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NW 1W San Joaquin County Environmental Health Department 1868 East Hazelton Avenue, Stockton, California 95205-6232 Telephone:(209)468-3420 Fax:(209)468-3433 Web:w/ww.sigov.org/ehd > �,ii,.t*.�ii '` a .s.w"'�;,r. "s ., ? f� '.t ,,*"+ "^u^.4. a�,,r, �:;. . t a,` atri �y`'g ''a>' �, .,-+ 3,-„.raa s' , .` Or { Under[��<oun "Stora "T” i'z,r; ra" :I s ec ',on FRe ort TM ', r � �a,& a� i:a„!f!`,8„'? ?a' .Yz..�t'm ^,.rWWw#WWW�'��? 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 er209 830-0370 Inspection Type: Program: INSPECTION/REINSPECTION 1 hr minimum 2361 -UST FACILITY Consent For: I Consent Given By: ® Inspection ® Photos ® Samples I Andrea Evans Mana er Service Technician Onsite: Exp.Date: Designated Operator: Exp.Date: Darren Sciume 06/16/2016 Elijah Pender raft 06/02/2016 Service Technician Manufacturer's Training Veeder Root,05/04/17; LDT-5000, 07/28/16 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 NE 6 File ReyteWzs,✓d4.'wxk ...«`,M�m ;;,,i r .. 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 ❑V ❑R ❑COS 103 HSC 25292.2 Current financial responsibility documents not submitted a V ❑R ❑COS 104 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 o V ❑R ❑COS 106 CCR 2632 Monitoring and response plans not current or approved by the EHD ❑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 inform the EHD of a change of designated operator within 30 days ❑V ❑R ❑COS 116 CCR 2715 Designated operator,service tech or installer did not possess current ICC certification ❑V ❑R ❑COS 117 HSC 25292.5 Failed to conduct ELD testing on a system located within 1 000'of a public well ❑V ❑R ❑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 ❑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 ❑R ❑COS 121 CCR 2663 Failed to submit tank lining certification within 30 days or to conduct proper tests ❑V ❑R ❑COS 122 HSC 25299 Documents were falsified or misrepresented ❑V ❑R ❑COS 123 CCR 2661 Permit to repair UST system not obtained ❑V ❑R ❑COS 124 CCR 2635(d) Failed to submit UST Certification of Installation/Modification ❑V ❑R ❑COS 125 CCR 2712(f) Failed to submit a written response within 30 days of receiving an inspection report ❑V ❑R ❑COS 126 HSC 25404(e)(4) Failed to report program data electronically ❑V ❑R ❑COS Page 1 of 4 9171 9690 0935 0111 1461 51