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FA0003780 PR0231417 SCO01 01/25/2017 EHD 23-01 Rev. 09/22/16 Page 1 of 6 Underground Storage Tank Program OIR San Joaquin County Environmental Health Department 1868 East Hazelton Avenue, Stockton, California 95205-6232 Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: www.sjgov.or,/g ehd 4iE7"I =- a ia'il ii 4 .: i+G:,i,�, EN r ,,fi } + 'x 1( r, = i ue;-'xir. - r4 , �,. �I `ih - ,x moi: - x s1 , 5i ,z ;., ( .ft ...., >..'. .x _ '-`�' _ ' i+ii t ��i�i nai '�`'.'i ii� �'F7,i�i7IFiilil loll) d; s'r •ir' (H M— L�Gritl u��yl�. r aua z - Facility Name: Facility Phone: Date: TRACY SHELL* (209) 835-7608 1 January 25, 2017 Facility Address: CERS ID: 3725 N TRACY BLVD, TRACY, CA 95376 10181411 Inspection Contact: Title: Phone: Tanya Moore Manager (209) 835-7608 Inspection Type: Program: ROUTINE INSPECTION - Operating Permit 2361 - UST FACILITY Consent For: Consent Given By: ® Inspection ® Photos ® Sample Tanya Moore, Manager Service Technician Onsite: Exp. Date: Designated Operator: Exp. Date: Kristopher Bell 08/24/2018 Kristopher Bell 11/30/2017 Service Technician Manufacturer's Training Veeder root, 05/11/17; VMI, 11/11/18 CCR=California Codeo egu a ions HSC=Health and Safety Code CFR = Codeo a era Regulations V = Violation R =Repeat violation COS = Corrected on site during inspection - a`tih ;,. ;" ":.. �__w....._l 5 l .)+r� - k�il,, :'F„„'%, 5 �a 25 h (0 F9'; "tir 'n;... �y �..-.,lw.�r.. 101 HSC 25284 No permit to operate ❑ V ❑ R ❑ COS 102 HSC 25284(a)(3) No written agreement between tank owner and tank operator to monitor the tank system ❑ V ❑ R ❑ COS 103 HSC 25292.2 Current financial responsibility documents not submitted ■ V ■ R ❑ COS 104 CCR 2711 UST operating permit application for facility and tank information not submitted or current ❑ V ❑ R ❑ COS 105 CCR 2632(d)(1) Failed to have an approved UST monitoring plan ■ V ❑ R ❑ COS 106 CCR 2632(d)(2) Failed to have an approved UST response plan ■ V ❑ R ❑ COS 107 CCR 2632(d)(1)(C) Plot plan/site map not submitted or failed to completely show where monitoring is performed ■ V ❑ R ❑ COS 108 CCR 2637(f), 2638(e) Failed to notify the EHD 48 hours prior to conducting testing ❑ V ❑ R ❑ COS 109 CCR 2637 Failed to test secondary containment ❑ V ❑ R ❑ COS 110 CCR 2637(e) Failed to submit secondary containment test report within 30 days ❑ V ❑ R ❑ COS 111 CCR 2638(a) Failed to test monitoring and leak detection equipment annually ❑ V ❑ R ❑ COS 112 HSC 25284.2 Failed to test spill containers annually ❑ V ❑ R ❑ COS 113 CCR 2638(d) Failed to submit monitoring system certification test report within 30 days ❑ V ❑ R ❑ COS 114 CCR 2636(f) Failed to perform 0.1 gph annual line test for pressurized piping without fail safe or shut down ❑ V ❑ R ❑ COS 115 CCR 2715(a) Failed to inform the EHD of designated operator identification or change within 30 days ❑ V ❑ R ❑ COS 116 CCR 2715 Designated operator, service tech or installer did not possess current ICC certification ❑ V ❑ R ❑ COS 117 CCR 2663 Failed to inspect a lined or repaired steel tank within 10 years of lining and every 5 years after ❑ V ❑ R ❑ COS 118 CCR 2663 Failed to submit tank lining certification within 30 days or to conduct proper tests ❑ V ❑ R ❑ COS 119 HSC 25299 Documents were falsified or misrepresented ❑ V ❑ R ❑ COS 120 CCR 2635(d) Failed to submit UST Certification of Installation/Modification ❑ V ❑ R ❑ COS 121 CCR 2712(f) Failed to submit a written response within 30 days of receiving an inspection report ■ V ❑ R ❑ COS 122 CCR 26310) Failure to submit UST system component statement of compatibility for substance stored ❑ V ❑ R ❑ COS y .. ., r?".' # ; 211-1 M mm2 �x '._.l, 11,1115111 Failed to maintain alarm logs and/or records of follow up actions ■ V ■ R ❑ COS 201 CCR 2712(b) 202 CCR 2712(b) Failed to maintain cathodic protection test records on site for at least 6 1/2 years ❑ V ❑ R ❑ COS 203 CCR 2712(b) Failed to maintain records of monitoring, repair, lining, and upgrades on site ❑ V ❑ R ❑ COS FA0003780 PR0231417 SCO01 01/25/2017 EHD 23-01 Rev. 09/22/16 Page 1 of 6 Underground Storage Tank Program OIR