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MJ aQQUEnvironmental Health Department . COUNTY Underground Storage Tank Program Inspection Report Facility Name : Facility Phone: Date : MARCH AND BIANCHI CHEVRON ( 209 ) 954 -0945 November 21 , 2018 Facility Address : CERS ID: 1916 E MARCH LN , STOCKTON , CA 95210 10186995 Inspection Contact: Title. Phone: Vinod Kumar Cashier Q - Inspection Type: Program : ROUTINE INSPECTION - Operating Permit 12351 - UST FACILITY - 2481 COMPLIANT Consent For: Consent Given By : 0 Inspection 0 Photos 0 Samples Karamjeet Kaur, Manager Service Technician Onsite: Exp. Date : Designated Operator: Exp. Date : Chris Bishop Brian Roth 03/ 10/2019 Service Technician Manufacturer's Training VMI , 12/31 /- 14 ; Veeder- Root , 12/31 /- 14 R = Title 23 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 File Review 101 HSC 25284 Failed to obtain a permit to operate from the EHD including but not limited to unpaid permit fees ■ V ❑ R ❑ COS 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 . 21 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) ( 1 ) (C) Plot plan/site map not submitted or failed to completely show where monitoring is performed ❑ V ❑ R ❑ COS 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 2638 (a) & ( b) , Failed to test monitoring and leak detection equipment annually ❑ V ❑ R ❑ COS 26410) F1311HSC 25293 Failure to maintain UST records to enable the UPA to determine whether the UST is in compliance LiV ❑ R iiCOS ❑ ❑CCR 2638(c) , 2638(d ) Failure to submit "Monitoring System Certification Form" within 30 days of completion of the test V ❑ R COS 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) Failed to submit a written response within 30 days of receiving an inspection report ■ V ❑ R ❑ COS 122 CCR 2631 , 2640 . 1 , Failure to submit and/or maintain documentation regarding compatibility for UST system components ❑ V ❑ R ❑ COS 2665 , 2711 I FA0018792 PR0527728 SCO01 11 /21 /2018 EHD 23-01 Rev. 09/28/2018 Page 1 of 5 Underground Storage Tank Program OIR 1868 E . Hazelton Avenue Stockton , California 95205 1 T 209 468 - 3420 1 F 209 464 -0138 1 www . sjcehd. com