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f� <br />San Joaquin County <br />Environmental Health Department <br />1868 East Hazelton Avenue, Stockton, California 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: www.s6aov.org/ehd <br />Facility Name: wFacility hone: <br />TESORO (SHELL) 68151 (209) 369-1525 <br />ate: <br />January 26, 2016 <br />Facility Address: <br />35 N CHEROKEE LN, LODI, CA 95240 <br />CERS ID: <br />10181229 <br />Inspection Contact: <br />Jennifer Rodriguez <br />Title: <br />Manager <br />Phone: <br />(209) 369-1525 <br />Inspection Type: <br />ROUTINE SUPPLEMENTAL ACTIVITY- Operating Permit <br />Program: <br />2361 - UST FACILITY <br />Consent For: <br />0 Inspection 9 Photos O Samples <br />I Consent Given By: <br />I Jennifer Rodriguez, Manager <br />Service Technician Onsite: <br />Michael Briggs <br />Exp. Date: <br />06/11/2017 <br />Designated Operator: <br />Laura Gomez <br />Exp. Date: <br />04/14/2017 <br />Service Technician Manufacturer's Training <br />Veeder Root, 12/08/17; VMI, 06/09/17 <br />CCR=California Code of Regulations HSC= Health and SafetyCode CFR= Code of FederalRegulations <br />V = Violation R = Repeat violation COS = Corrected on site during inspect <br />L .,, 4 til fi`F' r } } ,..#,. <br />,yS+11Kp� <br />_ <br />101 HSC 25284 <br />No permit to operate <br />u V <br />n R o CC <br />102 HSC 25284(a)(3) <br />No written agreement between tank owner and tank operator to monitor the tank system <br />n V <br />o R n CC <br />103 HSC 25292.2 <br />Current financial responsibility documents not submitted <br />❑ V <br />❑ R ❑ CC <br />104 CCR 2711 <br />UST Operating Permit Application for Facility and Tank information not submitted or current <br />n V <br />❑ R n CC <br />105 j HSC 25286(c) <br />Current BOE number not submitted <br />❑ V <br />n R o CC <br />106 CCR 2632 <br />Monitoring and response plans not current or approved by the EHD <br />❑ V <br />❑ R n CC <br />107 CCR 2632(d)(1)(C) <br />Plot plan/site map not submitted or failed to completely show where monitoring is performed <br />u V <br />o R n CC <br />108 CCR 2637(f), 2638(e) <br />Failed to notify the EHD 48 hours prior to conducting testing <br />o V <br />n R ❑ CC <br />109 CCR 2637 <br />Failed to test secondary containment <br />❑ V <br />n R n CC <br />110 CCR 2637(e) <br />Failed to submit secondary containment test report within 30 days <br />n V <br />o R o CC <br />111 j CCR 2638(a) <br />Failed to test monitoring and leak detection equipment annually <br />❑ V <br />n R o CC <br />112 HSC 25284.2 <br />Failed to test spill containers annually <br />n V <br />o R ❑ CC <br />113 CCR 2638(d) <br />Failed to submit monitoring system certification test report within 30 days <br />n V <br />n R ❑ CC <br />114 CCR 2636(f) <br />Failed to perform 0.1 gph annual line test for pressurized piping without fail safe or shut down <br />n V <br />n R ❑ CC <br />115 CCR 2715(a) <br />Failed to inform the EHD of a change of designated operator within 30 days <br />n V <br />❑ R ❑ CC <br />116 1 CCR 2715 <br />Designated operator, service tech or installer did not possess current ICC certification <br />o V <br />n R n CC <br />117 HSC 25292.5 <br />Failed to conduct ELD testing on a system located within 1000' of a public well <br />❑ V <br />u R ❑ CC <br />118 HSC 25292.5 <br />Failed to repair and retest system due to failed ELD test <br />u V <br />❑ R ❑ CC <br />119 CCR 2644.1(a)(5) <br />Failed to submit ELD test results within 60 days <br />n V <br />u R n CC <br />120 CCR 2663 <br />Failed to inspect a lined or repaired steel tank within 10 years of lining and every 5 years after <br />❑ V <br />o R ❑ CC <br />121 CCR 2663 <br />Failed to submit tank lining certification within 30 days or to conduct proper tests <br />❑ V <br />n R ❑ CC <br />122 j HSC 25299 <br />Documents were falsified or misrepresented <br />❑ V <br />o R n CC <br />123 CCR 2661 <br />Permit to repair UST system not obtained <br />n V <br />❑ R ❑ CC <br />124 CCR 2635(d) <br />Failed to submit UST Certification of Installation/Modification <br />❑ V <br />❑ R ❑ CC <br />125 CCR 2712(f) <br />Failed to submit a written response within 30 days of receiving an inspection report <br />o V <br />o R ❑ CC <br />Received by � <br />(initial): <br />Inspector: <br />VICKI MCCARTNEY, Senior REHS <br />hone: <br />(209) 468-9852 <br />Date: <br />01/26/2016 <br />Page 1 of 5 <br />