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San Joaquin County <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, California 95205-6232 M <br /> Telephone: (209)468-3420 Fax:(209)468-3433 Web:www.sjgov.org/ehd � <br /> `- <br /> Facility Name: Facility Address: Date: <br /> Mossdale Chevron 444 W MOSSDALE RD LATHROP June 19 2015 <br /> 18 <br /> Item# Remarks <br /> 107 CCR 2632(d)(1)(C) Plot plan/site map not submitted or failed to completely show where monitoring is performed. <br /> An accurate UST Monitoring Site Plan was not submitted. A site plan must be submitted identifying the locations <br /> where monitoring will be performed also the correct dispenser numbers should be identified. Immediately log into the <br /> California Environmental Reporting System (CERS) at http://cers.calepa.ca.gov/and upload a copy of the UST <br /> Monitoring Site Plan. <br /> This is a minor violation. <br /> 111 CCR 2638(a) Failed to test monitoring and leak detection equipment annually. <br /> Annual monitoring system certification and leak detector testing were last performed on 4-24-2014 and was completed <br /> on 6-19-2015, 2 months past due. These tests are required once every 12 months. Take all necessary precautions to <br /> ensure testing is performed in a timely manner. The next monitoring system certification is due by 4-24-2014. <br /> This is a Class II violation. <br /> 112 HSC 25284.2 Failed to test spill containers annually. <br /> Annual spill container testing was last performed on 4-24-2014 and was completed on 6-19-2015, 2 months past due. <br /> These tests are required once every 12 months. Take all necessary precautions to ensure testing is performed in a <br /> timely manner. The next monitoring system certification is due by 4-24-2014. <br /> This is a Class II violation. <br /> 114 CCR 2636(f) Failed to perform 0.1 gph annual line test for pressurized piping without fail safe or shut down. <br /> Annual monitoring system certification was not conducted in a timely manner and no line tightness testing was last <br /> performed. Take all necessary precautions to ensure testing is performed in a timely manner. The next monitoring <br /> system certification is due by 4-24-2014. <br /> This is a minor violation. <br /> 205 CCR 2712(1) Operating permit not on site. <br /> A copy of the UST operating permit was not found on site. A copy of the UST operating permit and all attachments <br /> and conditions shall be retained at the facility. Immediately obtain a copy of the permit and retain it on site. <br /> This is a minor violation. <br /> Received by Inspector: Phone: Date: <br /> (initial): \/j(L ELENA MANZO, REHS (209) 953-7699 06/19/2015 <br /> mccl Page 4 of 6 <br />