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San Joaquin County Environmental Health Department 1868 East Hazelton Avenue, Stockton, California95205-6232 I Underground Storage Tank Program Inspection Report I Facility Name: HSC 25284 No permit to operate Facility Phone: o R Date: T ,.1...+1"4 (M; 0 B 1 IL,, 6 8 1,`542 HSC 25284(a)(3) No written agreement between tank owner and tank operator to monitor the tank system [209) 368-878-7 o R "r), R) a r� 18, 20 16 Facility Address: HSC 25292.2 Current financial responsibility documents not submitted Ei V CERS ID: 4 0 1 Vkl Ka T T- L M N L N. L( -'Dl, CA 95'-140 -----Fphone: UST Operating Permit Application for Facility and Tank information not submitted or current 10181231 Inspection Contact: Ei COS Title: j HSC 25286(c) Current BOE number not submitted o V o R Div. i3oT)pfiancel'I'diTi'ST s'7.<- 1 5 3 8 9 5 Inspection Type. o V Program: o COS R09.)T 1 N f-= 1 N S P E:(-, # ("AN - e ra t i P e n-) 0' 2361 FACILIT-Y Plot plan/site map not submitted or failed to completely show where monitoring is performed Consent For: o R Consent Given By: 108 CCR 2637(0,2638(e) Z' Inspection �i Photos[5.�] Samples o V I Ste) hen Cot ;=_a --E----nry""on oliar ice Ad r) 1; l Ei COS Service Technician Onsite: Exp. Date: Designated Operator: Exp. Date: Nlt;cC�acl Bm"-),g's, 06,111/2017 Cristina Pen,,,�,, 0% 4 /18 / 2 016 Service Technician Manufacturer's Training: V,,.,..,edei Rool,05/1 PIT VMI,06/09/17 V=Violation R= Repeat violation COS= Corrected on site during inspection File Review 101 HSC 25284 No permit to operate o V o R Ei COS 102 HSC 25284(a)(3) No written agreement between tank owner and tank operator to monitor the tank system o V o R o COS 103 HSC 25292.2 Current financial responsibility documents not submitted Ei V o R Ei COS 104 CCR 2711 UST Operating Permit Application for Facility and Tank information not submitted or current D V o R Ei COS 105 j HSC 25286(c) Current BOE number not submitted o V o R u COS 106 CCR 2632 Monitoring and response plans not current or approved by the EHD o V o R o COS 107 CCR 2632(d)(1)(C) Plot plan/site map not submitted or failed to completely show where monitoring is performed o V o R o COS 108 CCR 2637(0,2638(e) Failed to notify the EHD 48 hours prior to conducting testing o V o R Ei COS 109 CCR 2637 Failed to test secondary containment o V E) R o COS 110 CCR 2637(e) Failed to submit secondary containment test report within 30 days Ei V Ej R o COS Ill CCR 2638(a) Failed to test monitoring and leak detection equipment annually o V o R Ei COS 112 HSC 25284.2 Failed to test spill containers annually o V o R o COS 113 CCR 2638(4) Failed to submit monitoring system certification test report within 30 days o V o R o COS 114 CCR 2636(o Failed to perform 0.1 gph annual line test for pressurized piping without fail safe or shut down o V c R Ei COS 115 CCR 2715(a) Failed to inform the EHD of a change of designated operator within 30 days m V Ei R Ei COS 116 CCR 2715 Designated operator, service tech or installer did not possess current ICC certification Ei 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 ci R o COS 118 HSC 25292.5 Failed to repair and retest system due to failed ELD test o V o R D COS 119 CCR 2644.1(x)(5) Failed to submit ELD test results within 60 days o V o R Ei 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 o R ❑ COS 121 jCCR 2663 Failed to submit tank lining certification within 30 days or to conduct proper tests o V o R ❑ COS 122 HSC 25299 Documents were falsified or misrepresented o V o R o COS 123 CCR 2661 Permit to repair UST system not obtained o V Ei R Ei COS 124 CCR 2635(d) Failed to submit UST Certification of Installation/Modification o V D R o COS 125 CCR 27120 Failed to submit a written response within 30 days of receiving an inspection report o V o R o COS 126 HSC 25404(e)(4) Failed to report program data electronically o V o R o COS