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San Joaquin County Environmental- Department .8 East HazeltonAvenue,• •California95205-6232 i• . r• • c UTderaround Storne * Program t,* # Report Facility arae: Facility Phone No permit to operate Date °°; Inspection Photos x; Sample I Kevin Hur, t,r e I`*!=3 102 HSC 25284(a)(3) Service Technician Onsite. Exp Date ❑ R Designated Operator: Exp Date ERS ID: Facility Address ❑ V ❑ R n E ;tuu!A ` wt° ? .. ,'S Em rz '' �t ,..,�. 104 CCR 2711 `1 + 41 t , W Inspection Contact: Title: ❑ R Phone: 105 HSC 25286(c) Current BOE number not submitted nspectionype j... fS ; ii COS y ,ut '.F€�., i.YtE`v ��.". ' ..n��j e! it Ero tg'� COR= Ca omia Code of R—egu-ta—tions FISC =ea Consent For: Consent Given t3y: No permit to operate °°; Inspection Photos x; Sample I Kevin Hur, t,r e I`*!=3 102 HSC 25284(a)(3) Service Technician Onsite. Exp Date ❑ R Designated Operator: Exp Date 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 ❑ V ❑ R Service Technician Manufacturer's Training: 105 HSC 25286(c) Current BOE number not submitted ,, r s 4.P'wi 1 i y;,% t 1...,�., 1 V j... fS ; ii COS 106 CCR 2632 COR= Ca omia Code of R—egu-ta—tions FISC =ea and Safety C-6 daCFR= Code of FederalRegulations ❑ COS 107 CCR 2632(d)(1)(C) Plot plan/site map not submitted or failed to completely show where monitoring is performed V = Violation R = Repeat violation COS = Corrected on site during inspection ❑ R ❑ COS 108 File Review Failed to notify the EHD 48 hours prior to conducting testing 101 HSC 25284 No permit to operate ❑ V ❑ R ❑ C05 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 ❑ V ❑ R ❑ COS 105 HSC 25286(c) Current BOE number not submitted ❑ V ❑ R ii COS 106 CCR 2632 Monitoring and response plans not current or approved by the EHD m V ❑ R ❑ COS 107 CCR 2632(d)(1)(C) Plot plan/site map not submitted or failed to completely show where monitoring is performed V ❑ R ❑ COS 108 CCR 2637(0,2638(e) Failed to notify the EHD 48 hours prior to conducting testing ❑ V ❑ R ❑ COS 109 CCR 2637 Failed to test secondary containment ❑ V ❑ R ❑ COS 110 CCR 2637(e) Failed to submit secondary containment test report within 30 days ■ V ❑ R ❑ COS 111 CCR 2638(x) Failed to test monitoring and leak detection equipment annually ❑ V ❑ R ❑COS 112 HSC 25264.2 Failed to test spill containers annually ❑ V ❑ R ❑COS 113 CCR 2638(d) Failed to submit monitoring system certification test report within 30 days ❑ V ❑ R ❑ COS 2636(f) Failed to perform 0.1 gph annual line test for pressurized piping without fail safe or shut down ❑ V ❑ R ❑ COS CCR 2715(a) Failed to inform the EHD of a change of designated operator within 30 days■ V ❑ R ❑COS r14CCR CCR 2715 Designated operator, service tech or installer did not possess current ICC certification ❑ V ❑ R ❑ COS HSC 25292.5 Failed to conduct ELD testing on a system located within 1 000'of a public well ❑ V ❑ R ❑ COS 118 HSG 25292.5 Failed to repair and retest system due to failed ELD test ❑ V ❑ R ❑ COS 119 CCR 2644.1(a)(5) Failed to submit ELD test results within 60 days ❑ V ❑ R ❑ COS 120 CCR 2663 Failed to inspect a lined or repaired steel tank within 10 years of lining and every 5 years after ❑ V ❑ R ❑ COS 121 CCR 2663 Failed to submit tank lining certification within 30 days or to conduct proper tests ❑ V ❑ R ❑ COS 122 HSC 25299 Documents were falsified or misrepresented ❑ V ❑ R ❑ COS 123 CCR 2661 Permit to repair UST system not obtained ❑ V ❑ R ❑ COS 124 CCR 2635(4) Failed to submit UST Certification of Installation/Modification ❑ V ❑ R ❑ COS 125 CCR 2712(f) Failed to submit a written response within 30 days of receiving an inspection report ■ V ■ R ■ COS Received by (initial): Inspector "., NAW, -.N,°. rJ e nK) R1".,, .S60 .1 Phone 209) kJ,.. r: Date '12/30,2 01 .: ,I f