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SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />600 East Main Street, Stockton, California 95202-3029 <br />Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: www.sogov.o[g/ehd/unitiii.htmi <br />UNDERGROUND STORAGE TANK (UST) PROGRAM INSPECTION REPORT <br />Fame:ity Village West Marina <br />Addle: 6649 Embarcadero Drive, Stockton <br />oats°n Mar 21, 2012 <br />Name: <br />Facil <br />ct: Cliff Altheide <br />Title: Maintenance <br />Phone: 951-1551 <br />cont <br />Inspection <br />Type: <br />!(Routine XMonitoring System Certification ❑ Installation I I Complaint- IDIt. I Other: <br />(Authority HSC 25289) Cliff Altheide Maintenance <br />Consent for. <br />D(Inspection 5(Sampling D±,Photos <br />Granted by: Title: <br />Monitoring Vd350 <br />Panel:l: eeer-Root TLS - <br />Pa <br />Piping <br />System: Pressurized i Suction 1i Gravity <br />overfil l <br />prevention: D(Mechanical a Audible/visual <br />UST <br />4 <br />5 <br />- - <br />--- <br />----------- <br />----------- <br />-Product--- <br />--91-octane- <br />-----DSL----- <br />-------- - -- <br />---- -------- <br />------- <br />Designated B Mitchell <br />operator- ryan <br />ICC Exp' 11-20-12 <br />Date: <br />Violations: I I M1 -Release Detection I I M2 -Release Prevention I i M3 - Both <br />On Site Service Isaac Anderson <br />ICC Exp. Manufacturer's <br />6-9-12 VR x-8-5-12, VMI x-3-15-13 <br />Technician: <br />Date: Training: <br />VIOLATIONS <br /># <br />C1 <br />C2 <br />M <br />Code Section <br />HSC = California Health and SafetyCode; CCR = California Code of Regulations <br />C1 = Class 1 violation; C2 = Class 2 violation; M = Minor violation <br />File Review <br />101 <br />HSC 25284 <br />No permit to operate <br />102 <br />HSC 25404.5 <br />Annual operating fees not paid <br />103 <br />HSC 25284(a)(3) <br />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 <br />X HSC 25292.2 <br />Current financial responsibility documents not on file with the Environmental Health Department (EHD) <br />105 <br />CCR 2711 <br />Current Unified Program Consolidated Forms not on file with the EHD (Facility and tank form) <br />106 <br />CCR 2632(b) <br />Monitoring Program (Monitoring & Response Plans) is not current or approved by the EHD <br />107 <br />CCR 2632(d)(1)(C) <br />Plot plan/site map not submitted or fails to completely show where monitoring is performed <br />108 <br />CCR 2637 <br />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 <br />CCR 2638 <br />(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 <br />HSC 25291(f) <br />Annual line leak detector test not performed (M1) <br />111 <br />HSC 25284.2 <br />Annual spill containment testing not performed <br />112 <br />CCR 2636(f)(4) <br />Annual line tightness test not performed if positive shutdown or fail safe not present (M7) <br />113 <br />CCR 2715(a) <br />Failed to inform the EHD of a change of designated operator within 30 days <br />114 <br />CCR 2715(b) <br />Designated operator does not possess a current ICC CA UST System Operator certification <br />115 <br />CCR 2660(k) <br />Repair for tank or piping not tested for tightness after completion of the repair pursuant to (111112) <br />permit conditions <br />Enhanced leak detection (ELD) testing not performed on a system located within 1000' of public well, or <br />116 <br />HSC 25292.5 <br />failures not repaired and retested <br />117 <br />CCR 2661 <br />Permit to repair UST system not obtained <br />118 <br />HSC 25286(a) <br />Operational permit not amended when UST storage and/or monitoring system changed <br />119 <br />HSC 25298(b) <br />Permit to temporarily close UST system not obtained <br />120 <br />HSC 25298(c) <br />Permit to close UST system not obtained <br />On Site Records <br />Maintenance & monitoring records not maintained 3 years, cathodic protection records for 6'/2 years, written <br />performance daims 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 />201 <br />CCR 2712(b) <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, ground water elevations, or other test results; 6 results of inventory readings and reconciliations <br />202 <br />CCR 2712(i) <br />I Monitoring plan, response plan, and/or operating permit and all conditions not onsite <br />Unauthorized release that: (c) did not escape secondary containment and deaned up within eight hours (M1) <br />203 <br />CCR 2650 <br />was not recorded; (e) escaped secondary containment, not deaned up after eight hours, or a sudden loss of <br />product was not reported to the EHD within 24 hours <br />Inspector. r7rU/L� <br />TitleGarrett Backus (209) 468-2986��- <br />EHD 23-02 Rev 09/01/11 Page 1 x UST INSPECTION REPORT <br />