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ba 'tlDE Environmental Health Department SAN 10 A Q U I N Underground Storage Tank Program Inspection Report Facility Name: Facility Phone: Date: AHMEDS SONS INC (209) 823- 1724 April 10 , 2019 Facility Address : CERS ID: 1257 W YOSEMITE AVE , MANTECA , CA 95336 10181329 Inspection Contact: Title: Phone: Asim Ahmed Manager (209) 823- 1724 Inspection Type: Program: ROUTINE INSPECTION - Operating Permit 12361 - UST FACILITY Consent For: Consent Given By: Nx Inspection Nx Photos Nx Samples Asim Ahmed , Manager Service Technician Onsite: Exp. Date: Designated Operator: Exp . Date : Mark Williams 09/17/2019 David Turner 07/06/2019 Service Technician Manufacturer's Training : Veder Root, 01 /13/21 , VMI , 09/21 / 19 ; SB , 05/01 /20 CCR = Title 23 California Code of Regulations HSC = Health and Safety Code CFR = Code of Federal Regulations V = Violation R = Repeat violation COS = Corrected on site during inspection File Review 101 HSC 25284 Failed to obtain a permit to operate from the EHD including but not limited to unpaid permit fees ❑ V ❑ R ❑ COS 102 HSC 25284 (a) (3) (A)/(B) No written agreement between tank owner and tank operator to monitor the tank system ❑ V ❑ R ❑ COS 103 HSC 25292. 2 , 25299 . 30 Failure to submit and maintain complete and current financial responsibility documents ■ V ■ R ❑ COS 104 CCR 2711 UST operating permit application for facility and tank information not submitted or current ❑ V ❑ R ❑ COS 105 CCR 2632(d) (1 ) , Failed to have an approved UST monitoring plan ❑ V ❑ R ❑ COS 2634(d) 106 CCR 2632(d)(2) , Failed to have an approved UST response plan ❑ V ❑ R ❑ COS 2634 (e) 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, 2638(e) , Failed to notify the EHD 48 hours prior to conducting testing ❑ V ❑ R ❑ COS 2643(g) 109 CCR 2637 (a-d) 3 2712 Failed to test secondary containment, or failed to maintain test records for 36 months ❑ V ❑ R ❑ COS 110 CCR 2637(e) , 2637(f) Failed to submit "Secondary Containment Testing Report Form" within 30 days after the test ❑ V ❑ R ❑ COS 111 CCR 2638(a) & (b) , Failed to test monitoring and leak detection equipment annually ❑ V ❑ R ❑ COS 26410) 112 HSC 25293 Failure to maintain UST records to enable the UPA to determine whether the UST is in compliance ❑ V ❑ R ❑ COS 113 CCR 2638(c) , 2638(d) Failure to submit "Monitoring System Certification Form" within 30 days of completion of the test ❑ V ❑ R ❑ COS 114 CCR 2636(f) (3) 1 2643(c) No 0. 1 gph annual line integrity test for pressurized piping , or within 30 days after repair ❑ V ❑ R ❑ COS (3) 115 CCR 2715(a) (1 ) (B) , " Designated Underground Storage Tank Operator Identification Form" not submitted within 30 days ❑ V ❑ R ❑ COS 2715(a)(3) 116 CCR 2715 Designated operator, service tech or installer did not possess current ICC certification ❑ V ❑ R ❑ COS 117 CCR 2663 , 2712(b) (6) Failure to comply with tank lining , recordkeeping , and inspection requirements ❑ V ❑ R ❑ COS 118 CCR 2715(a) (1 ) (A) , Failure to submit the "Underground Storage Tank Statement of Understanding and Compliance Form" ❑ V ❑ R ❑ COS 2715(a) (2) 119 HSC 25299(a) (8) , Documents were falsified or misrepresented ❑ V ❑ R ❑ COS 25299(b)(7) 120 CCR 2635(d) Failed to submit UST Certification of Installation/Modification ❑ V ❑ R ❑ COS 121 CCR 2712(f) Failed to submit a written response within 30 days of receiving an inspection report ■ V ■ R ❑ COS 122 CCR 26315 2640. 11 Failure to submit and/or maintain documentation regarding compatibility for UST system components ❑ V ❑ R ❑ COS 2665, 2711 FA0003707 PR0231463 SCO01 04/10/2019 EHD 23-01 Rev. 09/28/2018 Page 1 of 8 Underground Storage Tank Program OIR 1868 E . Hazelton Avenue I Stockton , California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www. sjcehd . com