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SAN 10 A Q U I N Environmental Health Department <br /> Underground Storage Tank Program Inspection Report <br /> Facility Name: Facility Phone: Date : <br /> Lawrence Livermore National Lab - Site 300 (925 ) 422-9777 July 29 , 2020 <br /> Facility Address: CERS ID: <br /> 15999 W CORRAL HOLLOW RD , TRACY, CA 95376 10154767 <br /> Inspection Contact: Tolle: Phone: <br /> Ashley Thomas Environmental Analyst (925) 423-4058 <br /> Inspection Type: Program: <br /> ROUTINE INSPECTION - Operating Permit 2361 - UST FACILITY <br /> Consent For: Consent Given By: <br /> X Inspection ❑O Photos ❑ Samples Ashley Thomas , Environmental Analyst <br /> Service Technician Onsite: Exp. Date : Designated Operator: Exp. Date: <br /> Brian D . Thomton 02/28/2022 Brian D . Thornton 02/28/2022 <br /> Service Technician Manufacturers Training: <br /> VR , 05/20/21 ; VMI , 01 /09/21 ; OPW, 01 /22/22 <br /> CCR = Title 23 California Code of Regulations HSC = HeaM and Safety Code CFR = Code of Federal Regulations <br /> V = Violation R = Repeat violation COS = corrected on site during inspection <br /> File Review <br /> 101 HSC 25284; CCR Failed to obtain a permit to operate from the EHD including but not limited to unpaid permit fees ❑ V ❑ R ❑ COS <br /> 2711 d) <br /> 102 HSC 25284(a)(3)(A)/(B) No written agreement between tank owner and tank operator to monitor the tank system ❑ V ❑ R ❑ COS <br /> 103 HSC 25292.21 25299. 30 Failure to submit and maintain complete and current financial responsibility documents ❑ V ❑ R ❑ COS <br /> 104 CCR 2711 UST operating permit application for facility and tank information not submitted or current ❑ V ❑ R ❑ COS <br /> 105 CCR 2632(d)(1 ), Failed to have an approved UST monitoring plan ❑ V ❑ R ❑ COS <br /> 2634(d) <br /> 106 CCR 2632(d)(2)2 Failed to have an approved UST response plan ❑ V ❑ R ❑ COS <br /> 2634(e <br /> 107 CCR 2632(d), 2641 (h), Plot plantsite map not submitted or failed to completely show where monitoring is performed ❑ V ❑ R ❑ COS <br /> 2711 (a) <br /> 108 CCR 2637, 2638(e), Failed to notify the EHD 48 hours prior to conducting testing ❑ V ❑ R ❑ COS <br /> 2643(g) <br /> 109 CCR 2637(a-d), 2712 Failed to test secondary containment, or failed to maintain test records for 36 months ❑ V ❑ R ❑ COS <br /> 110 CCR 2637(e), 2637(f) Failed to submit "Secondary Containment Testing Report Form" within 30 days after the test ❑ V ❑ R ❑ COS <br /> 111 CCR 2638, 2641 Q), Failed to test monitoring and leak detection equipment every 12 months ❑ V ❑ R ❑ COS <br /> 2715(f) <br /> 112 HSC 25293 Failure to maintain UST records to enable the UPA to determine whether the UST is in compliance ❑ V ❑ R ❑ COS <br /> 113 CCR 2638 (c) , 2638(d) Failure to submit "Monitoring System Certification Form" within 30 days of completion of the test ❑ V ❑ R ❑ COS <br /> 114 CCR 2636(f)(3) , 2643(c) No 0. 1 gph annual line integrity test for pressurized piping, or within 30 days after repair ❑ V ❑ R ❑ COS <br /> (3) <br /> 115 CCR 2715(a)(1 )(B) , 'Designated Underground Storage Tank Operator Identification Form" not submitted within 30 days ■ V ❑ R ❑ COS <br /> 2715(a) (3) <br /> 116 CCR 2715 Designated operator, service tech or installer did not possess current ICC certification ❑ V ❑ R ❑ COS <br /> 117 CCR 26631 2712(b)(6) Failure to comply with tank lining, recordkeeping, and inspection requirements ❑ V ❑ R ❑ COS <br /> 118 CCR 2715(a)(1 )(A), Failure to submit the "Underground Storage Tank Statement of Understanding and Compliance Form" ❑ V ❑ R ❑ COS <br /> 2715(a) (2) <br /> 119 HSC 25299(a) (8), Documents were falsified or misrepresented ❑ V ❑ R ❑ COS <br /> 25299(b)(7) <br /> 120 CCR 2635(d) Failed to submit UST Certification of Installation/Modification ❑ V ❑ R ❑ COS <br /> 121 CCR 2712(f) Failure to implement corrections and submit written response within 30 days of receiving the report ❑ V ❑ R ❑ COS <br /> FA0003934 PR0231M S0001 07/29/2020 <br /> EHD 23-01 Rev, 9/20/2019 Page 1 of 5 Underground Storage Tank Program OIR <br /> 1868 E . Hazelton Avenue I Stockton , California 95205 1 T 209 468-3420 1 F 209464-0138 1 www . sjoehd .com <br />