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SAJOAQUII EnvironmeNtal Health D COUNTY Uffig Grtorness grows here. '4 k4 Facility Name: Facility Phone: Date: SHELL 1-5 (209) 939-0961 March 08, 2018 Facility Name: CERS ID: 717 W EIGHTH ST, STOCKTON, CA 95206 10184915 Inspection Contact: Title: Phone: Joe Dangtran Owner (408)666-0009 Inspection Type: Program: ROUTINE INSPECTION -Operating Permit 12371 - UST FACILITY- 1702 COMPLIANT Consent For: I Consent Given By: Z Inspection Z Photos Z Samples I Joe Dangtran, Owner Service Technician Onsite: Exp.Date: Designated Operator: Exp.Date: Jeff Conger 02/09/2019 Douglas Nunn 07/25/2019 Service Technician Manufacturer's Training VMI, 09/29/18; Veeder Root, 01/27/19 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 'P,N 101 HSC 25284 Failure to obtain a valid permit to operate from the EHD including but not limited to unpaid fees o V o R c COS 102 HSC 25284(a)(3)(A)/(B) No written agreement between tank owner and tank operator to monitor the tank system c V Li R Li COS 103 HSC 25292.2,25299.30 Current financial responsibility documents not submitted Li V o R o COS 104 CCR 2711 UST operating permit application for facility and tank information not submitted or current Ei V o R Ei COS 105 CCR 2632(d)(1), Failed to have an approved UST monitoring plan ■V m R m COS 2634(d) 106 CCR 2632(d)(2), Failed to have an approved UST response plan Li V Li R ci COS 2634(e) 107 CCR 2632(d)(1)(C) Plot plan/site map not submitted or failed to completely show where monitoring is performed Ei V ii R ii COS 108 CCR 2637(f),2638(e) Failed to notify the EHD 48 hours prior to conducting testing Fi V Li R Li COS 109 CCR 2637 Failed to test secondary containment o V Ei R [i COS 110 CCR 2637(e) Failed to submit secondary containment test report within 30 days Ei V Ei R ii COS 111 CCR 2638(a) Failed to test monitoring and leak detection equipment annually ii V Li R Li COS 112 HSC 25284.2 Failed to test spill containers annually Ei V Ei R ii COS 113 CCR 2638(d) Failed to submit monitoring system certification test report within 30 days Li V ci R ii COS 114 CCR 2636(f) Failed to perform 0.1 gph annual line test for pressurized piping without fail safe or shut down Ei V Ei R Ei COS 115 CCR 2715(a) Failed to submit to EHD notification of designated operator identification or change w/in 30 days Ej V o R Ei COS 116 CCR 2715 Designated operator,service tech or installer did not possess current ICC certification o V o R o COS 117 CCR 2663(h) Failed to inspect a lined or repaired steel tank within 10 years of lining and every 5 years after ii V Ei R Ei COS 118 CCR 2663 Failed to submit tank lining certification within 30 days or to conduct proper tests o V o R o COS 119 HSC 25299(a)(8), Documents were falsified or misrepresented ii V o R o COS 25299(b)(7) 120 CCR 2635(d) Failed to submit UST Certification of Installation/Modification o 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 ci R c COS 122 CCR 26310) Failure to submit and maintain UST system component statement of compatibility for substance stored El V 11 R El COS WE'RE k- t 0, MA, Ram -- - --- ----- ............. CCR 2712(b) Failure to maintain monitoring,maintenance,and follow up action records o V ci R c COS 2� FA0015274 PR0522448 SCO01 03/08/2018 EHD 23-01 Rev.10/31/2017 Page I of 5 Underground Storage Tank Program OIR 1868 E. Hazelton Avenue I Stockton, California 952051 T 209 468-34201 F 209 464-0138 1 www.sjcehd.com