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II N Q U IN Environmental Health Department SACOU NJ I Y Aboveground Petroleum Storage Act Inspection Report Facility a e: \ r cili jPhone : Date: 9 110 1 e: Facir A dresl ' A y� ' C Rs I b LL V 1N/ Ic i c : Title : Phone : Inspection Type: i ^ Program: P` ,km � Consent For: r\( j `r I Consent Given By: ` I � ISSSn INot J"�� ns ection Photos ElSam les V CCR = California Code of Regulations HSC = Health and Safety Code CFR = Title 40 Code of Federal Regulations V = Violation R = Repeat violation COS = Corrected on site during inspection Aboveground Petroleum Storage Act 101 HSC 25270. 6 (b) Failed to pay APSA program annual fees u V u R u COS 102 HSC 25270.4 . 5(a) Failed to prepare a written SPCC Plan in accordance with CFR Part 112 u V u R u COS 103 HSC 25270.6(a) Failed to file HMBP or annual facility tank statement V ❑ R ❑ COS 104 HSC 25270 . 8 Failed to report spills or releases of 42 gallons (one barrel) or more u V u R u COS 105 CFR 112, 1 (b) (3) 1112, 2 Failure to properly close tanks when making a claim of permanently closed ❑ V ❑ R ❑ COS 106 HSC 25404. 1 .2 Failed to submit a certification and written response within 30 days for minor violations ❑ V ❑ R ❑ COS 107 HSC 25270.2(a) (4) Failure to prepare SPCC plan when facility no longer meets oil-filled electrical equipment exclusion u V u R u COS 108 HSC 25270.4 . 5 (a) Failure of conditionally exempt facility to conduct inspections or install secondary containment ❑ V u R ❑ COS 109 HSC 25270.2(o)(1 ) (C) Failure to have secondary containment and/or leak detection if TIUGA piping cannot be viewed u V u R u COS (iv) (III ) 110 HSC 25404(e) (4) Failed to report program data in the California Environmental Reporting System (CERS) u V u R u COS Requirement to Prepare and Implement a SPCC Plan 201 CFR 112, 3 (d) Failure to have a licensed PE properly review and certify the SPCC plan u V u R u COS 202 CFR 112.3 (e) (1 ) Failed to maintain a copy of the Plan on site u V u R u COS 203 CFR 112.3 Failure to implement the SPCC Plan ❑ V u R u COS 204 CFR 112. 3 (8) Failure to prepare SPCC Plan when facility no longer meets Qualified Facility criteria u V u R u COS 205 CFR 112. 3 , 112.6 Failure to prepare SPCC Plan that meets all applicable requirements ❑ V u R u COS 206 CFR 112. 3(d) (1 ) Failure of owner to assure that the PE makes all required attestations in the Plan u V u R u COS Amendment of SPCC Plan by Owners or Operators 301 CFR 112. 5(a) Failed to amend Plan as necessary V u R u COS 302 CFR 112.5(b) Failed to review Plan once every five years and/or implement any resulting amendments KV u R u COS 303 CFR 112.5(c) Failed to have a PE certify technical amendments u V ❑ R ❑ COS 304 CFR 112. 5 (a) , 112. 5(b) Failure to implement SPCC plan amendments within 6 months u V u R u COS Qualified Facility = Tier 1 401 CFR 112. 6 (a) , 112. 6(b) Tier I Qualified Facility Plan not certified by the owner or a PE u V u R u COS 402 CFR 112.6 (a) (2) Owner of Tier I Qualified Facility failed to self certify technical amendment u V n R u COS 403 CFR 112. 6(a) (3)(i) Plan failed to predict direction/rate of flow/total quantity of oil potentially discharged u V a R ❑ COS 404 CFR 112. 6(a) (3) (ii) No 2CT for bulk containers , or mobile storage containers not located to prevent discharge ❑ V u R u COS FA0010323 PR0528682 SCO03 06/13/2019 EHD 28-01 Rev. 09/27/2018 Pagel of 4 Aboveground Petroleum Storage Act OIR 1868 E . Hazelton Avenue I Stockton , California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www. sjcehd . com