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SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East Hazelton Avenue, Stockton, California 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: www.s*cehd.com <br />Facility ' <br />Name: <br />C <br />Failed to maintain alarm logs and/or records of follow up actions (V725) <br />Facility �A <br />Phone: ea (j$ f <br />Inspection <br />Date: <br />V <br />No permit to operate (V650) <br />a <br />11-17to <br />HSC 25284(a)(3) <br />Facility-73 <br />Address: % <br />❑ ❑ ❑ <br />S n C, 96' ZM <br />EPA <br />D <br />CER, t <br />Db $ Z <br />Facility <br />104 <br />CCR 2711 <br />Contact <br />Contact during inspection, if <br />105 <br />Contact:Da T 1 <br />6 at <br />❑ ❑ ❑ <br />Phone: 90 1t-) 3 a j'j <br />different from facility contact: <br />Monitoring and response plans not current or approved by the EHD (V654) <br />Inspection <br />Type: V,1 n E' <br />r <br />CCR 2632(d)(1)(C) <br />Pro ram: <br />— L <br />❑ ❑ ❑ <br />-t-6 <br />CCR 2637(f), <br />2638(e) <br />7 Q <br />. i l C <br />t <br />CCR = Calif rnia Code of Regulations <br />HSC = Health and Safety Code CFR = Code of Federal Regulations <br />❑ ❑ ❑ <br />110 <br />CCR 2637(e) <br />V = Violation R = Repeat COS = Corrected on site during inspection <br />201 <br />CCR 2712(b) <br />Failed to maintain alarm logs and/or records of follow up actions (V725) <br />❑ <br />101 <br />HSC 25284 <br />No permit to operate (V650) <br />❑ ❑ ❑ <br />102 <br />HSC 25284(a)(3) <br />No written agreement between tank owner and tank operator to monitor the tank system (V735) <br />❑ ❑ ❑ <br />103 <br />HSC 25292.2 <br />Current financial responsibility documents not submitted (V720) <br />❑ ❑ ❑ <br />104 <br />CCR 2711 <br />UST Operating Permit Application for Facility and Tank information not submitted or current (V651) <br />❑ ❑ ❑ <br />105 <br />HSC 25286(c) <br />Current BOE number not submitted (V652) <br />❑ ❑ ❑ <br />106 <br />CCR 2632 <br />Monitoring and response plans not current or approved by the EHD (V654) <br />❑ Cl ❑ <br />107 <br />CCR 2632(d)(1)(C) <br />Plot plan/site map not submitted or failed to completely show where monitoring is performed (V655) <br />❑ ❑ ❑ <br />108 <br />CCR 2637(f), <br />2638(e) <br />Failed to notify the EHD 48 hours prior to conducting testing (V671) <br />❑ ❑ ❑ <br />109 <br />CCR 2637 <br />Failed to test secondary containment (V660) <br />❑ ❑ ❑ <br />110 <br />CCR 2637(e) <br />Failed to submit secondary containment test report within 30 days (V662) <br />❑ ❑ ❑ <br />111 <br />CCR 2638(a) <br />Failed to test monitoring and leak detection equipment annually (V659) <br />❑ ❑ ❑ <br />112 <br />HSC 25284.2 <br />Failed to test spill containers annually (V661) <br />❑ ❑ ❑ <br />113 <br />CCR 2638(d) <br />Failed to submit monitoring system certification test report within 30 days (V823) <br />❑ ❑ ❑ <br />114 <br />CCR 2636(f) <br />Failed to perform 0.1 gph annual line test for pressurized piping without fail safe or shut down (V663) <br />❑ ❑ ❑ <br />115 <br />CCR 2715(a) <br />Failed to inform the EHD of a change of designated operator within 30 days (V658) <br />❑ ❑ ❑ <br />116 <br />CCR 2715 <br />Designated operator, service tech or installer did not possess current ICC certification (V717) <br />❑ ❑ ❑ <br />117 <br />HSC 25292.5 <br />Failed to conduct ELD testing on a system located within 1 000'of a public well (V672) <br />❑ ❑ ❑ <br />118 <br />HSC 25292.5 <br />Failed to repair and retest system due to failed ELD test (V749) <br />❑ ❑ ❑ <br />119 <br />CCR 2644.1(a)(5) <br />Failed to submit ELD test results within 60 days (V669) <br />❑ ❑ ❑ <br />120 <br />CCR 2663 <br />Failed to inspect a lined or repaired steel tank within 10 years of lining and every 5 years after (V666) <br />❑ ❑ ❑ <br />121 <br />CCR 2663 <br />Failed to submit tank lining certification within 30 days or to conduct proper tests (V667) <br />❑ ❑ ❑ <br />122 <br />HSC 25299 <br />Documents were falsified or misrepresented (V657) <br />❑ ❑ ❑ <br />123 <br />CCR 2661 <br />Permit to repair UST system not obtained (V673) <br />❑ ❑ 1 ❑ <br />124 <br />CCR 2635(d) <br />Failed to submit UST Certification of Installation/Modification (V840) <br />❑ ❑ ❑ <br />125 <br />CCR 2712(f) <br />Failed to submit a written response within 30 days of receiving an inspection report (V804) <br />❑ ❑ ❑ <br />126 <br />HSC 25404(e)(4) <br />Failed to report program data electronically (V817) <br />❑ O ❑ <br />201 <br />CCR 2712(b) <br />Failed to maintain alarm logs and/or records of follow up actions (V725) <br />❑ <br />❑ ❑ <br />202 <br />CCR 2712(b) <br />Failed to maintain cathodic protection test records on site for at least 6 1/2 years (V733) <br />❑ <br />❑ ❑ <br />203 <br />CCR 2712(b) <br />Failed to maintain records of monitoring, repair, lining, and upgrades on site (V732) <br />❑ <br />❑ ❑ <br />204 <br />CCR 2712(1) <br />Current monitoring plan approved by the EHD not found on site (V734) <br />❑ <br />❑ ❑ <br />205 <br />CCR 2712(1) <br />Operating permit not on site (V738) <br />❑ <br />❑ ❑ <br />206 <br />HSC 25294, 25295 <br />Failed to record or report unauthorized release in appropriate time frame (V737) <br />❑ <br />❑ ❑ <br />207 <br />CCR 2715 <br />Designated operator did not inspect all required items and/or the inspection reports not completed (V723) <br />❑ <br />❑ ❑ <br />Received Inspector <br />By (initial): <br />Inspector <br />Phone: aucl C153 <br />3 i <br />HD 23-01 REV 10/07/14 <br />Page 1 UST INSPECTION REPORT <br />