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02/06/2017 02:22PM 2094773690 <br />CHEVRON STATION 1730 02/196 <br />/V r(— — A, 7"�— <br />San Joaquin County <br />FEB 0 6 2W Environmental Health Department <br />APR 10 <br />1868 East Hazelton Avenue, Stockton, California 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 468-3433 Web. vvvvvv.sigov-=/ehd-, <br />77F 7A I <br />EALA- <br />It <br />y Name: <br />FacilityP 0 <br />F n <br />D <br />Date: <br />Date" <br />CHEVRON STATION #1731 (200) 47!7-3699 <br />February 06, 2017 <br />-Fdclllty Address; <br />CERS 193; <br />c3 <br />3366 E HAMMER LN, STOCKTON, CA 95212 <br />10182331 <br />Inspection contact <br />Title: Phone: <br />Cathrin Mizer <br />1 (209) 477-3699 <br />Inspection Type; <br />--2361 <br />Program: <br />ROUTINE INSPECTION - Operating Permit <br />- UST FACILITY <br />—Cc—ment For: <br />ConsontGive n By; <br />0 I@ Photos <br />M Sample <br />i Cathrin Mizer, <br />-inspection <br />ge�rvtce Technician Onsite: <br />Exp; Date: <br />Designated Operator: <br />Exp. Date. <br />Jesus Seldivar <br />07/17/2017 <br />Darek Balonek <br />0610712018 <br />SaWce`Te—ahnigian Manufacturerrs=ra non -g---- <br />VR. 05/27117; VMI (TLE)T-6000), 12/03/17-, SB Vacuum tester, 07/09119 <br />CCR- Cafflbrriia Code ofRegulations <br />--R8C-�-Hea1th-sndZWe-t-y-Ca-ae UREMaeoireoera imeguIFons <br />v = vioistion R = Repeat violation COS = Corrected an site during inspection <br />10i HSC 25284 <br />No permit to operate <br />c <br />a <br />c COS <br />102 HSC 25284(a)(3) <br />No written agreement between tank owner And tank operator to monitor the tank system <br />C)V <br />13 R <br />0 COS <br />103 HSC 25292-2 <br />Current financial responsibility documents not submitted <br />a V <br />o R <br />D COS <br />104 CCR 2711 <br />UST operating permit application for facility and tank information not submitted or current <br />a V <br />m R <br />c) COS <br />105 CCR 2632(d)(1) <br />Failed to have an approved UST monitoring plan <br />C3 V <br />0 R <br />0 COS <br />106 CCR 2632(4)(2) <br />Failed to have an approved UST response plan <br />a V <br />o R <br />o COS <br />101 CCR 2632(d)(1)(C) <br />Plot plantsfte map not submitted or failed to completely show where monitoring is performed <br />m V <br />c) R <br />o COS <br />108 GGIR 2637(f), 2338(tt) <br />Failed to notify the EHD 48 hours prior to conducting testing <br />a V <br />a R <br />o COS <br />109 CCR 2637 <br />Failed to test secondary containment <br />n V <br />o R <br />o COS <br />III) CCR 2637(e) <br />Failed to submit secondary containment test report within 30 days <br />a V <br />o R <br />a COS <br />III CCR 2638(a) <br />Failed to test monitoring and leak detection equipment annually <br />o V <br />p R <br />a COS <br />112 HSC 25284.2 <br />Failed to test spill containers annually <br />c V <br />c R <br />u COS <br />A�GR 2638(d) <br />Failed to submit monitoring system certification test report within 30 days <br />a V <br />o R <br />o COS <br />114 CCR 26360 <br />Failed to perform 0.1 gph annual line test for pressurized piping without fail safe of shut down <br />D V <br />o R <br />o COS <br />115 OCR 2715(a) <br />Failed to inform the EMD of designated operator identification or change within 30 days <br />c V <br />o R <br />aCOS <br />M CCR 2715 <br />Designated operator, service tech or installer did not possess current [CC certification <br />a V <br />a R <br />o COS <br />W CCR 2663 <br />Felled to Inspect a lined or repaired steel tank within 10 years of lining and every 5 years after <br />o V <br />a R <br />a COS <br />118 CCR 2663 <br />Felled to submit tank lining certification within 30 days or to conduct proper tests <br />o V <br />a R <br />a COS <br />119 HSC 25299 <br />Documents were falsified or misrepresented <br />a V <br />o R <br />o COS <br />120 CCR 2635(4) <br />Failed to submit UST Certification of Installatlon)ModIft2tion <br />a V <br />a R <br />u COS <br />11211. COR 27112(1) <br />Failed to submit a -written response within 30 days of receiving an inspection report <br />I o V <br />o R <br />o COS <br />122 ICCR 263i(11) <br />Failure to submit UST system component statement of compatibility for substance stored J o V c oCOS <br />201 1 CCR 27112(b) Failed to maintain BIQTM 1008 and/or records of follow up actions t3 V o R o COS <br />202 CCR 2712(n-) Failed to maintain cathodic protection test records on site for at least 6 V2 years ctV !3R oCOS <br />203 CCR 2712(b) Failed to maintain records of monitoring, repair, lining, and upgrades on site o o rjCOS <br />FA0008044 PR W552 SCO01 02J08/2017 <br />EHD2341 Rev. 09122/18 Page 1 of 4 underground Storage Tank Program OIR <br />