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03/11/2011 FRI 14:38 FAX 209 83433 SJC EHD 2001 ********************* *** FAX TX REPORT *** ********************* TRANSMISSION OK JOB NO. 3998 DESTINATION ADDRESS 918362786 PSWD/SUBADDRESS DESTINATION ID ST. TIME 03/11 14: 36 USAGE T 02' 43 PGS. 3 RESULT OK SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 600 East Main Street, Stockton,California 95202-3029 Telephone:(209)468-3420 Fax.,(209)468-3433 Web:www.sigov.org/ehd/unitiii.html UNDERGROUND STORAGE TANK (UST) PROGRAM INSPECTION REPORT Facility name: Inspection date: Chevron Station#208117 February 11, 2011 Facility address: UST#/ 1 2 755 South Tracy Blvd, Tracy, 95376 Product 87 91 Facility contact: Title: Phone: Kitty Carter manager 830--83370 Monitoring panel: Piping system: Overfill prevention: Violations: Veeder-Root TLS-350 ®Pressurized❑suctionOGravity ©Mechanical ®M1-RDetect❑M2-RPrev❑M3-Both ❑Audible/visual Inspection type: Designated operator: ICC exp.date: ©Routine Monitoring Certification ❑installation ❑Other Edward Dahlgren 09/28/12 On site Se Ie Technician's name: ICC exp/ ��.date: Manufa�u ((JJ66��re�s�girly 66 N t Z S h VV f i \0 vA I.7f s 7 i(� a31l I # Code Section ONS R HSC=CA Health&SafetyCode;CCR=CAC Code of Regulations;V=Violation; RV=Re eat Violation V V 1 HSC 25284 No ermit tooperate Secondary containment:(a)test not performed;(e)test report not submitted within 30 days;(f)test 2 CCR 2637 notification not provided to the Environmental Health Department(EHD)at least 48 hours prior to conducting the test 61'97 3 CCR 2711 b Current Unified Program Consolidated Forms not on file with the EHD(Facility and tank form 4 HSC 25292.2 Current financial responsibility documents not on file with the EHD 5 CCR 2632(b) Monitorina Pro ram(Monitoring&Response Plans is not current or approved by the EHD 6 CCR 2712(i) Monitoring Ian,response plan,and/oroperating permit and all conditions not onsite Maintenance&monitoring records not maintained 3 years,cathodic protection records for 6'/2 (Mt) years,written performance claims pertaining to release detection systems for 5 years,or records of repairs,linings,and upgrades for the life of the tank. Monitoring records include:(1)date and time of 7 CCR 2712(b) all monitoring or sampling;(2)monitoring equipment calibration and maintenance records;(3)results of any visual observations;(4)results of sample analysis performed a lab or in the field;(5)logs of all readings of gauges or other monitoring equipment,ground water elevations,or other test results;(6) results of inventory readings and reconciliations 8 CCR 2643(d) Daily monitoring of suction piping(pre-January1, 1984 not performed Mt 9 HSC 25292.1 UST system is not operated to prevent unauthorized release including spills and overfills 10 CCR 2632(c)(2) Monitoring system is not present in the interstitials ace of a double walled UST Mt 11 CCR 2630(d) UST monitoring equipment is not installed or maintained to detect a leak at the earliest opportunity(mi) 12 HSC 25291(b) UST monitoring system incapable of detecting leak from primary containment into secondary (MI) containment 13 CCR 2636(f}(1) Failed to maintain a continuous monitoring system for underground piping&UDCs that activates (Mt) an audible and visual alarm or stops Flow of product at the dispenser when it detects a leak 14 CCR 2631 a Primary containment is not product tight 15 HSC 25291(a)(2) Secondary containment for UST system is not tight 16 CCR 2636(c)(1) All releases in secondary pipingdo not flow to a collection sum 17 CCR 2636(f)(2) Line leak detectors not installed or failed to detect a 3-gallon per hour leak at 10 psi (MI)