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® San Joaquin County �- Environmental Health Department 2016 1868 East Hazelton Avenue, Stockton, California 95205-6232 JUN 2 3 2016 Telephone:(209)468-3420 Fax:(209)468-3433 Web:www.sjgov.org/ehd Underground Storage Tank.Program Inspection Report Facility Name: Facility Phone: Date: CHEVRON#208117'* 209 830-0370 March 04 2016 Facility Address: CERS ID: 755 S TRACY BLVD TRACY CA 95376 10182313 Inspection Contact: Title: Phone: Andrea Evans Manaa er 209 830-0370 Inspection Type: Program: INSPECTION/REINSPECTION 1 hr minimum 2361 - UST FACILITY Consent For: Consent Given By: ® Inspection 0 Photos ® Samples I Andrea Evans Manager Service Technician Onsite: Exp.Date: Designated Operator: Exp.Date: Darren Sciume 06/16/2016 1 Eli'ah Pender raft 06/02/2016 Service Technician Manufacturer's Training Veeder Root,05/04/17; LDT-5000, 07/28/16 CR=California Code of Regulations NSC=Health and satety Code CFR=Code of Federal Regulations V=Violation R=Repeat violation COs=Corrected on site during inspection File Review 101 HSC 25284 No permit to operate V R _ COS 102 HSC 25284(a)(3) No written agreement between tank owner and tank operator to monitor the tank system r V —... — -- u R _3 COS 3 HSC 25292.2 Current financial responsibility documents not submitted _ V R COS 4 CCR 2711 UST Operating Permit Application for Facility and Tank information not submitted or current V R COS 105 HSC 25286(c) Current BOE number not submitted V R c COS 6 CCR 2632 Monitoring and response plans not current or approved by the EHD _ v c R107 CCR Cos 2632(d)(1)(C) Plot plan/site map not submitted or failed to completely show where monitoring is performed V t R COS 108 CCR 2637(0,2638(e) Failed to notify the EHD 48 hours prior to conducting testing V r R c 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 VR ma 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 c R COS 113 CCR 2638(d) Failed to submit monitoring system certification test report within 30 days _ w V r:R COS 114 CCR 2636(f) Failed to perform 0.1 gph annual line test for pressurized piping without fail safe or shut down c V -w R �-i COS 115 CCR 2715(a) w Failed to inform the EHD of a change of designated operator within 30 days v —_ u,V cR cjCOS 116 CCR 2715 Designated operator,service tech or installer did not possess current ICC certification r V c R r-COS 117 HSC 25292.5 Failed to conduct ELD testing on a system located within 1000'of a public well ❑V c:.R t COS 118 HSC 25292.5 Failed to repair and retest system due to failed ELD test V R COS 119 CCR 2644.1(a)(5) Failed to submit ELD test results within 60 days TM � �V R COS 120 CCR 2663 Failed to inspect a lined or repaired steel tank within 10 years of lining and every 5 years after — — _V o cCOS 121 CCR 2663 Failed to submit tank lining certification within 30 days or to conduct proper tests V t R COS 122 HSC 25299 Documents were falsified or misrepresented V ru,R COS 123 CCR 2661 Permit to repair UST system not obtained V c R COS 124 CCR 2635(d) Failed to submit UST Certification of installation/Modification V r R COS 125 CCR 2712(f) Failed to submit a written response within 30 days of receiving an inspection report v V c R c COS 126 HSC 25404(e)(4) Failed to report program data electronically V c R o COS Page 1 of 4