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FROM FAX NO. ug. 04 2916 12:13PM P4
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<br /> San Joaquin County AUG
<br /> Environmental Health Department
<br /> 1868 East Hazelton Avenue, Stockton, Califnmia 95205-6232
<br /> Telephone:(209)4.68-3420 :(209)4883433 WOW iggy.0eglow
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<br /> Facility Facility Phone:
<br /> S B 2AS&MARKET 209 83"838 J u 15 2015
<br /> Facility Address: CERS ID:
<br /> 515 W ELEVENTH ST.TRACY CA 85376 10181209
<br /> Inspection Contact TWw. '
<br /> Ken Cook Assistant Manager 209 807-0484
<br /> Inspection Type. Program:
<br /> ROUTINg INSPECTION-Op2ratin Perini# 2361 -UST FACILITY
<br /> Corment For. Consent Given By:
<br /> 0 Ins flan 0 Photos ® Sam les Ken Cook Assistant Mans er,
<br /> Service Technician Onsite Exp,Rate: Off' Operator: Exp.Date;
<br /> Dave Winkler 03103/2016 Karen Arnalz 05/05/2017
<br /> Service Technician Manutwituraes Training
<br /> Ineon level 4), 12/08/16^VMI, 11110/15: Tank Tester 3/31/15
<br /> C = da Code or Reg ores NSC Hee an feb°Code ¢R=GEM of F*deeai Regutatdons
<br /> v=Violation R=Repeat vtotation cos=cwrected on site during inspet%m
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<br /> 101 HSC 25284 No permit to operate u V u R o COS
<br /> 102 HSC 252ti4(a)(3) No written agmennant between tank owner and tank operator to monitor the tank system o V OR u CO$
<br /> ad io3 HSC 25292.2 Curegnt financial responsibility documents not submitted_ *V �n R n COS
<br /> 104 CGR 2711 UST Operating Permit Application for Facility and Tank information not submitted or current u V o R n COS
<br /> 145 HSC 25286(c) Current 130E number not submitted 0 V OR ri COS
<br /> .906 CCR 2632 AAonitoring and response pians not currant or approved by the EHD e V o R n COS
<br /> 7 CCR 2632 d i G� Plot..^�nJ..... map
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<br /> ( )( )( ) p sit p not submitted or failed to completely show where monitoring is performed i eV o R ❑COS
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<br /> 108 CCR 2637(8,2638(e) Failed to notify the EHD 48 hours prior to conducting testing o V o R n COS
<br /> 109 CCR 2637 Failed to test secondary containment —�� mV o R u COS
<br /> 110 CCR 2637(e) Failed to submit secondary containment test report within 30 days n V n R n COS
<br /> 111 CCR 2638(a) Failed to test monitoring and leak detection equipment annually n V OR u COS
<br /> 112 HSC 25284.2 Failed to test spill containers annually 0V ❑R o COS
<br /> 113 GCR:8M(d) Failed to submit monitoring system certification test report within 30 days W.. ■V a R o CO$
<br /> 114 CCR 2636(f) Failed to perform 0.1 gph annual line test for pressurized piping without fail safe or shut down a V u'R n COS
<br /> 115 CCR 2715(a) Failed to inform the EHD of a change of designated operator within 30 days u V OR o COS
<br /> 116 CCR 2715 Designated operator,service tech or installer did not possess current tCC certification 0V OR o COS
<br /> 117 HSC 25292.5 Failed to oonduct ELD testing on a system located within 1000'of a public well mV�❑R n COS
<br /> 118 HSG 25292.5 Failed to repair and retest system due to failed ELD test u V u R u COS
<br /> 119 CCR 9(a»)(5).
<br /> Failed to submit ELD test results within 60 days o V OR 0 COS
<br /> 120 CCR 2663 Failed to inspect a lined or repaired steel tank within 10 years of lining and every 5 years after u V u R u COS
<br /> 121 CCR 2663 Failed to swbmit tank liming certification within 30 days or to conduct proper tests n V n R n COS
<br /> 12.2 HSC 25299 Documents were falsified or misrepresented o V u R u GOS
<br /> 123 CCR 2661 Permit to repair UST system not obtained R V _ _ u V u R u COS
<br /> 124 CCR 2635(d) Failed to submit UST Certification of installationModification u V u R o COS
<br /> ived by ins Phone. (Date:
<br /> (initiaq: CINDY VO. EH Specialist (209)4688257 07/15/2015
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