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• SAN.JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, California 95205-6232 <br /> Telephone:(209) 468-3420 Fax:(209)468-3433 Web:www.si4ov.org/ehd <br /> UNDERGROUND STORAGE TANK (UST) PROGRAM INSPECTION REPORT CONTINUED <br /> Facility Marigold Shell Facility 6131 Pacific Ave, Stockton Inspection Aug 25, 2014 <br /> Name: g Address: Date: <br /> VIOLATIONS <br /> # C1 C2 M Code Section HSC=CA Health and Safety Code:CFR=Code of Federal Regulations <br /> C1=Class 1 violation.C2=Class 2 violation:M=Minor violation <br /> Non-Pressurized Piping(continued) <br /> 702 CCR 2643(e) Biennial tightness test of gravity piping not performed(pre-January 1, 1984) (M1) <br /> 703 CCR 2643(d) Triennial line test for conventional suction piping not performed(pre-January 1. 1984) (M1) <br /> Other Violations <br /> 999 Other: See attached"Continuation—Official Inspection Report"for violation(s)not listed above. <br /> SUMMARY OF VIOLATIONS <br /> (CLASS I,CLASS II,or MINOR-Notice to Comply) <br /> Routine and Monitoring System Certification UST Inspection <br /> 104. Current financial responsibility documents have not been uploaded into CERS. Current financial <br /> responsibility documents ( Certificate of Financial Responsibility and Insurance Documents) are required <br /> to be submitted annually. Immediately upload a copy to CERS and submit for review. Complete by <br /> September 25, 2014. <br /> 106. A copy of the response plan on CERS was not signed by the operator. Please upload a signed <br /> copy of the response plan to CERS. Complete by September 25, 2014. <br /> 108. Secondary containment testing was performed on August 29, 2013 and a test report has not been <br /> submitted to the EHD. A copy of the test report must be submitted within 30 days of the test. Operator <br /> provided copy while on site. Violation resolved. <br /> NOTE: <br /> 1. MSC results and Secondary Containment results must be uploaded into CERS from this date forward. <br /> 2. Please return the Return to Compliance form within 30 days filled out. <br /> ALL EHD STAFF TIME ASSOCIATED WITH FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL BE BILLED AT THE CURRENT HOURLY RATE. <br /> THIS FACIYTY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br /> Inspector: _ .� Receive y: Title <br /> al � �� <br /> EHD 23-07- Rev 04/19/12 Nde 3 UST INSPECTION REPORT <br />