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San Joaquin County <br />Environmental Health Department <br />1868 East Hazelton Avenue, Stockton, California95205-6232 <br />Underground Storage Tank Program Inspection Report <br />Facility Name: <br />HSC 25284 <br />No permit to operate <br />o V <br />Facility Phone: <br />o COS <br />Date: <br />UQ'IUU­`s C_,/'S <br />No written agreement between tank owner and tank operator to monitor the tank system <br />Ei V <br />(209) <br />o COS <br />i0;1,11 rc,r, 21, 201 (5, <br />FAddress: <br />Current financial responsibility documents not submitted <br />o V <br />o R <br />Ei COS <br />CERS ID: <br />14acility <br />9 7 1 �--Uvr\l Y 8 8 1- (-D CO3 <br />,f +--'r ' 0 <br />o V <br />o R <br />Ei COS <br />10 - 18 0 "5 �2 3`1 <br />Inspection Contact: <br />Current BOE number not submitted <br />Ei V <br />Title: <br />ii COS <br />Phone: <br />CCR 2632 <br />Monitoring and response plans not current or approved by the EHD <br />o V <br />Li R <br />o COS <br />107 <br />Inspection Type: <br />Plot plan/site map not submitted or failed to completely show where monitoring is performed <br />-T-Program. <br />D R <br />o COS <br />0 Ll'T' N E NrliS 1"LE <br />Dper,,�.�kng <br />Failed to notify the EHD 48 hours prior to conducting testing <br />23,�61 - US7 f Al.,,i5 i <br />c R <br />Consent For: <br />109 <br />Consent Given By: <br />Failed to test secondary containment <br />o V <br />Inspection L I Photos <br />Samples <br />Bikramri '�-'odlhi, <br />CCR 2637(e) <br />Failed to submit secondary containment test report within 30 days <br />Service Technician Onsite. <br />o R <br />Exp. Date: <br />Designated Operator: <br />Exp. Date: <br />Failed to test monitoring and leak detection equipment annually <br />o V <br />C'(3/1.9112,E]'O 7 <br />A ;x: J:v,,0, ,, I.<3; <br />0'r,',' 3 /'2 16 <br />Service Technician Manufacturer's Training: <br />V,,,-:cc�er R�,-m.t 09 2-7'/17, VU, 021'0211 7 <br />V = Violation R= Repeat violation COS= Corrected on site during inspection <br />I File Review I <br />101 <br />HSC 25284 <br />No permit to operate <br />o V <br />o R <br />o COS <br />102 <br />HSC 25284(a)(3) <br />No written agreement between tank owner and tank operator to monitor the tank system <br />Ei V <br />o R <br />o COS <br />103 <br />HSC 25292.2 <br />Current financial responsibility documents not submitted <br />o V <br />o R <br />Ei COS <br />104 <br />CCR 2711 <br />UST Operating Permit Application for Facility and Tank information not submitted or current <br />o V <br />o R <br />Ei COS <br />105 <br />HSC 25286(c) <br />Current BOE number not submitted <br />Ei V <br />Ei R <br />ii COS <br />106 <br />CCR 2632 <br />Monitoring and response plans not current or approved by the EHD <br />o V <br />Li R <br />o COS <br />107 <br />CCR 2632(d)(1)(C) <br />Plot plan/site map not submitted or failed to completely show where monitoring is performed <br />Ei V <br />D R <br />o COS <br />108 <br />CCR 2637(0,2638(e) <br />Failed to notify the EHD 48 hours prior to conducting testing <br />o V <br />c R <br />c COS <br />109 <br />j CCR 2637 <br />Failed to test secondary containment <br />o V <br />o R <br />Ei COS <br />110 <br />CCR 2637(e) <br />Failed to submit secondary containment test report within 30 days <br />o V <br />o R <br />Ei COS <br />111 <br />CCR 2638(a) <br />Failed to test monitoring and leak detection equipment annually <br />o V <br />o R <br />o COS <br />112 <br />HSC 25284.2 <br />Failed to test spill containers annually <br />o V <br />D R <br />o COS <br />113 <br />CCR 2638(4) <br />Failed to submit monitoring system certification test report within 30 days <br />o V <br />o R <br />o COS <br />114 <br />CCR 2636(o <br />Failed to perform 0.1 gph annual line test for pressurized piping without fail safe or shut down <br />o V <br />o R <br />Ei COS <br />115 <br />CCR 2715(a) <br />Failed to inform the EHD of a change of designated operator within 30 days <br />o V <br />Ei R <br />o COS <br />116 <br />CCR 2715 <br />Designated operator, service tech or installer did not possess current ICC certification <br />o V <br />o R <br />Li COS <br />117 <br />HSC 25292.5 <br />Failed to conduct ELD testing on a system located within 1000' of a public well <br />o V <br />❑ R <br />o COS <br />118 <br />HSC 25292.5 <br />Failed to repair and retest system due to failed ELD test <br />u V <br />❑ R <br />o COS <br />119 <br />CCR 2644.1(x)(5) <br />Failed to submit ELD test results within 60 days <br />o V <br />Li R <br />Ei COS <br />120 <br />CCR 2663 <br />Failed to inspect a lined or repaired steel tank within 10 years of lining and every 5 years after <br />o V <br />o R <br />o COS <br />121 <br />CCR 2663 <br />Failed to submit tank lining certification within 30 days or to conduct proper tests <br />o V <br />o R <br />Ei COS <br />122 <br />HSC 25299 <br />Documents were falsified or misrepresented <br />Ei V <br />o R <br />E COS <br />123 <br />CCR 2661 <br />Permit to repair UST system not obtained <br />o V <br />Ei R <br />Ej COS <br />124 <br />CCR 2635(d) <br />Failed to submit UST Certification of Installation/Modification <br />o V <br />o R <br />Ei COS <br />125 <br />CCR 2712(o <br />Failed to submit a written response within 30 days of receiving an inspection report <br />o V <br />o R <br />Ei COS <br />126 <br />HSC 25404(e)(4) <br />Failed to report program data electronically <br />o V <br />o R <br />o COS <br />Pagel of <br />