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S0 JOA U 1 Environmental Health Department <br /> Underground Storage Tank Program Inspection Report <br /> Facility Name: Facility Address: Date: <br /> Mossdale Chevron 444 W MOSSDALE RD, LATHROP June 10, 2020 <br /> SUMMARY OF VIOLATIONS <br /> (CLASS I,CLASS II,or MINOR-Notice to Comply) <br /> Item# Remarks <br /> 209 CCR 2716(a-e) Failure to conduct the designated UST operator visual inspection at least once every 30 days. <br /> 1)OBSERVATION:The designated operator failed to check and note the correct test dates for the overfill <br /> prevention testing on the designated operator inspection reports. Reports stated overfill prevention testing was <br /> conducted on 6/13/2019; according to results submitted to EHD, testing was completed on 1/10/2019. <br /> REGULATION GUIDANCE: During the inspection, the designated operator shall check that all required testing and <br /> maintenance for the UST system have been completed and document the dates they were done. <br /> CORRECTIVE ACTION: Ensure that designated operators performing inspections at this facility are including all of <br /> the required information on the reports. <br /> 2)OBSERVATION:The designated operator failed to check and note all required items on the visual inspection <br /> reports.The incorrect and missing information included the following from the inspection reports: <br /> -The"NA"in section X was not explained in section III of the reports. <br /> -The reports were missing CERS ID. <br /> -The reports were missing name and signature of the UST owner/operator. <br /> -The designated operator documented visual inspection of the 87 product sump but left the question regarding <br /> sump sensor locations blank. <br /> -The date on 7/25/2019 monthly inspection report and on the alarm history printout does not match.The alarm <br /> history is dated 7/24/2019. <br /> REGULATION GUIDANCE: During the visual inspection,the designated operator shall check that all required <br /> testing and maintenance for the UST system have been completed and shall check all required items on the report. <br /> CORRECTIVE ACTION: Ensure that designated operators performing visual inspections at this facility are including <br /> all of the required information on the reports. <br /> This is a repeat violation, Class ll. <br /> 314 HSC 25290.1,25290.2, 25291 Failed to have secondary containment or secondary containment not tight. <br /> OBSERVATION: The 3/27/2019 secondary containment test results indicate a failure at the 87 and diesel STP <br /> sumps.According to test report,the 87 and diesel STP sumps failed due to leaking penetrations. The failed <br /> components have not been repaired/replaced or retested. <br /> REGULATION GUIDANCE:All secondary containment for the UST system must be capable of storing any released <br /> hazardous substance. <br /> CORRECTIVE ACTION: Immediately have a properly licensed,trained, and certified contractor repair or replace the <br /> failed component under permit and inspection of the EHD. <br /> This is a minor violation. <br /> FA0000212 PR0231692 SCO01 06/10/2020 <br /> EHD 23-01 Rev.9/20/2019 Page 6 of 8 Underground Storage Tank Program OIR <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />