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0 ._._.. R SANS► MU I N C O U fel T Y.___.. Greofress grows hera. • Environmental Health Department s y� Facility Name: FLYING J TRAVEL PLAZA #618' Facility Phone: (209) 599-4141 Date: May 03, 2018 Facility Address: 1501 N JACK TONE RD, RIPON, CA 95366 CERS ID: 10182131 Inspection Contact: Scott Brandau Title: General Manager Phone: (209) 599-4141 Inspection Type: ROUTINE INSPECTION - Operating Permit Program: 12361 - UST FACILITY Consent For: 0 Inspection ❑ Photos ❑x Samples Consent Given By: Scott Brandau, General Manager Service Technician Onsite: Exp. Date: Rogelio Valencia 04/20/2020 Designated Operator: Exp. Date: Lance York 08/04/2018 Service Technician Manufacturers Training: Veeder Root, 07/25/18; VMI, 02/24/19 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 M...,:. t' .. �+.,a ...n�"'a • 3f L" �� d°s . it Y A � 5ce. T2+�. S•" �#,,t'i sty �e `}. +�` ,} sp4 p. «M'.3✓;.� ��t'.: %s.. 'aa;��e $..Y.a:1 �&�i. ga..t ��t&t � }#,moi bar, �..h s.'%.'t'� V�.ii amu":. Failure to obtain a valid permit to operate from the EHD including but not limited to unpaid fees ❑ V ❑ R ❑ COS 101 HSC 25284 102 HSC 25284(a)(3)(A)/(B) No written agreement between tank owner and tank operator to monitor the tank system ❑ V ❑ R ❑ COS 103 HSC 25292.2, 25299.30 Current financial responsibility documents not submitted ❑ V ❑ R ❑ COS 104 CCR 2711 UST operating permit application for facility and tank information not submitted or current ❑ V ❑ R ❑ COS 105 CCR 2632(d)(1), 2634(d) Failed to have an approved UST monitoring plan ■ V ■ R ❑ COS 106 CCR 2632(d)(2), 12634(e) Failed to have an approved UST response plan ❑ V ❑ R ❑ COS 107 CCR 2632(d)(1)(C) Plot plan/site map not submitted or failed to completely show where monitoring is performed ❑ V ❑ R ❑ COS 108 CCR 2637(f), 2638(e) Failed to notify the EHD 48 hours prior to conducting testing ❑ V ❑ R ❑ COS 109 CCR 2637 Failed to test secondary containment ❑ V ❑ R ❑ COS 110 CCR 2637(e) Failed to submit secondary containment test report within 30 days ❑ V ❑ R ❑ COS 111 CCR 2638(a) Failed to test monitoring and leak detection equipment annually ❑ V ❑ R ❑ COS 112 HSC 25284.2 Failed to test spill containers annually ❑ V ❑ R ❑ COS 113 CCR 2638(d) Failed to submit monitoring system certification test report within 30 days ❑ V ❑ R ❑ COS 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 115 CCR 2715(a) Failed to submit to EHD notification of designated operator identification or change w/in 30 days ❑ V ❑ R ❑ COS 116 CCR 2715 Designated operator, service tech or installer did not possess current ICC certification ❑ V ❑ R ❑ COS 117 CCR 2663(h) Failed to inspect a lined or repaired steel tank within 10 years of lining and every 5 years after ❑ V ❑ R ❑ COS 118 CCR 2663 Failed to submit tank lining certification within 30 days or to conduct proper tests ❑ V ❑ R ❑ COS 119 HSC 25299(a)(8), 25299(b)(7) Documents were falsified or misrepresented ❑ V ❑ R ❑ COS 120 CCR 2635(d) Failed to submit UST Certification of Installation/Modification ❑ V ❑ R ❑ COS 121 CCR 2712(f) Failed to submit a written response within 30 days of receiving an inspection report ❑ V ❑ R ❑ COS 122 CCR 26310) Failure to submit and maintain UST system component statement of compatibility for substance stored ❑ V ❑ R ❑ COS �.., .. WIN _, ;:� r7 , .. x. a< ...uxO r • K. S,u- � �,, s, .. ... WSW 201 CCR 2712(b) Failure to maintain monitoring, maintenance, and follow up action records ■ V ❑ R ❑ COS FA0006672 PR0505264 SCO01 05/03/2018 EHD 23-01 Rev. 10/31/2017 Page 1 of 6 Underground Storage Tank Program OIR 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjoehd.com