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� 1 <br /> San Joaquin County <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, California 95205-6232 <br /> Telephone:(209)468-3420 Fax:(209)468-3433 Web:www.sj, og v.or./q ehd <br /> Won <br /> li' tg ks15 <br /> i;Pw s, -r <br /> qv�''^k z% .. <br /> Facility Name: Facility Phone: Date: <br /> FLYING J TRAVEL PLAZA A618" (209) 599-4141 May 04, 2016 <br /> Facility Address: CERS ID: <br /> 1501 N JACK TONE RD, RIPON, CA 95366 10182131 <br /> Inspection Contact: Title: Phone: <br /> Scott Brandau Manager (209) 599-4141 <br /> Inspection Type: Program: <br /> ROUTINE INSPECTION -Operating Permit 2361 - UST FACILITY <br /> Consent For: I Consent Given By: <br /> 0 Inspection 0 Photos Z Sample I Anna Vargas,Assistant Manager <br /> CCR=California Code of Regulations HSC=Health and Safety Code CFR=Code of Federal Regulations <br /> V=Violation R=Repeat violation COS=Corrected on site during inspection <br /> 0 CCR 2644.1(a)(5) Failed to submit ELD test results within 60 days ❑V ❑R ❑COS <br /> ., s <br /> :�' yt <br /> 101 HSC 25284 No permit to operate ❑V ❑R ❑COS <br /> 102 HSC 25284(a)(3) No written agreement between tank owner and tank operator to monitor the tank system ❑V ❑R ❑COS <br /> 103 HSC 25292.2 Current financial responsibility documents not submitted ❑V ❑R ❑COS <br /> 104 CCR 2711 UST operating permit application for facility and tank information; u.bLnitt¢d or current ■V ❑R ❑COS <br /> 105 HSC 25286(c) Current BOE number not submitted ❑V Li ❑COS <br /> 106 CCR 2632(d)(2) Failed to have an approved UST response plan LiV ❑R ❑COS <br /> 7 CCR 2632(d)(1)(C) Plot plan/site map not submitted or failed to completely show where monitoring is performed ❑V ❑R ❑COS <br /> 108 CCR 2637(f),2638(e) Failed to notify the EHD 48 hours prior to conducting testing ❑V ❑R ❑COS <br /> 109 CCR 2637 Failed to test secondary containment ■V ❑R ❑COS <br /> 110 CCR 2637(e) Failed to submit secondary containment test report within 30 days ❑V ❑R ❑COS <br /> 111 CCR 2638(a) Failed to test monitoring and leak detection equipment annually ❑V ❑R ❑COS <br /> 112 HSC 25284.2 Failed to test spill containers annually ❑V ❑R ❑COS <br /> 113 CCR 2638(d) Failed to submit monitoring system certification test report within 30 days ❑V ❑R ❑COS <br /> 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 <br /> 115 CCR 2715(a) Failed to inform the EHD of designated operator identification or change within 30 days ❑V ❑R ❑COS <br /> 116 CCR 2715 Designated operator,service tech or installer did not possess current ICC certification ❑V ❑R ❑COS <br /> 117 CCR 2663 Failed to inspect a lined or repaired steel tank within 10 years of lining and every 5 years after ❑V ❑R ❑COS <br /> 118 CCR 2663 Failed to submit tank lining certification within 30 days or to conduct proper tests ❑V ❑R ❑COS <br /> 119 HSC 25299 Documents were falsified or misrepresented ❑V ❑R ❑COS <br /> 120 CCR 2635(d) Failed to submit UST Certification of Installation/Modification ❑V ❑R ❑COS <br /> 121 CCR 2712(f) Failed to submit a written response within 30 days of receiving an inspection report ❑V ❑R ❑COS <br /> 122 CCR 26310) Failure to submit UST system component statement of compatibility for substance stored ❑V ❑R ❑COS <br /> 123 CCR 2661 Permit to repair UST system not obtained ■V ❑R ❑COS <br /> 126 HSC 25404(e)(4) Failed to report program data electronically ❑V ❑R ❑COS <br /> i4 4� t 5 a}tsss - 5cygst ' Idrytzt g �e <br /> ,s, a :� >: <br /> 4i <br /> 201 CCR 2712(b) Failed to maintain alarm logs and/or records of follow up actions ❑V ❑R ❑COS <br /> 202 CCR 2712(b) Failed to maintain cathodic protection test records on site for at least 6 1/2 years ❑V ❑R ❑COS <br /> FA0006672 PRO505264 SCO01 05/04/2016 <br /> EHD 23-01 Rev.09/22/16 Page 1 of 7 Underground Storage Tank Program OIR <br />