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• 0 San Joaquin County Environmental Health Department 1868 East Hazelton Avenue, Stockton, California 95205-6232 Telephone:(209)468-3420 Fax:(209)468-3433 Web:www.siQov.org/ehd Underground Storage Tank Program Inspection Report A @� fit' MC��I : . . „> Facility Name: � Facility Phone: � Date: ve- act t y ress: 79 0� I--n Int Sort -7 -7 Inspection Contact: I t e: one: ,c C� ��n r ti 7� 3�7 7 nspec tonype: ro ram _ r Consent or: Consent a y: Inspection PhotosA Samples (' \ G'C.C��f1C'� G k=11 L, leer Service Techniciannsiry: Exp.Date: Desighated Uperator: xp. ate: 4-, - ,,L, - I y —� Service lecrinician Manufacturers raining: =California I Coaeo egu ations FISG=Health and safety Gocle =Code of a era Regulations V=Violation R=Repeat violation COS=Corrected on site during inspection 33, "mak x � 101 HSC 25284 No permit to operate ❑V ❑R ❑COS 102 HSC 25284(a)(3) No written agreement between tank owner and tank operator to monitor the tank system ❑V ❑R ❑COS 103 HSC 25292.2 Current financial responsibility documents not submitted ❑V ❑R ❑COS 104 CCR 2711 UST Operating Permit Application for Facility and Tank information not submitted or current o V ❑R ❑COS 105 CCR 2632 Monitoring and response plans not current or approved by the EHD )kV ❑R ❑COS 106 CCR 2632(d)(1)(C) Plot plan/site map not submitted or failed to completely show where monitoring is performed ❑V ❑R ❑COS 107 CCR 2637(f),2638(e) Failed to notify the EHD 48 hours prior to conducting testing ❑V ❑R ❑COS 108 CCR 2637 Failed to test secondary containment ❑V ❑R ❑COS 109 CCR 2637(e) Failed to submit secondary containment test report within 30 days ❑V ❑R ❑COS 110 CCR 2638(a) Failed to test monitoring and leak detection equipment annually ❑V ❑R ❑COS 111 HSC 25284.2 Failed to test spill containers annually ❑V ❑R ❑COS 112 CCR 2638(d) Failed to submit monitoring system certification test report within 30 days ❑V ❑R ❑COS 113 CCR 2636(f) Failed to perform 0.1 gph annual line test for pressurized piping without fail safe or shut down ❑V ❑R ❑COS 114 CCR 2715(a) Failed to inform the EHD of designated operator identification or change within 30 days ❑V ❑R ❑COS 115 CCR 2715 Designated operator,service tech or installer did not possess current ICC certification ❑V ❑R ❑COS 116 CCR 2663 Failed to inspect a lined or repaired steel tank within 10 years of lining and every 5 years after ❑V ❑R ❑COS 117 CCR 2663 Failed to submit tank lining certification within 30 days or to conduct proper tests ❑V ❑R ❑COS 118 HSC 25299 Documents were falsified or misrepresented ❑V ❑R ❑COS 119 CCR 2635(d) Failed to submit UST Certification of Installation/Modification ❑V ❑R ❑COS 120 CCR 2712(f) Failed to submit a written response within 30 days of receiving an inspection report ❑V ❑R ❑COS On Site Reo cords n 201 CCR 2712(b) Failed to maintain alarm logs and/or records of follow up actions ❑V ❑R ❑COS 202 CCR 2712(b) Failed to maintain cathodic protection test records on site for at least 6 1/2 years ❑V ❑R ❑COS 203 CCR 2712(b) Failed to maintain records of monitoring,repair,lining,and upgrades on site ❑V ❑R ❑COS 204 CCR 2712(1) Current monitoring plan approved by the EHD not found on site V ❑R ❑COS Page'I of 3