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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, California 95202-3029 <br /> Telephone:(209)468-3420 Fax:(209)468-3433 Web:www.sogov.org/ehd/unitiii.html <br /> UNDERGROUND STORAGE TANK(UST) PROGRAM INSPECTION REPORT <br /> Facility Facility Inspection <br /> Name; Chevron Station #99840 Address: 4344 E. Waterloo, Stockton Date: Jan 20, 2012 <br /> Facility Title: e: <br /> Contact: Julia Kaderlik Manager 01-2186 <br /> Inspection <br /> Type: XRoutine XMonitoring System Certification Installation Complaint-ID#: Other: <br /> (Authority HSC 25289) Julia Kaderlik Title: Manager <br /> Consent for. Xlnspection XSampling XPhotos Granted by: <br /> Monitoring PipingOverfill <br /> Panel: Veeder-Root TLS-350R System: XPressurized a Suction Gravity Prevention: XMechanical Audible/visual <br /> UST 5 6 <br /> - Product - -87-octane - - 87 octane- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ----------- - - - - - - - <br /> I I [ <br /> Designated ren Edward Dahl ICC Exp. 9/28/2012 Violations: t 1 M1-Release Detection M2-Release Prevention :M3-Both <br /> Operator. g Date: <br /> site Service ICC Exp. eeer Root B36076 ex Manufacturers <br /> Te Vd <br /> Technician: Pablit0 PIIOton Date: 8/13/2012 Training: p 2/13/2012 <br /> VIOLATIONS <br /> # I C1 C2 M Code Section HSC=California Health and Safety Code;CCR=California Code of Regulations <br /> C1=Class 1 violation;C2=Class 2 violation;M=Minor violation <br /> File Review <br /> 101 HSC 25284 No permit to operate <br /> 102 HSC 25404.5 Annual operating fees not paid <br /> 103 HSC 25284(a)(3) No written agreement between the person that the operating permit was issued to and the tank operator to <br /> monitor the tanks stem <br /> 104 HSC 25292.2 Current financial responsibility documents not on file with the Environmental Health Department(EHD) <br /> 105 CCR 2711 Current Unified Program Consolidated Forms not on file with the EHD(Facility and tank form) <br /> 106 CCR 2632(b) Monitoring Program(Monitoring&Response Plans)is not current or approved by the EHD <br /> 107 CCR 2632(d)(1)(C) Plot plan/site map not submitted or fails to completely show where monitoring is performed <br /> 108 CCR 2637 Secondary containment:(a)test not performed;(e)test report not sub�ittecc��wi hin 30 days;( tes notification <br /> not provided to the EHD at least 48 hours prior to conductingthe test2 ! <br /> Monitoring equipment certification:(a)not performed annually;(d)test report not submitted within 30 days; <br /> 1 CCR 2638 (e)test notification not orovided to the EHD at least 48 hours prior to conducting an installation,repair, <br /> replacement,calibration,or certification <br /> 110 HSC 25291(f) Annual line leak detector test not performed (M1) <br /> 111 HSC 25284.2 Annual spill containment testing not performed <br /> 112 CCR 2636(0(4) Annual line tightness test not performed if positive shutdown or fail safe not present (M1) <br /> 113 CCR 2715(a) Failed to inform the EHD of a change of designated operator within 30 days <br /> 114 CCR 2715(b) Designated operator does not possess a current ICC CA UST System Operator certification <br /> 115 CCR 2660(k) Repair for tank or piping not tested for tightness after completion of the repair pursuant to (M2) <br /> hermit conditions <br /> 116 HSC 25292.5 Enhanced leak detection(ELD)testing not performed on a system located within 1000'of public well,or <br /> failures not repaired and retested <br /> 117 CCR 2661 Permit to repair UST system not obtained <br /> 118 HSC 25286(a) I Operational permit not amended when UST storage and/or monitoring system changed <br /> 119 HSC 25298(b) Permit to temporarily close UST system not obtained <br /> 120 HSC 25298(c) Permit to close UST system not obtained <br /> On Site Records <br /> Maintenance&monitoring records not maintained 3 years,cathodic protection records for 6'/2 years,written <br /> performance claims pertaining to release detection systems for 5 years,or records of repairs,linings,and <br /> 201 CCR 2712(b) upgrades for the life of the tank. Monitoring records include:(1)date and time of all monitoring or sampling; <br /> (2)monitoring equipment calibration and maintenance records;(3)results of any visual observations;(4) <br /> results of sample analysis performed a lab or in the field;(5)logs of all readings of gauges or other monitoring <br /> equipment, round water elevations,or other test results; 6 results of inventory readings and reconciliations <br /> 202 CCR 2712(i) Monitoring plan,response plan,and/or operating permit and all conditions not onsite <br /> Unauthorized release that:(c)did not escape secondary containment and cleaned up within eight hours (M1) <br /> 203 CCR 2650 was not recorded;(e)escaped secondary containment,not cleaned up after eight hours,or a sudden loss of <br /> product was not reported to the EHD within 24 hours <br /> Inspector. Recei y: Title: <br /> Jeffrey Wong (209) 468-0335 <br /> EHD 23-02 Rev 09/01/11 Page 1 SkTTOTRSPORT <br />