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San Joaquin County Environmental Health Department 1868 East Hazelton Avenue, Stockton, California 95205-6232 Telephone:(209)468-3420 Fax:(209)468-3433 Web:wwwsmgov.orgLehd lunde' rIrdund Storage Tank Program" ,Inspection ReP orl Facility Name: Facility Phone: Date: PACIFIC AVE CHEVRON (209)477-4294 June 01, 2018 Facility Address: CERS ID: 6633 PACIFIC AVE, STOCKTON, CA 95207 10594654 Inspection Contact: Title: Phone.. Ruvian Laurel Store Manager Inspection Type: Program: INSPECTION/REINSPECTION 1 hr minimum 2361 - UST FACILITY Consent For: Consent Given By: 0 Inspection El Photos R Samples Ruvian Laurel Store Mangger Service Technician Onsite: Exp.Date: Designated Operator: Exp.Date: Felix Ramirez 11/22/2018 Service Technician Manufacturer's Training 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 'File Rev' !ew 2 A 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 Ej COS 102 HSC 25284(a)(3)(A)/ No written agreement between tank owner and tank operator to monitor the tank system o V o R o COS (B) 103 HSC 25292.2,25299.30 Current financial responsibility documents not submitted ii V Ei R o COS 104 CCR 2711 UST operating permit application for facility and tank information not submitted or current Ei V Ei R Ei COS 105 CCR 2632(d)(1), Failed to have an approved UST monitoring plan c3 V o R ci COS 2634(d) 106 CCR 2632(d)(2), Failed to have an approved UST response plan Ei V Li R Li COS 2634(e) 107 CCR 2632(d)(1)(C) Plot plan/site map not submitted or failed to completely show where monitoring is performed o V Ei R ii COS 108 CCR 2637(f),2638(e) Failed to notify the EHD 48 hours prior to conducting testing o V oR Li COS 109 CCR 2637 Failed to test secondary containment Ei V o R ii COS 110 CCR 2637(e) Failed to submit secondary containment test report within 30 days o V o R ii COS 111 CCR 2638(a) Failed to test monitoring and leak detection equipment annually o V o R ii COS 112 HSC 25284.2 Failed to test spill containers annually Ei V o R Li COS 113 CCR 2638(d) Failed to submit monitoring system certification test report within 30 days o V o R oCOS 114 CCR 2636(f) Failed to perform 0.1 gph annual line test for pressurized piping without fail safe or shut down o V o R Ei COS 115 CCR 2715(a) Failed to submit to EHD notification of designated operator identification or change w/in 30 days ii V o R Li COS 116 CCR 2715 Designated operator,service tech or installer did not possess current ICC certification o V o R Ei COS W CCR 2663(h) Failed to inspect a lined or repaired steel tank within 10 years of lining and every 5 years after o V o R o COS 118 CCR 2663 Failed to submit tank lining certification within 30 days or to conduct proper tests o V ci R o COS 119 HSC 25299(a)(8), Documents were falsified or misrepresented ii V Ei R o COS 25299(b)(7) 120 CCR 2635(d) Failed to submit UST Certification of Installation/Modification o V o R o COS 121 CCR 2712(f) Failed to submit a written response within 30 days of receiving an inspection report o V Li R c COS 122 CCR 26310) Failure to submit and maintain UST system component statement of compatibility for substance stored o V Ej R c COS "10 njt�Records �S oc rdS 201 R 2712(b) Failure to maintain monitoring, maintenance,and follow up action records Ei V ii R Ej COS FA0003834 PR0231784 SC333 06/01/2018 EHD 23-01 Rev.09/22/16 Page 1 of 4 Underground Storage Tank Program OIR