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9171 9690 0935 0084 8392 96 San Joaquin County 9171 9690 0935 0084 8392 89 Environmental Health Department 1868 East Hazelton Avenue, Stockton, California95205-6232 Telephone. (209) 468-3420 Fax. (209) 468-3433 Web.vVWW.Sjqov-onQ/ehd Underground Storage Tank Program Inspection Report Facility Name: Facility Phone: Date: Facility Address: CERS ID: 444 RD. LATHROP, CA95330 Inspection contact: Title: Phone: Inspection Type: Program: ;1"JSPEC'T10N Operatinq Permit Consent For: Consent Given By: Ins ection Photos u , Sam Dies Service Technician Onsite: Exp.Date: Designated Operator: Exp.Date: Service Technician Manufacturer's Training CUR=California Code of Regulations HSC=Health and Safety Code CFR=code of Federal Regulations V=Violation R=Repeat violation COS=Corrected on site during inspection File Review 101 HSC 34 No permit to operate ()S I.. — 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 m V ii R Ei COS 104 CCR 2711 UST Operating Permit Application for Facility and Tank information not submitted or current Ei V Ei R o COS 105 HSC 25286(c) Current BOE number not submitted o V ci R Ei COS 106 CCR 2632 Monitoring and response plans not current or approved by the EHD m V D R D COS 107 ICCR2632(d)(1)(C) I Plot plan/site map not submitted or failed to completely show where monitoring is performed I m V Ei R o COS 108 jCCR 2637(f),2638(e) Failed to notify the EHD 48 hours prior to conducting testing o V o R o COS 109 CCR 2637 Failed to test secondary containment Ei V o R o COS 110 CCR 2637(e) Failed to submit secondary containment test report within 30 days — o V o R o COS 111 CCR 2638(a) Failed to test monitoring and leak detection equipment annually w V o R D COS 112 HSC 25284.2 Failed to test spill containers annually I m V o R E:i COS 113 CCR 2638(d) Failed to submit monitoring system certification test report within 30 days — o V Ei R Ei COS 114 CCR 2636(f) Failed to perform 0.1 gph annual line test for pressurized piping without fail safe or shut down w V ED R o COS L115 CCR 2715(a) Failed to inform the EHD of a change of designated operator within 30 days —: o V o R oCOS 116 CCR 2715 Designated operator,service tech or installer did not possess current ICC certification o V o R D COS 111 1000'of a public well Ei V o R Ei COS 17 HSC 25292.5 Failed to conduct ELD testing on a system located within 100 118 HSC 25292.5 Failed to repair and retest system due to failed ELD test o V o R o COS [119 CCR 2644.1(a)(5) Failed to submit ELD test results within 60 days o V o R o 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 Ei R o COS — 121 CCR 2663 Failed to submit tank lining certification within 30 days or to conduct proper tests Ei V o R o COS 122 HSC 25299 Documents were falsified or misrepresented ❑V ❑R c COS 123 CCR 2661 Permit to repair UST system not obtained ❑V ❑R C1 COS — 124 CCR 2635(d) Failed to submit UST Certification of Installation/Modification ❑V ❑R Ei COS Received by Inspector: lPhone: Date: (initial): vi o om-ff) ELENA MANZO, RENSrM) Page 1 of 6