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r } <br /> AOL .9011� <br /> San Joaquin County <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, California95205-6232 <br /> Telephone: (209) 468-3420 Fax:(209)468-3433 Web:vMW.sjgov.or /c/ehd <br /> Underground Storage Tank Program Inspection Report <br /> Facility Name: Facility Phone: Date: <br /> AUBURN 7700 INC 209 234-1256 May 22, 2016 <br /> Facility Address: CERS ID: <br /> 444 Vvi MOSSDALE RD, LATHROP CA95330 1018055/ <br /> Inspection Contact: Title: Phon g <br /> Paul Sinq Business owner - `��b -���-SO(16 <br /> Inspection Type: Program: <br /> ROUTINE INSPECTION- Ooeratin Permit 2361 - UST FACILITY <br /> Consent For: Consent Given By: <br /> 21 Inspection a Photos � Sam les Paul Sirg, Business oki ner <br /> Service Technician Onsite: Exp.Date: Designated Operator: Exp.Date: <br /> i,QA I NA <br /> Service Technician Manufacturer's Training <br /> CCR=California Code of Regulations NSC=Health and Safety Code CFR=Code of Federal Regulations <br /> V=Violation R=Repeat violation COS=Corrected on site during inspection <br /> File Review <br /> 101 HSC 25284 No permit to operate ■V ❑R ❑COS <br /> 102 HSC 25284(a)(3), No written agreement between tank owner and tank operator to monitor the tank system ❑V ❑R o COS <br /> 103 HSC 25292:2 Current financial responsibility documents not submitted ■V o R o COS <br /> 104 CCR 2711 UST Operating Permit Application for Facility and Tank information not submitted or current o V ❑R o COS <br /> 105 HSC 25286(c) Current BOE number not submitted o V o R o COS <br /> 106 CCR 2632 Monitoring and response plans not current or approved by the EHD ■V ❑R o COS <br /> 107 CCR 2632(d)(1)(C) Plot plan/site map not submitted or failed to completely show where monitoring is performed ■V ❑R o COS <br /> 108 CCR 2637(f),2638(e) Failed to notify the EHD 48 hours prior to conducting testing o V o R o COS <br /> r111 <br /> CCR 2637 Failed to test secondary containment o V ❑R ❑COS <br /> CCR2637(e) Failed to submit secondary containment test report within 30 days oV oR o COS <br /> CCR 2638(a) Failed to test monitoring and leak detection equipment annually .V o R o COS <br /> 112 HSC 25284.2 Failed to test spill containers annually ■V o R o COS <br /> 113 CCR 2638(d) Failed to submit monitoring system certification test report within 30 days o V ❑R o COS <br /> 114 CCR 2636(f) Failed to perform 0.1 gph annual line test for pressurized piping without fail safe or shut down ■V o R o COS <br /> 115 CCR 2715(a) Failed to inform the EHD of a change of designated operator within 30 days o V o R o COS <br /> 116 CCR 2715 Designated operator,service tech or installer did not possess current ICC certification joV o R o COS <br /> 117 HSC 25292.5 Failed to conduct ELD testing on a system located within 1000'of a public well o R o COS <br /> 118 HSC 25292.5 Failed to repair and retest system due to failed ELD test c2 V o R ❑COS <br /> r12 <br /> CCR 2644.1(a)(5) Failed to submit ELD test results within 60 days ❑V ❑R ❑COS <br /> CCR 2663 Failed to inspect a lined or repaired steel tank within 10 years of lining and every 5 years after o V o R o COS <br /> CCR 2663 Failed to submit tank lining certification within 30days or to conduct proper tests ❑V ❑R ❑COS <br /> HSC 25299 Documents were falsified or misrepresented ❑V ❑R C3 COS <br /> 123 CCR 2661 Permit to repair UST system not obtained o V o R o COS <br /> 124 CCR 2635(d) Failed to submit UST Certification of Installation/Modification ❑V ❑R ❑COS <br /> Received by Inspector: Phone: Date: <br /> (initial): rn ELENA MANZO, REHS (209) 953-7699 05/22/2015 <br /> Page 1 of 6 <br />