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SA6JOAQUIN Environmental Health Department <br /> Y <br /> COUNI <br /> C 'oess 9 r -i S <br /> u' �tor*geTalk Program Enspection Report <br /> Facility Name: Facility Phone: Date: <br /> DSS COMPANY r(2019)932-2100 July 24, 2018 <br /> Facility Address: CERS ID: <br /> 655 W CLAY ST, STOCKTON, CA 95206 10181319 <br /> Inspection Contact: Title: Phone: <br /> Steve Azevedo Environmental Contact (209)948-0302 <br /> Inspection Type: Program: <br /> ROUTINEINSPECTION-Operating Permit 12361 -LIST FACILITY <br /> Consent For: TConsent Given By: <br /> Z Inspection 0 Photos 0 Samples Steve Azevedo, Environmental Manager <br /> Service Technician Onsite: Exp.Date: Designated Operator: Exp.Date: <br /> Zane Nimmo 06/02/2019 John Bertao 01/23/2020 <br /> Service Technician Manufacturer's Training: <br /> Veeder Root, 09/28/19-,VMI, 01/08/19,-Tank Tester, 03/31/19 <br /> CCR=California Code of Regulations HSC=Health and Safety Code CFR=Code of Federal Regulations <br /> V=Violation R=Repeat violation COS=Corrected on site during inspection <br /> Re f <br /> V <br /> 101 HSC 25284 Failure to obtain a valid permit to operate from the EHD including but not limited to unpaid fees o V o R c COS <br /> 102 HSC 25284(a)(3)(A)/(B) No written agreement between tank owner and tank operator to monitor the tank system o V o R o COS <br /> 103 HSC 25292.2,25299.30 Current financial responsibility documents not submitted Ei V Ei R Ei COS <br /> 104 CCR 2711 UST operating permit application for facility and tank information not submitted or current o V o R c COS <br /> 105 CCR 2632(d)(1), Failed to have an approved UST monitoring plan o V o R o COS <br /> 12634(d) <br /> 106 CCR 2632(d)(2), Failed to have an approved UST response plan o V o R ii COS <br /> 2634(e) <br /> 107 CCR 2632(d)(1)(C) Plot plan/site map not submitted or failed to completely show where monitoring is performed Ei V c R c COS <br /> 108 CCR 2637(f),2638(e) Failed to notify the EHD 48 hours prior to conducting testing o V Ei R c COS <br /> 109 CCR 2637 Failed to test secondary containment o V o R ci COS <br /> 110 CCR 2637(e) Failed to submit secondary containment test report within 30 days o V o R o COS <br /> 111 CCR 2638(a) Failed to test monitoring and leak detection equipment annually Ei V ii R Ei COS <br /> 112 HSC 25284.2 Failed to test spill containers annually c V Li R o COS <br /> 113 CCR 2638(d) Failed to submit monitoring system certification test report within 30 days m V Ei R ci COS <br /> 114 CCR 2636(f) Failed to perform 0.1 gph annual line test for pressurized piping without fall safe or shut down o V Ei R o COS <br /> 115 CCR 2715(a) Failed to submit to EHD notification of designated operator identification or change w/in 30 days Ei V Ei R Ei COS <br /> 116 CCR 2715 Designated operator,service tech or installer did not possess current ICC certification o V c R ci COS <br /> 117 CCR 2663(h) Failed to inspect a lined or repaired steel tank within 10 years of lining and every 5 years after Ei V Ei R Ei COS <br /> 118 CCR 2663 Failed to submit tank lining certification within 30 days or to conduct proper tests o V o R u COS <br /> 119 HSC 25299(a)(8), Documents were falsified or misrepresented o V o R o COS <br /> 25299(b)(7) <br /> 120 CCR 2635(d) Failed to submit UST Certification of Installation/Modification ii V Ei R Ei COS <br /> 121 CCR 2712(f) Failed to submit a written response within 30 days of receiving an inspection report o V o R c COS <br /> 122 CCR 26310) Failure to submit and maintain UST system component statement of compatibility for substance stored o V o R c COS <br /> Qn S!11Records <br /> 201 CCR 2712(b) Failure to maintain monitoring,maintenance,and follow up action records o V oR cCOS <br /> FA0003699 PR0231065 SCO01 07/24/2018 <br /> EHD 23-01 Rev.10/31/2017 Page 1 of 4 Underground Storage Tank Program OIR <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 IF 209 464-0138 1 www.sjcehd.com <br />