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COMPLIANCE INFO_2010-2015
EnvironmentalHealth
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PR0231692
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COMPLIANCE INFO_2010-2015
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Last modified
12/28/2023 11:35:02 AM
Creation date
6/3/2020 9:51:23 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2010-2015
RECORD_ID
PR0231692
PE
2361
FACILITY_ID
FA0000212
FACILITY_NAME
Mossdale Chevron
STREET_NUMBER
444
Direction
W
STREET_NAME
MOSSDALE
STREET_TYPE
RD
City
LATHROP
Zip
95330
CURRENT_STATUS
01
SITE_LOCATION
444 W MOSSDALE RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0231692_444 W MOSSDALE_2010-2015.tif
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EHD - Public
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TRANSMISSION VERIFICATION REPORT <br />TIME : 07/09/2014 15:54 <br />NAME : SJC EHD UNIT 3 <br />FAX : 2094683433 <br />SER.# : BROM7F534354 <br />DATEJIME <br />07/09 15:50 <br />FAX NO./NAME <br />919252378730 <br />DURATION <br />00:04:48 <br />PAGE(S) <br />07 <br />RESULT <br />OK <br />MODE <br />STANDARD <br />103 <br />ECM <br />SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East Hazelton Avenue, St 'ockton, California 9520"232 <br />'relephone., (209) 468-3420(209) 468-3433 Web: ww%v.§jgov,oWLehd <br />UNDERGROUND STORAGE TANK (UST) PROGRAM INSPECTION REPORT <br />Facility Auburn 7700, Inc. <br />Name; <br />444 W. MOSSdale, Lathrop <br />VIOLATIONS <br />inspiWiOn <br />Apr 24,2014 <br />C1 C2 M <br />Code Section <br />HSC 25284 <br />HSC - California Health and Safety Code; OCR = Califomla Code or ft mations <br />C1 = Class1 violation: C2 = Class 2,violation M = Minor violation <br />No permit to operate <br />102 <br />Date: <br />''tl" <br />Contact:Rakui Chawla <br />"ona <br />C <br />Annual operating fees not paid <br />103 <br />Title: <br />Secretary <br />HSC 25284(2)(3) <br />OT -400-7118 <br />Inspection XRoutine XMonitoring System Certification 2instaltation oComplaint-IC*. <br />Type; <br />[i Othar: <br />(Authority HSC 25289) <br />consontfor xinspection nsamong Photos <br />Granted by;Wagih Kerner <br />Title: owner <br />Monitoring <br />panel; Gilbarco EMC <br />PipingOverfill <br />I system: <br />X Pressurized 0 Suction J Gravdy <br />Prevention: <br />XMechanical -:3 Audible/visual <br />UST <br />4 <br />-t37-octane <br />5 <br />OCR 2832(d)(1)(C) <br />Plot planisite map not submitted or fails to completely show where monitoring is performed <br />108 <br />CCR 2637 <br />Secondary containment: (a) test not performed; (e) test report not submitted within 30 days; (Q test notffloation <br />not provided to the EHD at least 48 urs prior to conducting tNLI%-.st <br />109 <br />X <br />Product I <br />� <br />...... <br />91 -octane <br />------ ..... <br />DSL <br />HSC 25291(f) <br />Annual line leak detector test not performed (MI) <br />-------------- <br />I ----------- 1---t- <br />HSC 25284.2 <br />Annual spill containment testing not performed <br />----------- <br />J <br />Destgnated Karen Arnaiz <br />Operator: <br />ICC Exp. <br />Date: <br />5131/2015 <br />Violations: 0 M1 -Release Detection <br />ri WX <br />-Release Prevention M3 -Both <br />On Site SeMce <br />Technlclan! Chris Kukyendall <br />11 E*- Manufacturer's <br />Date: 2/1/2015 Training: VM1 #3312 2/28/15; VR B42243 10/17/14 <br />1111A 1 I 1 1 I ninnn+4 ^—Mr 01— # A # 111fl r'A 114rr 4-4— r%-&- ..4W.-4;.... <br />VIOLATIONS <br />101 <br />C1 C2 M <br />Code Section <br />HSC 25284 <br />HSC - California Health and Safety Code; OCR = Califomla Code or ft mations <br />C1 = Class1 violation: C2 = Class 2,violation M = Minor violation <br />No permit to operate <br />102 <br />HSC 25404,6 <br />Annual operating fees not paid <br />103 <br />HSC 25284(2)(3) <br />No written agreement between the person that the operating permit was issued to and the tank operator to <br />monitor the tank system <br />104 <br />X <br />HSC 25292,2 <br />Current financial responsibility documents not on file with the Environmental Health Department (F -HD) <br />105 <br />CCR 2711 <br />Current Unified Program Consolidated Forms not an file with the EHD (Facility and tank form) <br />106 <br />CCR 2832(b) <br />Monitoring Program (Monitoring & Response Plans) is not current or approved by the EH0 <br />107 <br />OCR 2832(d)(1)(C) <br />Plot planisite map not submitted or fails to completely show where monitoring is performed <br />108 <br />CCR 2637 <br />Secondary containment: (a) test not performed; (e) test report not submitted within 30 days; (Q test notffloation <br />not provided to the EHD at least 48 urs prior to conducting tNLI%-.st <br />109 <br />X <br />OCR 2638 <br />_d. --- <br />report not submitted within 30 2YS; <br />Monitoring equipment certffication:ga))ot performed annually; (d) to <br />(e) test notification not provided to WEHD at least 48 hours p i to conducting an installation, repair, <br />replacen)ent, calibration, or cediffcaelon <br />1110 <br />X <br />HSC 25291(f) <br />Annual line leak detector test not performed (MI) <br />ill <br />X <br />HSC 25284.2 <br />Annual spill containment testing not performed <br />112 <br />CCR 2636(Q(4) <br />Annual line tightness test not performed if positive shutdown or fail safe not present (MI) <br />113 <br />CCR 2715(a) <br />Palled to Inform Me EHD of a change of designated operator within 30 days <br />1111A 1 I 1 1 I ninnn+4 ^—Mr 01— # A # 111fl r'A 114rr 4-4— r%-&- ..4W.-4;.... <br />
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