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Ah Alk 14W San Joaquin County IRW Environmental Health Department 1868 East Hazelton Avenue, Stockton, California95205-6232 Telephone., (209) 468-3420 Fax. (209) 468-3433 Web.vVWW.siqov.o[g/ehd Underground Storage Tank Program Inspection Report Facility Name: Facility Phone: Date: 56 G J FILAZ,3,45,1 Q 0,9 4 0 E M,-3 y C,3 2 016 Facility Address: CERS ID: 1523-j7N 'TH0R.1',J-7-0N FRE), I.C"D, CA 95242 10184349 Inspection Contact: Title: Phone: Inspection Type. Program: pe- - 1 - PA1`.',Hj-'; Y ROU"I"ILE P"4SPECD(.,,N,- nnit 236 Consent For: sent Given By: Inspection ,.' Photos x'] Sam oleTscjio,�ne ji-ne.nez, ��Z-en�erai Service Technician Onsite., Exp.Date: Designated Operator: Exp.Date: isa;aic Garr.li, 0 1 Q 41 Service Technician Manufacturer's Training ed - Root,022&AT VN11l 3 1 CCR=California Code of Regulations HSC=Health and Safety Code CPR=Code of Federal Regulafions V=Violation R=Repeat violation COS=Corrected on site during inspection File Review 101 HSC 25284 No permit to operate Ei V Ei R E:i COS 102 HSC 25284(a)(3) No written agreement between tank owner and tank operator to monitor the tank system Ei V Ei R Ei COS 103 HSC 25292.2 Current financial responsibility documents not submitted o V Ei R o COS 104 CCR 2711 UST Operating Permit Application for Facility and Tank information not submitted or current o V Ei R Ei COS 105 HSC 25286(c) Current BOE number not submitted Ei V Ei R Ei COS 106 CCR 2632 Monitoring and response plans not current or approved by the EHD o V Ei R D COS 107 CCR 2632(d)(1)(C) Plot plan/site map not submitted or failed to completely show where monitoring is performed a V o R o COS 108 CCR 2637(o,2638(e) Failed to notify the EHD 48 hours prior to conducting testing ❑V o R o COS 109 CCR 2637 Failed to test secondary containment ❑V o R o COS 110 CCR 2637(e) Failed to submit secondary containment test report within 30 days o V o R o COS Ill CCR 2638(a) Failed to test monitoring and leak detection equipment annually o V o R o COS 112 HSC 25284.2 Failed to test spill containers annually o V Ei R o COS 113 CCR 2638(d) Failed to submit monitoring system certification test report within 30 days o V o R o COS 114 CCR 2636(o Failed to perform 0.1 gph annual line test for pressurized piping without fail safe or shut down o V Ei R Ei COS 115 CCR 2715(a) Failed to inform the EHD of change of designated operator within 30 days o V o R u COS 116 CCR 2715 Designated operator,service tech or installer did not possess current ICC certification E3 V o R o COS 117 HSC 25292.5 Failed to conduct ELD testing on a system located within 1000'off a public well o V Ei R o COS 118 HSC 25292.5 Failed to repair and retest system due to failed ELD test o V Ej R o COS 119 CCR 2644.1(a)(5) Failed to submit ELD test results within 60 days o V o R Ei COS 120 CCR 2663 Failed to inspect a lined or repaired steel tank within 10 years of lining and every 5 years after o V o R Ei COS 121 CCR 2663 Failed to submit tank lining certification within 30 days or to conduct proper tests o V o R o COS 122 HSC 25299 Documents were falsified or misrepresented o V o R o COS 123 CCR 2661 Permit to repair UST system not obtained o V o R o COS 124 CCR 2635(d) Failed to submit UST Certification of Installation/Modification o V o R o COS 125 CCR 2712(f) Failed to submit a written response within 30 days of receiving an inspection report o V o R o COS 126 HSC 25404(e)(4) Failed to report program data electronically o V o R o COS Page 1 of 3