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COMPLIANCE INFO_2020
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PR0232534
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COMPLIANCE INFO_2020
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Entry Properties
Last modified
11/19/2024 10:19:33 AM
Creation date
1/17/2020 12:02:04 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2020
RECORD_ID
PR0232534
PE
2361
FACILITY_ID
FA0004547
FACILITY_NAME
CHEVRON STATION #201383
STREET_NUMBER
1960
Direction
W
STREET_NAME
ELEVENTH
STREET_TYPE
ST
City
TRACY
Zip
95376
APN
23402001
CURRENT_STATUS
01
SITE_LOCATION
1960 W ELEVENTH ST
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
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SJGOV\gmartinez
Tags
EHD - Public
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QN1OQQU IN Environmental Health Department <br /> 4 N <br /> -I Ile, F0 <br /> COUNTY - <br /> Under ounil" Ston eTank Pro ram Ins ection Re'ortr <br /> � . . r 9 � , _,. . . S.: �9 : 9 p .., p <br /> Facility Name: Facility Phone: Date: <br /> CHEVRON STATION #201383 (209) 836-3181 January 10 , 2020 <br /> Facility Address: CERS ID: <br /> 1960 W ELEVENTH ST, TRACY , CA 95376 10181657 <br /> Inspection Contact: Title: Phone: <br /> Helen McCarty Manager (209) 836-3181 <br /> Inspection Type: Program: <br /> ROUTINE INSPECTION - Operating Permit 2361 - UST FACILITY <br /> Consent For: Consent Given By: <br /> ❑O Inspection ❑x Photos ❑ Samples Helen McCarty, Manager <br /> Service Technician Onsite: Exp. Date: Designated Operator: Exp. Date: <br /> Jesus Saldivar 06/13/2021 Erick Aranda 03/12/2021 <br /> Service Technician Manufacturer's Training : <br /> VMI , 11 /12/21 ; SB , 06/09/22 ; VR, 04/28/21 <br /> CCR = Title 23 California Code of Regulations HSC = Health and Safety Code CFR = Code of Federal Regulations <br /> V = Violation R = Repeal violation COS = Corrected on site during inspection <br /> ee 1 `e <br /> F Ie,Revfew <br /> ef - <br /> 4 , ate <br /> 101 HSC 25284; CCR Failed to obtain a permit to operate from the EHD including but not limited to unpaid permit fees n V o R ❑ COS <br /> 2711 (d) <br /> 102 HSC 25284(a)(3)(A)/(B) No written agreement between tank owner and tank operator to monitor the tank system o V o R o COS <br /> 103 HSC 25292. 21 25299.30 Failure to submit and maintain complete and current financial responsibility documents o V o R ❑ COS <br /> 104 CCR 2711 UST operating permit application for facility and tank information not submitted or current o V o R n COS <br /> 105 CCR 2632(d) (1 ) , Failed to have an approved UST monitoring plan ❑ V n R o COS <br /> 2634(d) <br /> 106 CCR 2632(d)(2) 3 Failed to have an approved UST response plan o V o R n COS <br /> 2634(e) <br /> 107 CCR 2632(d) , 2641 (h) , Plot plan/site map not submitted or failed to completely show where monitoring is performed ❑ V ❑ R ❑ COS <br /> 2711 (a) <br /> 108 CCR 2637, 2638(e) , Failed to notify the EHD 48 hours prior to conducting testing o V o R o COS <br /> 2643(g) <br /> 109 CCR 2637(a-d), 2712 Failed to test secondary containment, or failed to maintain test records for 36 months o V n R n COS <br /> 110 CCR 2637(e) , 2637(f) Failed to submit "Secondary Containment Testing Report Form" within 30 days after the test o V o R ❑ COS <br /> 111 CCR 2638, 26410), Failed to test monitoring and leak detection equipment every 12 months o V o R o COS <br /> 2715(f) <br /> 112 HSC 25293 Failure to maintain UST records to enable the UPA to determine whether the UST is in compliance o V o R o COS <br /> 113 CCR 2638(c) , 2638(d) Failure to submit "Monitoring System Certification Farm" within 30 days of completion of the test o V o R ❑ COS <br /> 114 CCR 2636(f) (3) , 2643(c) No 0. 1 gph annual line integrity test for pressurized piping, or within 30 days after repair n V n R o COS <br /> (3) <br /> 115 CCR 2715(a) (1 )(B) , "Designated Underground Storage Tank Operator Identification Form" not submitted within 30 days ❑ V ❑ R n COS <br /> 2715(a) (3) <br /> 116 CCR 2715 Designated operator, service tech or installer did not possess current ICC certification o V o R ❑ COS <br /> 117 CCR 26633 2712(b) (6) Failure to comply with tank lining , recordkeeping, and inspection requirements o V ❑ R o COS <br /> 118 CCR 2715(a) (1 ) (A) , Failure to submit the "Underground Storage Tank Statement of Understanding and Compliance Form" o V ❑ R n COS <br /> 2715(a) (2) <br /> 119 HSC 25299(a)(8), Documents were falsified or misrepresented ❑ V o R ❑ COS <br /> 25299(b)(7) <br /> 120 CCR 2635 (d) Failed to submit UST Certification of Installation/Modification o V o R n COS <br /> 121 CCR 2712(f) Failure to implement corrections and submit written response within 30 days of receiving the report o V ❑ R n COS <br /> 122 CCR 2631 , 2640. 1 , Failure to submit and/or maintain documentation regarding compatibility for UST system components o V o R ❑ COS <br /> 2665 , 2711 <br /> FA0004547 PR0232534 SC001 01 /1012020 <br /> EHD 23-01 Rev. 9/20/2019 Page 1 of 4 Underground Storage Tank Program OIR <br /> 1868 E. Hazelton Avenue Stockton , California 95205 T 209 46&3420 F 209 464-0138 1 www. sjcehd . com <br />
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