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SAN �JDAQU IN EnThr 7ronrnenWli H�eafth Deparb-nent
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<br /> Facility N',ML't racility Phone: bate:
<br /> N'7'iQ P FP_(11] ill.:
<br /> Facility Address: CERS ID;
<br /> N, P;N . ".:PON. r',A #35;.'';,
<br /> Inspection Co ritact: T itle; —T—M—lo-
<br /> Inspection Type: Prosyram;
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<br /> Comilent For: Cc)nRent C�lven By:
<br /> InspPr-tion Photor, 0 Samples
<br /> (;Ck- Cade of Rcjvlations J-!p_jtlh nrld fjnttrty CFR Tille dr.)CCIUC'Cl!7edC!7)l 8091.01!O'S
<br /> V,Vid"Itterl R--RUOW VmlMIWt COS Cor! sw?rjqrirg in prrtion
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<br /> 101 25270.6(b) Failed w pay APSA progrom )nrnj-,il V :!R COS
<br /> 11.11,111,.. ....................... .............................................................................................................................. ............................. ........................__
<br /> 102 HK 7;5774,4,5(x) raApd Ic prepare i written SPCC Plan in acrordancc with OFR Pill 112 ::!V R
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<br /> 101 HM,25270.5(a) Failed to file HMSP or annual f-,17.}Tity Mink :.;V R
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<br /> N HSC 25270.� Fai;orl to ropnrt of r6+�.aix!?6 of 42 qaOons(one barrel)or more .7 V R COS
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<br /> 105 CFR 112.1(1 lie to properly done tanks whist making a ctaim of permanently cic,,cd V :R -::COS
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<br /> 10E. HSC 2E,104 1 2 Failed to submit a cortikaticii liid wrMon ro-pon,-,o withirl 30 day�--for r1irpr v�oleftrin V R COS
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<br /> ,07 HSC 25270 2(;j)(4) plan when facility no longer meets oil tilled elecirical equipment exclusion V R C, t;
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<br /> ,06 PlZj('25270,4.5(x) 1',illure of conditionally exernpLfac44y to conduct inspections or install secondary cciita�nrilcnt V r
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<br /> .................................-0R HSC 21%;270.2(o){')(C) Fiilurr,to hzvr ccond.n cpnt.)inrri�,71;indlor lonk do4m.c7.Tion K TIUC-,A piping cirnot bo.vicwcd V r2 COS
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<br /> .....................'10 HSC 25444(cyi4) Fiilrd to roport program data in the CaPfomia Environmcntaf RcporVnq System(CERS) V COS
<br /> 20-1 CFK 112 3(d) F;%ildle to have a IrcenserJ PF properly review and certify ll)e- 3P(,C plan V R
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<br /> 202 CFR 112.3(c)(1) Failod to rnainlain a.copy of the Plan on site :.!R Ccs
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<br /> 203 0FR-1-12.1 1%7;)il1lre,t4)0)plflmonl thp,SP(`.(.Pian fV R COS
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<br /> 204 (,FR 112.3{g) Failure-to prepare%50(',(.Plan when 1.1cilily rit)longor m",11.OksAified 17;fc,!My c.rlchl V R
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<br /> 20r, CFR 1 12_i,i Q.(, Failure to prepare SPCC Plan that meets all appkable requirements V R !.7 COS
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<br /> 206 CFF 112.3(0)(1) failure of own&to w;Fitire uhaf the Pf ,Afl rt�quirt�ij in the Plan V R :,,Co",
<br /> 301 cr-k 112.5(a) Failed to am-nd Pleat w;oec%flfl;rAfy V R r:CO'
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<br /> 02 CFR I 12.5(b) Failed to review Plan once every five years andlor irnplement any l`eF;LJlfln(j `,4COS
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<br /> 303 Ul``Ft 112.5(c) Tailed ttj hav�.s PC c,rrlify tw:bnic.0 umorid........... .............................................................................................................%..........1%..1%_
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<br /> M4 CFR i
<br /> 12.5(a). 1'12.5(b) Failure to implement SFICC,plan amendment{;within 6 months
<br /> M141 (,FFR 112.6(b) Tie-,f I Quolifiod F�.lOAy Plan riot certified by the owner or a FE V R COS
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<br /> 402 C12k vvn�f of T�iiI Qj.%Ibf��d Fmilittrailed to ratify tccnir- mcndnont V �R , cos
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<br /> 403 CFR 112.6(a)(3)(i) Man faileri to predict direction/rate OT flow(total qunnljly of oil poterilially i$i!%,C.hnrP6-.rj V R (.05
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<br /> 404 I'm No 2CT fur bulk c;cHn�nnrr,or rrr�hiI47.ntomqr.upnt.7incm not locitcd to prevent discharge V R COS
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<br /> 405 nr-r� Ove,rrill pr(won tioi)fo;(:.oritainvm�riot providcd not doscribcd in Plan or tested V :�R :.!COS,
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<br /> r'AC016513 PF0529226 GC001 12.12.7(2018
<br /> Rev0M7J2.018 Page 1 of 6 AbOvCuiOui'd F'�-�NNuOi Sioiaue Ael Olp
<br /> MF:+ F. 1--lAzell.vr, Avenue Callornia�?5205 1 T 2C9 4(,8-2%42Q I F 20i 4(34-0138 j w%u%A'.;.-,jC;01d.cofy)
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