 CCR 2632(d)(1)(C) Plot plan/site map not submitted or failed to completely show where monitoring is performed ❑V o R ❑COS 108 CCR 2637,2638(e), Failed to notify the EHD 48 hours prior to conducting testing o V o R o COS 2643(g) 109 CCR 2637(a-d),2712 Failed to test secondary containment,or failed to maintain test records for 36 months o V o R o COS 110 CCR 2637(e),2637(f) Failed to submit"Secondary Containment Testing Report Form"within 30 days after the test o V o R o COS 111 CCR 2638(a)&(b), Failed to test monitoring and leak detection equipment annually o V o R o COS 26410) 112 HSC 25293 Failure to maintain UST records to enable the UPA to determine whether the UST is in compliance o V o R in COS 113 CCR 2638(c),2638(d) Failure to submit"Monitoring System Certification Form"within 30 days of completion of the test ❑V o R o COS 114 CCR 2636(f)(3),2643(c) No 0.1 gph annual line integrity test for pressurized piping,or within 30 days after repair ❑V ❑R ❑COS (3) 115 CCR 2715(a)(1)(B), "Designated Underground Storage Tank Operator Identification Form"not submitted within 30 days ❑V ❑R o COS 2715(a)(3) 116 CCR 2715 Designated operator,service tech or installer did not possess current ICC certification o V o R o COS 117 CCR 2663, 2712(b)(6) Failure to comply with tank lining,recordkeeping,and inspection requirements o V o R o COS 118 CCR 2715(a)(1)(A), Failure to submit the"Underground Storage Tank Statement of Understanding and Compliance Form" o V o R o COS 2715(a)(2) 119 HSC 25299(a)(8), Documents were falsified or misrepresented in V o R o COS 25299(b)(7) 120 CCR 2635(d) Failed to submit UST Certification of Installation/Modification o V ❑R o COS 121 CCR 2712(f) Failed to submit a written response within 30 days of receiving an inspection report o V ❑R ❑COS 122 CCR 2631,2640.1, Failure to submit and/or maintain documentation regarding compatibility for UST system components o V o R o COS 2665,2711 FA0003956 PR0231873 SCO01 02/11/2019 EHD 23-01 Rev.09/28/2018 Page 1 of 5 Underground Storage Tank Program OIR 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com