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01/12/2015 13:53 1561 CHEVROt,: w,.. PAGE_ 02/06 <br /> ! � 77 <br /> JAN <br /> 2�1 San Joaquin County <br /> Environmental Health Department FEB 2 011, <br /> i <br /> 1868 East Hazelton Avenue,Stockton,California 962%.6232 <br /> Teiep •(209) 3420 Foix;(209) 33 Web.www.s S ft d <br /> ��. _,, <br /> 8� <br /> 6 <br /> Facility Faaittty Mone: per, <br /> CHEVRON LISA#201761` 1(209)825-0714 January 12,2015 <br /> Facility EFA iD: MRS ID. <br /> 1103 S MAIN ST,MANTECA,CA 953.37 10151653 <br /> r-sa ity Contact Phone: C during frapeallonj If <br /> CHANE PROVINCE (707)735-9599 differant from facility cath <br /> fns don : Program: <br /> ROUTINE INSPECTION-Operating Permit 12361 -UST FACILITY <br /> CCRP—OMM Code of Ragumans "Sc=Heam and samy CodeCFR_Code of F e9 Mona <br /> V=Vwiaiion R=Repse vioiation cos corrected an am during Kspecilon <br /> 101 HSC 25264 No permit to operate o V OR o COS <br /> 102 HSC 25284(M) NO written agreement between tank owner and tank gator to monitor the tank system a V OR a COS <br /> 103 HSC 29282.2 current tinenaai responsibility documents not submitted a V OR o Co3 <br /> 1134 CCA 2711 UST Operating ftrmft Applicaticn for Facility and hank Information not submitted or Current a V OR a COS <br /> 105 HSC 25286(c) Current BOE number not submitted a V a R v COS <br /> 105 CCR 2032 MonNOM9 and response plans not current or approved by the EMD a V nil R a COS <br /> 107 CCR 2032(d)(1 XC) Plot pEAVSite map nut submitted or tailed to completely show where monitoring is perforated a V OR o COS <br /> 108 CCR 2937(% a) Failed to notify the EHO 43 hours prior to conducting tes4tng e V OR a COS <br /> 109 CCR 2837 Failed!a test secondary containment o V OR a COS <br /> 110 Clift 2637(x) Failed to autsmi<seconawy containment test report wtmn 30 days OV OR o COS <br /> 111 GGR 2t338(a) Failed to monitofing and teak detection equipment annually a V OR a COS <br /> 112 HSC 25284.2 Failed to test split co ainers annually a V OR a COS <br /> 113 CCR 2038(d) Failed to subunit montmftng system certification test repon within 3o days a V OR a COS <br /> 114 CCR 2638(p Failed to perfarrn 0.1 gpth annual title tem for pressunzed piping without IN ogre or shut down OV OR o COS <br /> 115 CGR znr5 a) Failed to Inform the EMD of a change of designated operator within 30 days a V OR o COS <br /> 116 GOR 2715 Designated operator, tech or installer did not PoliSM current ICC oenificRticn a V OR a COS <br /> 117 HSC 2x282.5 Failed to Conduct ELD tasting on a system located within 1000'of a public wen a V o R a CAS <br /> 11 a HSG 25282.5 Failed to repair and mt6st system due to failed E1-t)test - a V OR a COS <br /> 119 CCR .1(eXS) Failed to submit ELD test results within 60 day* a v OR a COS <br /> 120 CCft 2+963 Failed to Inspect a lined or repotted steel tank within 10 years of lining and every 5 years after a V o R a CAS <br /> 121 GCR 2663 Failed to subrro't tank Ilrrddr+g certification within 30 days or to conduct proper tests a V OR a COS <br /> 122 HSC 252N Documents were falsified or mW"resented a V OR o COS <br /> 129 CCR 2661 permit to repair LEST system not obtained <br /> aV aR oCOS <br /> 124 CCR 2e35(d) Failed to subrnit UST Certification of Inctadatfon/M0000on o V OR a COS <br /> 125 OCR 2712(p Failed to submit a written response within 30 days of an Inspec uon repM c V OR o COS <br /> 128 HSC e)(4) Failed to report pmgram data eliednonicaliy a V OR o COS <br /> 201 1 CCR 2712(b) Failed to maintain alarm togs and/or records of follow up actions I -V OR a COS <br /> ec by n <br /> ELENAMANZO,REHS (209)963-7699 01/12/2015 <br /> ,%4 ed A <br />