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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stoddon,California 95205-6232 <br /> T ne:(209)468-3420 Fax:(209)468-3433 Web:www.siaov.orQ ehd <br /> UNDERGROUND STORAGE TANK(UST)PROGRAM INSPECTION REPORT <br /> spection <br /> Facility <br /> Facility 2908 W. Ben Holt, Stockton Dat Jan 23, 2013 <br /> ,�„e: ARCO Station#2133 Address: <br /> FacilityKristina Altheide TOW cashier - 552 <br /> Inspection X Routine X Monitoring System Certification u Instalialion ❑Complaint-ID#: ❑Other. <br /> Type: <br /> (Authority <br /> I a� 9p U x Grantedby..Lawrence Wight re. Tank Operator <br /> h Veeder-Root TLS-350 ng $ ❑Sucd«n °GMV4 owerts ° XAudd�visual <br /> Pard: ystem: Prevention: <br /> UST 1 2 7 <br /> Product 87-octane -- 87-octane- 91-octane - - - - - - <br /> Designated Michael Holkko ' 1/10/14 violators: 0M1-Releese Detection [I M2-Release th <br /> Prevention ❑M3-Mo <br /> Operator. ate: <br /> On Sfte service ICCs VMI #2125 3/16/2013 <br /> T ,r, ,. Chad White Date: 6/22/14 Training VR Lvl4 8/21/2012; <br /> 1nOLA noNs <br /> —01 HSC Heao and SMAY Code;CCR-Caliform Corin of Regulatioris <br /> C1 I C2 M Cods section C1=Class 1 vim;C2=Class 2 vidatiwr M=Manor Walafion <br /> 101 HSC 25284 No permit to operate <br /> 102 HSC 25404.5 Annual operating fees riot paid <br /> 103 HSC 25284(a�3) N°written agreement between the person that the permit was issued to and the teak operator to <br /> monitor the tank s <br /> 104 X HSC 25292.2 Current financial responsibility docunwft not on Me with the Environmental Health Department(EHD) <br /> 105 CCR 2711 current Unified ProgramConsolidated Forms not on file with the EHD Facifity and tank form) <br /> 106 CCR 2632(b) Monitoring Program &Response Plate)is not aurent or approved by the EHD <br /> 107 L CCR 2632(dx1)(C) Plot planfsite map not submitted or fails to complatety sham where monitoring <br /> 108 CCR 2637 <br /> Secondary containment:(a)test not ;(e)test report not within 30 days;(t)test notification <br /> not vided to the EHD at least 48 hens prior to conducts the test <br /> Monitoring equipment :(a)not performed annually;(d)test report not submitted within 30 days; <br /> 109 CCR 2638 (e)test notification not provided to the EHD at feast 48 hours prior to conducting an installation,repair, <br /> remoemeK calibration,or certification <br /> 110 1 HSC 25291(8 Annual fine leak detector test not performed (M1f <br /> 111 11 HSC 25284.2 Annual spin containment testirill not performed <br /> 112 CCR 26 nn <br /> 4) Annual fie tightness test not N shutdown or fail safe not (tM1! <br /> 113 CCR 2715(a) Failed to inform the EHD of a change of operator within 30 days <br /> 114 CCR 2715('b) operator does not possess a current ICC CA UST System Operate'cerfification <br /> 115 CCR 2660(k) Repair for tank or piping not tasted for tightness after completion of the repair pursuant topennit conditions, <br /> (M2) <br /> 116 HSC 25292.5 Enhanced leak detection(ELD)testing not 00'on a system located within 10of public well.or <br /> failures not Mred and retested <br /> 117 CCR 2661 Permit to repair UST system not obtained <br /> 118 NSC 25286(a) operational permit rot amended when UST storage and/or monitoring system changed <br /> 119 HSC 25298(b) Permit to dose UST system not obtained <br /> 120 HSC 25298(c) Permit to doge UST system notobtained <br /> noe&mori torirng records not maintained 3 years.cathodic protection records for 6 h years,written <br /> performance claims pertainIN to release detection system for 5 years,or records of repairs,finings.and <br /> upgrades for the We of the tank. Morftft records include:(1)date and time of all nwrftxft or sampling; <br /> 201 CCR 2712(b) (2)monitoring equipment caand maintenance records;(3)results of any visual ;(4) <br /> results of same analysis performed a lab or in the field;(5)logs of ail readings of gauges or other <br /> monitoring <br /> equipment,ground re <br /> water elevations,or outer test 6 resorts of Inventory readings and nlcandtiatlons <br /> 202 CCR 2712(1) Monitoring plan,response plan,and/or operating permit and all conditions not onsite <br /> Uriluthormad release that(c)rid not escape secondary w ainment andcleaned up within eight hours ryt) <br /> 203 CCR 2650 was not :(e)escaped secondary containment,not cleaned up after eight hers,or a sudden loss of <br /> product was not reported to the EHD within 24 hours <br /> Inepec0or <br /> Received W. Tale: <br /> Jeffrey Wong (209) 468-0335 <br /> 23 02 few W/1&12 Page 1 UST INSPECTION REPORT <br />