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Jan au 1,4 vf: I -+p U01 I Doti 1 _Zve I _V lav P. lu <br />LLS -r q& / ri <br />SAN JOAQUIN COUNTY <br />JAN 3 0 2014 ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East Hazelton Avenue, Stoddon, California 95205-6232 <br />Telephone: (209) 468-3420 Fax. (2 09) 468-3433 Web: MM.&M.orclehd <br />UNDERGROUND STORAGE TANK (UST) PROGRAM INSPECTION REPORT <br />Facility <br />Norm. Chevron Station #96171 <br />Facility <br />Address: 6633 Pacific Ave. Stockton, CA <br />Inspection <br />Oft: Jan 30, 2014 <br />Fad <br />C Oyt Gerardo Acuna <br />Yitl® Env., & Safety Spec <br />(9n) 522-0832 <br />Inspemn <br />Type: X Routine X MonihirV System Certification 'iInstallation C'Complaint -tDA I I Other. <br />(Authority HSC 25280) <br />Consenlfw. XInspectim XSampling XPh=s 3,ntdwTiffany Gunderson rdw Store Manager <br />Monitoring <br />Panel: Veeder-RootTLS-350 <br />Piping <br />'System: XPresevrized uSuction i.Gravity <br />Ova <br />Preve 'on: X Mechanical AudibleNbual <br />USY5.-1 <br />ProdLict <br />.1- <br />. ...... <br />ii-oclare <br />6 <br />--------- <br />87 -chane <br />octane <br />Designated <br />r Edward Dahl gren <br />Operato. <br />[CC Exp <br />mt, - 6-28-14 <br />Vidalons: It M1 -Release Detection .;W-ReleasePrevarfton 'IM3-Both <br />arrod Cooke <br />Manufacture!'s <br />'m''xp' tm4-30-16 Tral": yr 5-7-14, vmi 2-10-15 <br />VIOLATIONS <br />111! <br />IC1 <br />1021 <br />M <br />I Cod. Se.1l.. <br />HSC = California HeathvkranCot CCRcn" Mode of Reaulakons <br />ZZ <br />File Review <br />I01_ I <br />I HSC 25284 <br />No permit to operate <br />102 <br />HSC 25404.5 <br />Annual operatiM fees not paid <br />103 <br />HSC 25284(a)(3) <br />No written agreement between the person that the operating permit visa issued to and the Bank operator to <br />monitor the tank systm <br />104 <br />HSC 25292.2 <br />current financial responsibii!y documents not an file with the Environmental Health Department (EHD) <br />105 <br />CCR 2711 <br />1 Current Unliled Program Consolidated Forms not on file with (he EHD (Facility and lank form) <br />106 <br />CCR 2632(b) <br />Monitoring Program (Manitoring & Response Plans) Is not current or approved by the EHD <br />107 1 <br />1 [CCR 2632(d)(1)(C) <br />IPIOt plaNaite mapI submitted or falls to completely show where monitoring is performed <br />108 <br />CCR 2637 <br />Secondary containment (a) test not performed, (e) test report not sUbrndled within 30 days; (I last notification <br />not orm4ded to the EW at least 48 hours orlor to conduct no the test <br />108 <br />CCR 2538 <br />Monitoring equipment certification: (a) not performed annually; (d) test report not su within 30 do <br />(e) test notification not provided to the EHD at least 48 hours prior to conducting an installation, repair, <br />replacement, calibration, or certification <br />110 <br />HSC 25291 <br />Annual line leak detector test not performed <br />111111 <br />FISC 25284.2 <br />Annual spill containment testing not petforryied <br />112 <br />CCR 2836(1)(4) <br />Annual line tightnen test not performed If posi&* shutdown or fail safe not present <br />113 <br />CCR 2715(a) <br />Failed to Inform the EHD of a change of de hated operator within 30 days <br />114 <br />CCR 2715(b) <br />Designated operator does not possess a current ICC: CA UST S12!ern Operator certification <br />115 <br />CCR 2SWk) <br />Repair for tank or piping not tested for tightness after completion of the repair pursuant to (Ml) <br />Permit conditions <br />lie <br />. . . <br />HSC 25292.5 <br />. <br />Enhanced leak detection (ELD) testing not performed on a system located within 1000'afpublic well, or <br />failures not repaired and retested <br />117 <br />CCR 2661 <br />Permit tore pair UST system not obtained <br />118 <br />HSC 25286(a) <br />Operational permit not amended when UST storage and/or monitoring system cha2ffd <br />lie <br />NSC 26298 <br />Permit to tem orad close UST s not obtained <br />120 <br />JHSC 25298 (9 <br />Permit to dose UST system not obtained <br />On Site Records <br />201 <br />CCR 2712(b) <br />Maintenance & monitoring records not maintained 3 years, cathodic protection records for 6'A yews, written <br />performance claims pertaining to release detection systems for 5 years, or records of rapeirs, linings, and <br />upgrades for the life of the tank. Monitoring records Include: (1) date and time of all monitoring or samp4ng; <br />(2) monitoring equipment calibration and maintenance records; (3) results of any visual observations; (4) <br />results of sample analysis performed a lob or In the field; (5) logs of all readings of gages or other monitoring <br />2juiRmft gond water elevations, or other test results; (@I results of inventoa readINI and reciondrWtions <br />202 <br />. . <br />. CCR 2712 I) <br />Monitoring plan, response plan, andfor operating perrnft and all conditions not onsite <br />203 <br />I I <br />OCR 2550 <br />I I <br />Unauthorized release that; (c) did not escape secondary containment and cleaned up within eight hours (mi)' <br />was not recorded; (e) escaped secondary containment, not cleaned up after eight hours, or a sudden loss of <br />I?mduct was not reported to the EHD within 24 hours <br />EHD23-02 ROV04119FI2 Pagel USInNSPEC71ON REPORT <br />