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• "<= SAGOANIN COU N T Y grow, G. • Environmental Health Department ea x'� t w Elm 7FaNityName: Facility Phone: Date: ELL) 68151 (209) 369-1525 January 24, 2018 KEE LN, LODI, CA 95240 CERS ID: 10181229 Inspection Contact: Melissa Torres _T Title: Manager Phone: (209) 369-1525 Inspection Type: ROUTINE INSPECTION - Operating Permit Program: 12361 - UST FACILITY Consent For: ZInspection ZPhotos MSam les Consent Given By: Melissa Torres, Manager Service Technician Onsite: Exp. Date: Michael Briggs 05/30/2019 Designated Operator: Exp. Date: Oscar Garzan 06/27/2018 Service Technician Manufacturer's Training: VMI, 06/01/19; Veeder Root, 04/26/19 CCR = California Code of Regulations HSC = Health and Safety Code CFR = Code of Federal Regulations V = Violation R = Repeat violation COS = Corrected on site during inspection 101 HSC 25284 Nun ir, SM £. "'.' .:" :%i,3tY£`¢'fY : Failure to obtain a valid permit to operate from the EHD including but not limited to unpaid fees sN'. RM ❑ V ❑ R ❑ COS 102 HSC 25284(a)(3)(A)/(B) No written agreement between tank owner and tank operator to monitor the tank system E)V ❑ R ❑ COS 103 HSC 25292.2, 25299.30 Current financial responsibility documents not submitted ❑ V ❑ R ❑ COS 104 CCR 2711 UST operating permit application for facility and tank information not submitted or current ❑ V ❑ R ❑ COS 105 CCR 2632(d)(1), 2634(d) Failed to have an approved UST monitoring plan ❑ V ❑ R ❑ COS 106 CCR 2632(d)(2), 2634(e) Failed to have an approved UST response plan ❑ V ❑ R ❑ COS 107 CCR 2632(d)(1)(C) Plot plan/site map not submitted or failed to completely show where monitoring is performed ❑ V ❑ R ❑ COS 108 CCR 2637(f), 2638(e) Failed to notify the EHD 48 hours prior to conducting testing ❑ V ❑ R ❑ COS 109 CCR 2637 Failed to test secondary containment ❑ V ❑ R ❑ COS 110 CCR 2637(e) Failed to submit secondary containment test report within 30 days ❑ V ❑ R ❑ COS 111 CCR 2638(a) Failed to test monitoring and leak detection equipment annually ❑ V ❑ R ❑ COS 112 HSC 25284.2 Failed to test spill containers annually ❑ V ❑ R ❑ COS 113 CCR 2638(d) Failed to submit monitoring system certification test report within 30 days ❑ V ❑ R ❑ 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 ❑ COS 115 CCR 2715(a) Failed to submit to EHD notification of designated operator identification or change w/in 30 days ❑ V ❑ R ❑ COS 116 CCR 2715 Designated operator, service tech or installer did not possess current ICC certification ❑ V o R ❑ COS 117 CCR 2663(h) Failed to inspect a lined or repaired steel tank within 10 years of lining and every 5 years after ❑ V ❑ R ❑ COS 118 CCR 2663 Failed to submit tank lining certification within 30 days or to conduct proper tests ❑ V ❑ R ❑ COS 119 HSC 25299(a)(8), 25299(b)(7) Documents were falsified or misrepresented ❑ V ❑ R ❑ COS 120 CCR 2635(d) Failed to submit UST Certification of Installation/Modification ❑ V ❑ R ❑ COS 121 CCR 2712(f) Failed to submit a written response within 30 days of receiving an inspection report ❑ V ❑ R ❑ COS 122 CCR 26310) Failure to submit and maintain UST system component statement of compatibility for substance stored ❑ V ❑ R ❑ COS 201 CCR 2712(b) 4< .. £« it = _ # "" #yam- • 'k ;- .[,i f'{Sl ` + £ }# }1 { j.- t : £i -p - ,i„ sit „ '"�S �,fi x. .. {<.'.: " t, . i,� s3'3 <,i S i sP`ui# ,..-,-. {*4'U 1^ £i ivYbs ,<-. ,-`Aa'�.:5-., <: -v�- Failure to maintain monitoring, maintenance, and follow up action records ❑ V ❑ R ❑ COS FA0003602 PR0231320 SCO01 01/24/2018 EHD 23-01 Rev. 10/31/2017 Page 1 of 4 Underground Storage Tank Program OIR 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com