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SANJOAQUIN Environmental Health Department <br /> C0t.J1\1TY <br /> J <br /> Underground Storage Tank Program Inspection Report <br /> Facility Name: Facility Phone: Date: <br /> UPS-Stockton (209)463-5059 May 24,2018 <br /> Facility ERS to- <br /> 1532 N Broadway,Ave, Stockton, CA 95205 10156057 <br /> nspec on Contact: Title: Phone: <br /> Ins <br /> INSPECTION/REINSPECTION 1 hr minimum 2361 UST FACILITY <br /> Consent or: Consent Given By: <br /> O Inspection Q Photos ®Samples I U <br /> Service Technician Onsitsc Designated Operator: Exp.Date: <br /> Dave Pereira 05/21/2020 <br /> Semice Technician Manulacturees Training <br /> CCIFt'n'GaVornia Code a $ -REM an <br /> Safety Code UFR Cod-e of Fede-n-A Mg-MiliMm- <br /> V=Vication R c Repeat viotaflon Cob=Corrected on site during inspecOon <br /> File Review <br /> 101 FISC 25284 Failure to obtain a valid permit to operate from the EHD Including but not limited to unpaid fees ❑V o R o COS <br /> 102 FISC 25284(a)(3)(AY(B) No written agreement between tank owner and tank operator to monitor the tank system ❑V o R ❑COS <br /> 103 NSC 25292.2,25299.30 Current financial responsibility documents not submitted o V o R o COS <br /> 104 CCR 2711 UST operating permit application for facility and tank information not submitted or current ❑V o R u COS <br /> 105 CCR 2632(d)(1), Failed to have an approved UST monitoring plan o V u R o COS <br /> 2634 <br /> 106 CCR 2632(d)(2), Failed to have an approved UST response plan o V ❑R n COS <br /> 2634 e <br /> 107 CCR 2632(d)(1)(C) Plot planisite map not submitted or failed to completely show where monitoring is performed o V o R ❑COS <br /> 108 CCR 2637(Q,2638(e) Failed to notify the EHD 48 hours prior to conducting testing ❑V ❑R u COS <br /> 109 CCR 2037 Failed to test secondary containment n V n R u COS <br /> 110 CCR 2637(e) Failed to submit secondary containment test report within 30 days u V u R u COS <br /> 111 CCR 2638(a) Failed to test monitoring and leak detection equipment annually ❑V ❑R u COS <br /> 112 HSC 25284.2 Failed to test spill containers annually u V u R ❑COS <br /> 113 CCR 2638(d) Faited to submit monitoring system certWmmftn test report within 30 days ❑V o R n COS <br /> 114 CCR 2636M Failed to perform 0.1 gph annual line test for pressurized piping without fail safe or shut down ❑V ❑R ❑COS <br /> 115 CCR 2715(a) Failed to submit to EHD notification of designated operator Identification or change win 30 days o V o R o COS <br /> 116 CCR 2715 Designated operator,service tech or Installer did not possess current ICC certification n V o R o COS <br /> 117 CCR 2663(h) Failed to Inspect a lined or repaired steel tank within 10 years of fining and every 5 years after ❑V o R o COS <br /> 118 CCR 2663 Failed to submit tank lining certification within 30 days or to conduct proper tests ❑V u R ❑COS <br /> 119 HSC 25 (a)(8), Documents were falsified or misrepresented ❑V o R ❑COS <br /> 252MNJD <br /> 120 CCR 2635(d) Failed to submit UST Certification of InstalletionlModification ❑V n R n COS <br /> 121 CCR 2712(f) Failed to submit a written response within 30 days of receiving an inspection report ❑V n R a COS <br /> 122 CCR 26310) Failure to submit and maintain UST system component statement of compatibility for substance stored ❑V a R ❑COS <br /> On Site Records <br /> 201 CCR 2712(b) Failure to maintain monitoring,maintenance,and follow up action records o V u R ❑COS <br /> FA0004051 PRO231522 sc333 =24=ie <br /> EHO 2301 Rev.10/3112017 Page 1 of 3 Underground Storage Tank Program OR <br /> 1868 E. Hazelton Avenue I Stockton, California 95205' T 209 468-3420' F 209 464-0138 1 www.sjcehd.com <br />