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07/30/2010 FRI 16:15 FAX 2094683433 SJC EHD 2001 ********************* *** FAX TX REPORT *** ********************* TRANSMISSION OK JOB NO. 3559 DESTINATION ADDRESS 93340975 PSWD/SUBADDRESS DESTINATION ID ST. TIME 07/30 16:10 USAGE T 04' 31 PGS. 5 RESULT OK SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 600 East Main Street, Stockton, California 95202-3029 Telephone:(209)468-3420 Fax:(209)468-3433 Web:www.segov.org/ehd/unitiii.html UNDERGROUND STORAGE TANK (UST) PROGRAM INSPECTION REPORT Facility name: Inspection date: Flag City Chevron (AMENDED INSPECTION REPORT) July 28, 2010 Facility address: UST#/ 6 7 6421 Capitol Ave. Lodi, CA 95242 Product , / 87 , / 87 / Facility contact: Title: Phone: 8 9 Kiumars Khajevandi owner (209) 481-8180 /DSL 91 Monitoring panel: Piping system: Overfill prevention: Violations: Veeder-Root TLS-350 ❑X Pressurized❑Suction❑Gravity Fx1Mechanical ❑X M1-RDetect❑M2-RPrev❑M3-Both ❑Audible/visual Inspection type: Designated operator: ICC exp.date: X❑Routine ❑X Monitoring Certification ❑Installation ❑Other Alex Jabbari 9-27-10 On site Service Technician's name: ICC ex .date: Manufacturer's trainin Zane Nimmo & 6-20-�1 & Zane Nimmo VFt�9-23-11 &VMI 2-8-11 Jarod Burke 9-9-11 Jarod Burke VR 12-16-11 # Code Section VIOLATIONSV R HSC=CA Health&SafetyCode;CCR=CA Code of Regulations;V=Violation;RV=Re eat Violation V 1 HSC 25284 No permit tooperate Secondary containment:(a)test not performed;(e)test report not submitted within 30 days;(f)test 2 CCR 2637 notification not provided to the Environmental Health Department(EHD)at least 48 hours prior to X conducting the test 3 CCR 2711 b Current Unified Program Consolidated Forms not on file with the EHD(Facility and tank form 4 HSC 25292.2 Current financial responsibility documents not on file with the EHD X 5 CCR 2632(b) Monitorin Pro ram(Monitoring&Response Pians is not current or approved by the EHD 6 CCR 2712(i) Monitoring Ian,response plan,and/oroperating permit and all conditions not onsite X Maintenance&monitoring records not maintained 3 years,cathodic protection records for 6% (M1) years,written performance claims pertaining to release detection systems for 5 years,or records of repairs, linings,and upgrades for the life of the tank. Monitoring records include:(1)date and time of X 7 CCR 2712(b) all monitoring or sampling;(2)monitoring equipment calibration and maintenance records;(3)results of any visual observations;(4)results of sample analysis performed a lab or in the field;(5)logs of all readings of gauges or other monitoring equipment,ground water elevations,or other test results;(6) results of inventory readings and reconciliations 8 CCR 2643(d) Daily monitoring of suction piping(pre-January1, 1984 not performed (M1) 9 HSC 25292.1 UST system is not operated to prevent unauthorized release,including spills and overfills X 10 CCR 2632(c)(2) Monitoring system is not present in the interstitials ace of a double walled UST (M1) 11 CCR 2630(d) UST monitoring equipment is not installed or maintained to detect a leak at the earliest opportunity(mi) 12 HSC 25291(b) UST monitoring system incapable of detecting leak from primary containment into secondary (Mt) containment (f)( ) Failed to maintain a continuous monitoring system for underground piping&UDCs that activates (M1) 13 CCR 2636 1 an audible and visual alarm or stops flow of product at the dispenser when it detects a leak X 14 CCR 2631 a Primary containment is not product tight X 15 HSC 25291(a)(2) Secondary containment for UST system is not tight 16 CCR 2636(c)(1) I All releases in secondary pipingdo not flow to a collection sum 17 CCR 2636(f)(2) 1 Line leak detectors not installed or failed to detect a 3-gallon per hour leak at 10 psi (M1)