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SARAAQUIN A it -COUNTY---- 1J Environmental Health Department 4"l-PP0 VIrtIRP Facility Name: ARCO AM PM #82602* Facility Phone: (209) 830-8778 Date: October 17, 2018 Facility Address: 2430 JOE POMBO PKWY, TRACY, CA 95376 CERS ID: 10182265 Inspection Contact: Ranjeet Singh Owner Phone: (209 ) 830-8778 Inspection Type: ROUTINE INSPECTION - Operating Permit Program: 12361 - UST FACILITY Consent For: Z Inspection M Photos 0 Samples Consent Given By: Vikram Singh, Vice President Service Technician Onsite: Exp. Date: Guadalupe Sanchez 04/08/2019 Designated Operator: Exp. Date: Guadalupe Sanchez 01/28/2019 Service Technician Manufacturer's Training: VMI, 06/06/19; OPW, 06/18/19; Veeder Root, 10/30/19 CCR = Title 23 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 'WRq e.R a e. IF 101 HSC 25284 Failed to obtain a permit to operate from the EHD including but not limited to unpaid permit fees o V o R o COS 102 HSC 25284(a)(3)(A)/(B) No written agreement between tank owner and tank operator to monitor the tank system o V o R o COS 103 HSC 25292.2, 25299.30 Failure to submit and maintain complete and current financial responsibility documents o V n R m COS 104 CCR 2711 UST operating permit application for facility and tank information not submitted or current o V o R o COS 105 CCR 2632(d)(1), 2634(d) Failed to have an approved UST monitoring plan Ei V Ei R o COS 106 CCR 2632(d)(2), 2634(e) Failed to have an approved UST response plan o V o R u COS 107 CCR 2632(d)(1)(C) Plot plan/site map not submitted or failed to completely show where monitoring is performed o V o R o COS 108 CCR 2637, 2638(e), 2643(g) Failed to notify the EHD 48 hours prior to conducting testing o V n R ii COS 109 CCR 2637(.-d), 2712 Failed to test secondary containment, or failed to maintain test records for 36 months o V o R o COS 110 CCR 2637(e), 2637(f) Failed to submit "Secondary Containment Testing Report Form" within 30 days after the test Ei V o R Ei COS 111 CCR 2638(a) & (b), 26410) Failed to test monitoring and leak detection equipment annually c V o R o COS 112 HSC 25293 Failure to maintain UST records to enable the UPA to determine whether the UST is in compliance o V o R i:i COS 113 CCR 2638(c), 2638(d) Failure to submit "Monitoring System Certification Form" within 30 days of completion of the test Ei V o R ci COS 114 CCR 2636(f)(3), 2643(c) (3) No 0.1 gph annual line integrity test for pressurized piping, or within 30 days after repair o V o R. o COS 115 CCR 2715(a)(1)(B), 2715(a)(3) "Designated Underground Storage Tank Operator Identification Form" not submitted within 30 days o V o R ii COS 116 CCR 2715 Designated operator, service tech or installer did not possess current ICC certification o V c R o COS 117 CCR 2663, 2712(b)(6) Failure to comply with tank lining, recordkeeping, and inspection requirements Ei V Li R o COS 118 CCR 2715(a)(1)(A), 2715(a)(2) Failure to submit the "Underground Storage Tank Statement of Understanding and Compliance Form" o V ii R o COS 119 HSC 25299(a)(8), 25299(b)(7) Documents were falsified or misrepresented o V o R o COS 120 CCR 2635(d) Failed to submit UST Certification of Installation/Modification Ei 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 o R o COS 122 CCR 2631, 2640.1, 2665,2711 Failure to submit and/or maintain documentation regarding compatibility for UST system components Ei V o R o COS FA0007634 PRO506796 SCO01 10/17/2018 EHD 23-01 Rev. 09/28/2018 Page 1 of 4 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.sjcehd.com