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SAN JOAQUIN COUNTY ' <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, California 95205-6232 C (03 <br /> Telephone:(209)468-3420 Fax:(209)468-3433 Web:www.sigov.org/ehd <br /> --UN <br /> N me Flag City Chevron aad�ss: 6421 Capitol Ave. Lodi, CA 95242 Dae tion Sep 4, 2013 <br /> Facility Kiumars Kha evandi/Haleh &Azad Amid <br /> Title: Partners 838-2621 <br /> Contact: ) <br /> Inspection g y p SR0066648 SR0067880 <br /> Type: �4 Routine ❑Monitoring System Certification ❑Installation ❑Com taint-ID#: kQOther. <br /> (Authority HSC 25289) <br /> Consentfor. Inspection jfSampling 5rPhotos Granted by:Kiumars Khajevandi Title: Partner <br /> Monitoring Veeder-Root TLS-350 Piping )(Pressurized ❑Suction 0Gravity Prevention:e <br /> Panel: System: PrXMechanical ❑Audible/visual <br /> n <br /> UST 6 7 8 9 <br /> ----------- <br /> ----- <br /> - Product -- 87-octane - - 87 - --DSL-- 91-octane <br /> --- ----- -- - - - - - - - - - - - - - - - - - - <br /> Oeator.Designated ICCAlex Jabbari Dat Exp. 10-6-14 Violations: X M1-Release Detection D M2-Release Prevention ❑M3-Both <br /> Operator. Date: <br /> Te site service Felix Ramirez ICC <br /> e: P 12-6-14 Training: Vmi 11-10-13, swrcb 5-31-14, yr 6-25-14 <br /> Technician: <br /> VIOLATIONS <br /> Cl C2 M Code Section HSC=California Health and Safety Code;CCR=California Code of Regulations <br /> Cl=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 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 X CCR 2637 Secondary containment:(a)test not performed;(e)test report not submitted within 30 days;(f)test notification <br /> not provided 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 X 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 252910 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 (MI) <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 2560(k) Repair for tank or piping not tested for tightness after completion of the repair pursuant to (1142) <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 mcnitorng system changed <br /> 119 HSC 25298(b) Permit to temporarily close UST system not obtained <br /> 120 HSC 25298(c) per to close UST system not obtained <br /> On Site Records <br /> I Maintenance&monitoring records not maintained 3 years,cathodic protection records for 6 A,years,written <br /> performance claims pertaining to release detection systems for 5 years,or records of repairs,linings,and <br /> 201 X CCR 2712(b) 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)resuits 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,around water elevations,or other test results; '6 results of inventor readings and reconciliations <br /> 202 X CCR 2712(1) Monitoring plan,response pian,and/or operating permit and all conditions not onsite <br /> Unauthorized release that:(c)did not escape secondary containment and cleaned up within eight hours (MI) <br /> 203 CCR 2650 was not recorded;(e)escaped secondary containment,not cleaned ul afar eight hours,or a sudden loss of <br /> product was not reported to the EHD within 24 hours <br /> Inspector ;`1 Received By n Title: I <br /> Aris Cacapit (209) 468-34530f(xt �'�( C,PrSH IC--/— <br /> EHD 23-02 Rev 04/19/12 pa 1 UST INSPECTION REPORT <br />