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1j � + Environmental Health Department SAN JOAQUIN _ . - - - C OUNTY - Underground Storage Tank Program Inspection Report Facility Name : Facility Phone: Date : SHELL 1-5 (209 ) 939-0961 March 12 , 2020 Facility Address : CERS ID: 717 W EIGHTH ST , STOCKTON , CA 95206 10184915 Inspection Contact: Title: Phone : Joe Dangtran Owner (209 ) 939 -0961 Inspection Type: Program: ROUTINE INSPECTION - Operating Permit 2371 - UST FACILITY - 1702 COMPLIANT Consent For: Consent Given By: 0 Inspection 0 Photos El Sam les Steve Jasper, Manager Service Technician Onsite: Exp. Date : Designated Operator: Exp. Date : Jeff Conger 01 /24/2021 Douglas Nunn 09/11 /2021 Service Technician Manufacturer's Training VMI , 09/27/20 ; VR , 01 /22/21 ; FF , 04/10/21 CCR = Title 23 California Codeo egu ations HSC = Health and Safety Code CFR = Code of a era Regulations V = Violation R = Repeat violation COS = Corrected on site during inspection File Review 101 HSC 25284 ; CCR Failed to obtain a permit to operate from the EHD including but not limited to unpaid permit fees ❑ V ❑ R ❑ COS 2711 (d ) 102 HSC 25284 (a )(3 )(A)/(B ) No written agreement between tank owner and tank operator to monitor the tank system ❑ V ❑ R ❑ COS 103 HSC 25292 . 23 25299 .30 Failure to submit and maintain complete and current financial responsibility documents ■ V ❑ R ❑ COS 104 CCR 2711 UST operating permit application for facility and tank information not submitted or current ❑ V ❑ R ❑ COS 105 CCR 2632(d )(1 ), Failed to have an approved UST monitoring plan ❑ V ❑ R ❑ COS 2634(d ) 106 CCR 2632 (d )(2 ), Failed to have an approved UST response plan ❑ V ❑ R ❑ COS 2634(e) 107 CCR 2632 (d ) , 2641 (h ) , Plot plan/site map not submitted or failed to completely show where monitoring is performed ❑ V ❑ R ❑ COS 2711 (a ) 108 CCR 2637 , 2638 (e ), Failed to notify the EHD 48 hours prior to conducting testing ❑ V ❑ R ❑ COS 2643(g ) 109 CCR 2637(a-d ), 2712 Failed to test secondary containment, or failed to maintain test records for 36 months ❑ V ❑ R ❑ COS 110 CCR 2637 (e ), 2637 (f) Failed to submit "Secondary Containment Testing Report Form" within 30 days after the test ❑ V ❑ R ❑ COS 111 CCR 26383 26410 ), Failed to test monitoring and leak detection equipment every 12 months ❑ V ❑ R ❑ COS 2715 (f) 112 HSC 25293 Failure to maintain UST records to enable the UPA to determine whether the UST is in compliance ❑ V ❑ R ❑ COS 113 CCR 2638 (c) , 2638(d ) Failure to submit " Monitoring System Certification Form" within 30 days of completion of the test ❑ V ❑ R ❑ COS 114 CCR 2636 (f)(3 ), 2643 (c) No 0 . 1 gph annual line integrity test for pressurized piping , or within 30 days after repair ❑ V ❑ R ❑ COS (3) 115 CCR 2715 (a )( 1 )(B ) , " Designated Underground Storage Tank Operator Identification Form" not submitted within 30 days ❑ V ❑ R ❑ COS 2715(a)(3 ) 116 CCR 2715 Designated operator, service tech or installer did not possess current ICC certification ❑ V ❑ R ❑ COS 117 CCR 2663 , 2712(b )(6 ) Failure to comply with tank lining , recordkeeping , and inspection requirements ❑ V ❑ R ❑ COS 118 CCR 2715 (a)(1 )(A) , Failure to submit the " Underground Storage Tank Statement of Understanding and Compliance Form" ❑ V ❑ R ❑ COS 2715(a )(2 ) 119 HSC 25299 (a)(8), Documents were falsified or misrepresented ❑ V ❑ R ❑ COS 25299(b)(7) 120 CCR 2635 (d ) Failed to submit UST Certification of Installation/Modification ❑ V ❑ R ❑ COS 121 CCR 2712 (f) Failure to implement corrections and submit written response within 30 days of receiving the report ❑ V ❑ R ❑ COS FA0015274 PRO522448 SCO01 03/12/2020 EHD 23-01 Rev. 9/20/2019 Page 1 of 6 Underground Storage Tank Program OIR 1868 E . Hazelton Avenue I Stockton , California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www . sjcehd . com