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mar San Joaquin County Environmental Health Department 1868 East Hazelton Avenue, Stockton, California95205-6232 Telephone., (209) 468-3420 Fax: (209) 468-3433 Web.,www.slqov.offl/ehd Underground Storage Tank Program Inspection Report Facility Name: Facility Phone: Date: Lm x. ME NA1,0MAL 1'-IOSiPIIter. 334-341 'i 08, 2015 Facility Address: CERS ID: 975 S FAIRMONT AV'-::, LOD!, C'A94240 10,11806,01 Inspection Contact: Title: Phone: R a n d y F?o e r�c h %lainlenamcc, ulpervisor 339-765-1 Inspection Type: Program: ROUI-HNIE 1INSPEEC—FION- OL)erafinq Permit 235 :.JST FACILI-FY-, 2481 COMPLIANI" Consent For: Consent Given By: X Insl2ection 51- Photos Z Sam les Randy Roerich, Maintenance SuLervisor ,x Service Technician Onsite: Exp.Date: F—Designated Operator: Exp.Date: Zane lhlirnfno 10/08/2015 Randy Roe�dh, ()7;'1,1"j/2 016 Service Technician Manufacturer's Training Veeder Roof.02,28/1 T SVVRCB tank tester,02/28106" Petrofite,02/2311,16 CCR=California Code of Regulations H =Health and Safety E-ode ffR---Code of Federal Regulations V=Violation R=Repeat violation COS=Corrected on site during inspection File Review 101 HSC 25284 No permit to operate oV Ei R Ej COS 102 HSC 25284(a)(3) No written agreement between tank owner and tank operator to monitor the tank system DV o R Ei COS 103 HSC 25292.2 Current financial responsibility documents not submitted oV oR oCOS 104 CCR 2711 UST Operating Permit Application for Facility and Tank information not submitted or current Ei V o R oCOS 105 HSC 25286(c) Current BOE number not submitted mV oR o COS 106 CCR 2632 Monitoring and response plans not current or approved by the EHD nV o Ei COS 107 CCR 2632(d)(1)(C) Plot plan/site map not submitted or failed to completely show where monitoring is performed o oR oCOS 108 CCR 2637(0,2638(e) Failed to notify the EHD 48 hours prior to conducting testing oV o o COS 109 CCR 2637 Failed to test secondary containment Ei V oR Ei COS 110 CCR 2637(e) Failed to submit secondary containment test report within 30 days o o oCOS 111 CCR 2638(a) Failed to test monitoring and leak detection equipment annually oV Ei R Ei COS 112 j HSC 25284.2 Failed to test spill containers annually oV oR o COS 113 CCR 2638(d) Failed to submit monitoring system certification test report within 30 days oV Ei R o COS 114 CCR 2636(f) Failed to perform 0.1 gph annual line test for pressurized piping without fail safe or shut down oV oR oCOS 115 CCR 2715(a) Failed to inform the EHD of a change of designated operator within 30 days oV oR o COS 116 CCR 2715 Designated operator,service tech or installer did not possess current ICC certification oV o R oCOS 117 HSC 25292.5 Failed to conduct ELD testing on a system located within 1000'of a public well oV oR o COS 118 HSC 25292.5 Failed to repair and retest system due to failed ELD test o V oR oCOS 119 CCR 2644.1(a)(5) Failed to submit ELD test results within 60 days o V oR o COS 120 CCR 2663 Failed to inspect a lined or repaired steel tank within 10 years of lining and every 5 years after o V oR oCOS 121 CCR 2663 Failed to submit tank lining certification within 30 days or to conduct proper tests Ei V oR o COS 122 HSC 25299 Documents were falsified or misrepresented oV Ei R o COS 123 CCR 2661 Permit to repair UST system not obtained oV o R o COS 124 CCR 2635(4) Failed to submit UST Certification of Installation/Modification o V oR o COS 125 CCR 2712(f) Failed to submit a written response within 30 days of receiving an inspection report oV oR ci COS Received b Inspector: jPhone: Date: (initial): ARIS VELOSO 11"renl ,REHS (209) 468-341.5 10/0 /,2 0`15 Page 1 of 6