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FRQM : NO. : Jul. 0016 12:25PM P3 S p _ V � San Joaquin County Environmental Health Department 2016 1868 East Hazelton Avenue, Stockton, Califomis 05205-6232 Telephone:(209)468-3420 Fax:(209)468-3433 Web: ov.ot hd ; L her " NXI Facility Name: Facility Phone: Data: S B GAS&MAR 209 834-8838 July 15 2015 Facility Add CERS ID: 515 W ELEVENTH ST TRACY CA 95376 10181209 kts "on C Title: Rhona: Ken Cook Assistant Klan et (209)607-0484 Inspection'type Prr>"= ROUTINE INSPECTION-Operating Permit 2361 -UST FACILITY Consent For cons-ant Given By: 19 Ins ec#on ® Photos ®Samples I Ken Cook Assistant Mana et Service Technician Onsitc Exp.Date: DesignaW ops Exp.Data: Dave Winkler 03/03/2016 Karen Arnaiz 05/0512017 Service Teohniclan ManulacWraes Training Incon (level 4), 1,2/08116;VMI 11110/15; Tank Tester,03/31/15 =Caiiifamis ogulatians = Ith eros saretX CFR=code 1 aepoia v=Nictation R Repeat violation cos r Corrected on site wring inspection .. .. .. .. ..•,r:•f '3L.•, yy.:.l,,;a:ay:..'v,:.. ,�:.:.,t':.:'�1 .:,,".:,., .�, r�.,y'i:'1."r r:!7.:::..7:1'766b a S �S,• ,.. . ".,,1Y .ta-1:... Q..... .ln.,...,,. ..1 ....< .:.. ., ,, ...101 HSC ff MSC 25281 No permit to operate n V o R o COS 102 HSC 25284(x)(3) No written agreement between tank owner and tank operator to monitor the tank 5yi5tem o V u R u COS 103 HSC 25292.2 Current financial responsibility documents not submitted r V A R n COS 104 CCR 2711 UST Operating Permit Application for Facility and Tank information not submitted or Current n V u R o COS 105 HSC 25286(c) Current BOE number not submitted �.. n V o R u COS v •.105 CCR 2632 Monitoring and response plans not current or approved by the EHO ■V o R o COS 7 I CCR 2632(d)(1)(C) Plot planisite map not submitted or failed to completely show where monitoring is performed' ■V a R u COS 108 CCR 2637(f),2638(e) Failed to notify the END 48 hours prior to conducting testing n V n R o COS 109 CCR 2637 Failed to test secondary Containment o V u R c COS 110 CCR 2637(e) Failed to submit secondary containment test report within 30 days o V o R n COS 111 CCR 2638(x) Failed to test monitoring and leak detection equipment annually u V u R a COS 112 HSC 25284.2 Failed to test will containers annually n V n R a COS 113 CCR 2638(d) Failed to submit monitoring system certification test report within 30 days ■V n R n COS 114 CCR 2636(f) Failed to perform 0.1 gph annual Brie test for pressurized piping without fail safe or shut down n V r R o COS 115 CCR 2715(a) Failed to inform the E14D of a change of designated operator within 30 days c V o R u COS 116 CCR 2715 Designated operator,service tech or instalW did not possess current ICC certification n V o R o COS 117 HSC 25292.5 Failed to conduct ELD testing on a system located within 1000'of a public well OV UR u COS 118 HSC 25292,5 Failed to repair and retest system due to failed ELD test u V u R o COS 119 CCR 2644.1(a)(5) Failed to submit ELD test results within 60 days n V 'n R o COS 120 CCR 2663 Failed to inspect a lined or repaired steel tank within 10}rears of lining and every 5 years after a V alk u COS 121 CCR 2663 Failed to submit tank lining certification within 30 days or to conduct proper tests u V u R u COS 122 HSC 25299 Documents were falsified or misrepresented u V u R u COS 123 CCR 2661 Permit to repair UST system not obtained o V o R o COS 124 CCR 2635(4) FailEsd to submit UST Certification of Installation/Modification u V u R ❑COS ivad by trrs Phone: Data: (Initlaq: CINDY VO. EH Specialist (209)468-8257 07/15/2015 Page 1 of B