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—' San Joaquin County 1W HSC 25284 Environmental Health Department ❑ V 1868 East Hazelton Avenue, Stockton, California 95205-6232 ❑ COS Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: www.sjgov.or./c/ehd Facility Name: Facility Phone: Date: TESORO (SHELL) 68151 (209) 369-1525 January 26, 2016 Facility Address: CERS ID: 35 N CHEROKEE LN, LODI, CA 95240 10181229 Inspection Contact: Title: Phone: Jennifer Rodriguez [Manager (209) 369-1525 Inspection Type: Program: ❑ COS ROUTINE SUPPLEMENTAL ACTIVITY- Operating Permit 2361 - UST FACILITY Current BOE number not submitted Consent For: Consent Given By: o COS N Inspection M Photos 121 Samples I Jennifer Rodriguez, Manager Monitoring and response plans not current or approved by the EHD Service Technician Onsite: Exp. Date: Designated Operator: Exp. Date: Michael Briggs 06/11/2017 Laura Gomez 04/14/2017 Service Technician Manufacturer's Training ❑ R Veeder Root, 12/08/17; VMI, 06/09/17 108 CCR = California Codeo egu ations HSC = Health and Safety Code CFR = Codeo a era Regulations Failed to notify the EHD 48 hours prior to conducting testing V = Violation R = Repeat violation COS = Corrected on site during inspection 101 HSC 25284 No permit to operate ❑ V ❑ R ❑ COS 102 HSC 25284(a)(3) No written agreement between tank owner and tank operator to monitor the tank system ❑ V ❑ R ❑ COS 103 HSC 25292.2 Current financial responsibility documents not submitted ❑ V o R ❑ COS 104 CCR 2711 UST Operating Permit Application for Facility and Tank information not submitted or current o V ❑ R ❑ COS 105 HSC 25286(c) Current BOE number not submitted ❑ V ❑ R o COS 106 CCR 2632 Monitoring and response plans not current or approved by the EHD ❑ V ❑ R ❑ COS 107 CCR 2632(d)(1)(C) Plot plan/site map not submitted or failed to completely show where monitoring is performed o V ❑ R ❑ COS 108 CCR 2637(f), 2638(e) Failed to notify the EHD 48 hours prior to conducting testing o V ❑ R ❑ COS 109 CCR 2637 Failed to test secondary containment o V ❑ R ❑ COS 110 CCR 2637(e) Failed to submit secondary containment test report within 30 days o V ❑ R ❑ COS 111 CCR 2638(a) Failed to test monitoring and leak detection equipment annually o V o R ❑ COS 112 HSC 25284.2 Failed to test spill containers annually o V o R ❑ COS 113 CCR 2638(d) Failed to submit monitoring system certification test report within 30 days ❑ V ❑ R o COS 114 CCR 2636(f) Failed to perform 0.1 gph annual line test for pressurized piping without fail safe or shut down ❑ V ❑ R o COS 115 CCR 2715(a) Failed to inform the EHD of a change of designated operator within 30 days ❑ V o R o COS 116 CCR 2715 Designated operator, service tech or installer did not possess current ICC certification ❑ V ❑ R ❑ COS 117 HSC 25292.5 Failed to conduct ELD testing on a system located within 1 000'of a public well o V ❑ R o COS 118 HSC 25292.5 Failed to repair and retest system due to failed ELD test ❑ V o R ❑ COS 119 CCR 2644.1(a)(5) Failed to submit ELD test results within 60 days ❑ V o R o COS 120 CCR 2663 Failed to inspect a lined or repaired steel tank within 10 years of lining and every 5 years after o V ❑ R ❑ COS 121 CCR 2663 Failed to submit tank lining certification within 30 days or to conduct proper tests ❑ V ❑ R o COS 122 HSC 25299 Documents were falsified or misrepresented o V o R ❑ COS 123 CCR 2661 Permit to repair UST system not obtained o V ❑ R ❑ COS 124 CCR 2635(d) Failed to submit UST Certification of Installation/Modification o V o R ❑ COS 125 CCR 2712(f) Failed to submit a written response within 30 days of receiving an inspection report o V c R o COS ca.c�rcu vy Ana Nci.w�. rI WI1tlL vale: (initial): VICKI MCCARTNEY, Senior REHS (209) 468-9852 01/26/2016 Page 1 of 5