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• S AH N A A(1�I AMENDED Environmental Health Department t! COUNTY__ LAP!'l7�Flk'. 1 t=PCmrme� ta�'it, UndergrvUnd Storage Tank Program Inspection Report Facft llama: Facey Phone: Date: ARCO 02093 (209)835-1605 August 30,2018 FaclKy Address: CERS 10- 3425 TRACY BLVD,TRACY,CA 95376 10181087 Inspection Contact, Title: Phone: Daryl Lee Retail Compliance Manager (209)835-1605 Inspectloo Type: Program: ROUTINE INSPECTION-Operating Permit 12361 -UST FACILITY Consent For. Consent Given By: IR Inspection @ Photos 0 Samples lgbal Bains,Franchisee Service Technician Onsttr: Exp.Date: Designated Operator: Exp.Date: David Rouse 06/28/2020 Mark Rasmussen 12/27/2019 Service Technician Man ufacturses Training: Veeder Root,07/02/20;VMI, 10106/18 CCR m This 28 is Code Gw—ladons NSC=Health and Safety Code CPR=Code of Federal AgWatlona V-Vids6on R-Repeat Nolaeon COS=Garrotted an sae durinq inspection File Review 101 1 HSC 25284 Fadum to attain a valid permit to operate from the EHD including but not limited to unpaid fees OV ❑R ❑COS 102 HSC 25284(a)(3)(A)1(8) No written agreement between tank owner and tank operalorto monitor the tank system o V a R u COS 103 HSC 252922,25299.30 Current financial responsibility documents not submitted O V OR o COS 104 CCR 2711 UST operating permit application for facility and tank Information not submitted or current o V u R ❑COS 105 CCR 2632(dx1), Failed to have an approved UST monitoring plan o V OR o COS 2634 106 CCR 2832(dx2), Failed to have an approved UST response plan 6 V OR a COS 2634(6 107 CCR 2832(d)(1)(C) Plot planfsite map not submitted or faced to cornplelely show where monitoring is performed a V a R o COS 108 CCR 2837(8,2838(6) Failed to notify the EHO 48 hours prior to conducting testing a V a R a COS 108 CCR 2837 Failed to test secondary containment a V a R a COS 110 CCR 2637(e) Failed to submit secondary containment test report within 30 days ❑V ❑R o COS 111 CCR 28W(a) Failed to lest monitoring and leek detection equipment annually 0V OR a GAS 112 HSC 25234.2 Failed to lest spill containers annually a V OR a COS 113 CCR 2s38(d) Failed to submit monitoring system certification test report within 30 days a V a R la COS 114 CCR 2636(t) Failed to perform 0.1 gph annual line test for pressurizad piping without taq safe or shut down a V OR o COS 115 CCR 2715(x) Failed to submit to 6HD notification of designated operator identification or change wAn 30 days ❑V OR a COS 116 CCR 2715 Designated operator,service tech or installer did not possess current ICC certification ❑V OR o COS 117 CCR 2683(h) Failed to Inspect a fined or repaired steel tank within 10 years of Inifng and every 5 years after a V o R o COS 118 CCR 2663 Failed to submit tank Bring certification within 30 days or to conduct proper teats o V ❑R a COS 119 HSC 25299(8)(8), Documents were falsified or misrepresented OV OR a COS 25299(b)(7) 120 CCR 2635(d) Faced to submit UST Certification of InstatlatiordModification c V OR o COS 121 CCR 2712M Failed to submit a written response vAlhin 30 days of receiving an inspection report a V o R o COS 122 CCR 2831 D Failure to submit and maintain UST system component statement of compatlbSty,for substance stored a V OR O COS On SIE@ Records 201 CCR 2712(b) Failure to maintain moniforing,maintenance,and follow up action records u V OR a COS FA00MG21 PRO231416 SMI t1ef3OMS VM 23-01 law.1013V2017 Page 1 of 5 Underground SWOVe Tank program OIR 1868 E.HazeMon Avenue( Stockton,California 952051 T 209 488-34201 F 209 464-0138 1 www.sicehd.com