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6 SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />600 East Main Street, Stockton, California 95202-3029 <br />Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: www.siaov.ora/ehd/unitiii.html <br />UNDERGROUND STORAGE TANK (UST) PROGRAM INSPECTION REPORT <br />Facility <br />Name: Country Club Food & Fuel <br />FacilityInspection <br />Adder: 1856 W Country Club Blvd <br />Date: Mar 15, 2012 <br />Facility <br />nt�t: Sean Elder <br />Titi®: Manager <br />Phone: 662-0952 <br />Insspection XRoutine ❑ Monitoring System Certification 11Installation :1 Complaint - ID#: ❑ Other: <br />Typ <br />(Authority HSC 25289) Sean Elder M <br />Consent for: Xinspection ❑ Sampling 11 Photos Granted by: Title: Manager <br />Monitoring l:Veeder-Root TLS -350 <br />Panel: <br />System: XPressurized ❑ Suction ❑ Gravity <br />System: <br />Overfill XMechanical ❑ Audible/visual <br />Prevention: <br />UST <br />45 <br />--Product--- <br />--87-octane----91-octane- <br />------ <br />-------------- <br />-------------- <br />------ <br />-------------- <br />Designated ICC Exp. <br />Operator: unknown Date: <br />❑ <br />violations: tr�1-Release Detection M2 -Release Prevention ❑ M3 - Both <br />iC <br />On Site Service ICC Exp. Manufacturer's <br />NSA <br />Technician: Date: Training: <br />VIOLATIONS <br /># <br />C1 <br />C2 <br />M <br />Code Section <br />HSC = Cal fomla Health and Saletv Code; CCR = California Code of Regulations <br />Cl = Chas 1 vi • C2 = Class 2 ' M = Minor violation <br />101 <br />HSC 25284 <br />No pemtlt to operab <br />102 <br />X <br />HSC 25404.5 <br />Annual operating fees not paid <br />103 <br />HSC 25284(a)(3) <br />No written agreement between the person that the operating permit was issued to and the tank operator to <br />monitor the tanks stem <br />104 <br />X <br />HSC 25292.2 <br />Current financial responsibility documents not on file with the Environmental Health Department (EHD) <br />105 <br />CCR 2711 <br />Current Unified Program Consolidated Forms not on file with the EHD (Facility and tank form) <br />106 <br />X <br />CCR 2632(b) <br />Monitoring Program (Monitoring & Response Plans) is not current or approved by the EHD <br />107 <br />CCR 2632(d)(1)(C) <br />Plot plan/site map not submitted or fails to completely show where monitoring is performed <br />108 <br />X <br />CCR 2637 <br />Secondary containment: (a) test not performed; (e) test report not submitted within 30 days; (f) test notification <br />not provided to the EHD at least 48 hours prior to conducting the test <br />Monitoring equipment certification: (a) not performed annually; (d) test report not submitted within 30 days; <br />109 <br />X <br />CCR 2638 <br />(e) test notification not provided to the EHD at least 48 hours prior to conducting an installation, repair, <br />replacement, calibration or certification <br />110 <br />X <br />HSC 25291(f) <br />Annual line leak detector test not performed (M1) <br />111 <br />X <br />HSC 25284.2 <br />Annual spill containment testing not performed <br />112 <br />CCR 2636(f)(4) <br />Annual line tightness test not performed if positive shutdown or fail safe not present (M1) <br />113 <br />CCR 2715(a) <br />Failed to inform the EHD of a change of designated operator within 30 days <br />114 <br />CCR 2715(b) <br />Designated operator does not possess a current ICC CA UST System Operator certification <br />115 <br />CCR 2660(k) <br />Repair for tank or piping not tested for tightness after completion of the repair pursuant to (M2) <br />permit conditions <br />116 <br />HSC 25292.5 <br />Enhanced leak detection (ELD) testing not performed on a system located within 1000' of public well, or <br />failures not repaired and retested <br />117 <br />CCR 2661 <br />Permit to repair UST system not obtained <br />118 <br />HSC 25286(a) <br />Operational permit not amended when UST storage and/or monitoring system changed <br />119 <br />HSC 25298(b) <br />Permit to temporarily close UST system not obtained <br />120 <br />HSC 25298(c) <br />Permit to close UST system not obtained <br />Maintenance & monitoring records not maintained 3 years, cathodic protection records for 6 % years, written <br />performance claims pertaining to release detection systems for 5 years, or records of repairs, linings, and <br />201 <br />X <br />CCR 2712(b) <br />upgrades for the life of the tank. Monitoring records include: (1) date and time of all monitoring or sampling; <br />(2) monitoring equipment calibration and maintenance records; (3) results of any visual observations; (4) <br />results of sample analysis performed a lab or in the field; (5) logs of all readings of gauges or other monitoring <br />equipment, round water elevations, or other test results 6 results of inventory readings and reconciliations <br />202 <br />1 <br />CCR 2712(1) <br />Monitoring plan, response plan, and/or operating permit and all conditions not onsite <br />Unauthorized release that: (c) did not escape secondary containment Lild cleaned up within eight hours (M1) <br />203 <br />CCR 2650 <br />was not recorded; (e) escaped secondary containment, not cleaned up after eight hours, or a sudden loss of <br />product was not reported to the EHD within 24 hours <br />Inspector. R By <br />Garrett Backus (209) 468-2986 C� <br />EHD 23-02 Rev 09/01/11 Page 1 UST INSPECTION REPORT <br />