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San Joaquin County <br />Environmental Health Department <br />1868 East Hazelton Avenue, Stockton, California 95205-6232 <br />Telephone: (209) 468-3420 Fax; (209) 468-3433 Web: www.sjaov.orct/ehd <br />Underground Storage Tank Program Inspection Report <br />Facility Name: <br />CHEVRON STATION 4307709* <br />Facility Phone: <br />209 952-2213 <br />Date: <br />March 20 2019 <br />Facility Address: <br />10858 TRINITY PKWY STOCKTON CA 95219 <br />CERS ID: <br />10186665 <br />Inspection Contact: <br />Maricel Juntilla <br />Title: <br />Assistant Manager <br />Phone: <br />209 952-2213 <br />Inspection Type: <br />ROUTINE INSPECTION - Operatinq Permit <br />Program: <br />2351 - UST FACILITY- 2481 COMPLIANT <br />Consent For: <br />0 Inspection 0 Photos 0 Samples <br />I Consent Given By: <br />I Maricel Juntilla Assistant Manager <br />Service Technician Onsite: Exp. Date: <br />Jesus Saldivar 06/16/2019 <br />Designated Operator: Exp. Date: <br />Service Technician Manufacturer's Training <br />VR, 05/01/19; LDT,11/20/19; SB, 01/31/20 <br />CCR = California Code of Regulations HSC = Health and Safety Code CFR = Code of Federal Regulations <br />V = Violation R = Repeat violation COS = Corrected on site during inspection <br />File Review <br />101 <br />HSC 25284 <br />Failed to obtain a permit to operate from the EHD including but not limited to unpaid permit fees <br />❑ V ❑ R ❑ COS <br />102 <br />HSC 25284(a)(3)(A)/ <br />(B) <br />No written agreement between tank owner and tank operator to monitor the tank system <br />❑ V ❑ R ❑ COS <br />103 <br />HSC 25292.2, 25299.30 <br />Failure to submit and maintain complete and current financial responsibility documents <br />❑ V ❑ R ❑ COS <br />104 <br />CCR 2711 <br />UST operating permit application for facility and tank information not submitted or current <br />❑ V ❑ R ❑ COS <br />105 <br />CCR 2632(d)(1), <br />2634(d) <br />Failed to have an approved UST monitoring plan <br />❑ V ❑ R ❑ COS <br />106 <br />CCR 2632(d)(2), <br />2634(e) <br />Failed to have an approved UST response plan <br />❑ V ❑ R ❑ COS <br />107 <br />CCR 2632(d)(1)(C) <br />Plot plan/site map not submitted or failed to completely show where monitoring is performed <br />❑ V ❑ R ❑ COS <br />108 <br />CCR 2637, 2638(e), <br />2643(g) <br />Failed to notify the EHD 48 hours prior to conducting testing <br />❑ V ❑ R ❑ COS <br />109 <br />CCR 2637(a -d), 2712 <br />Failed to test secondary containment, or failed to maintain test records for 36 months <br />❑ V ❑ R ❑ COS <br />110 <br />CCR 2637(e), 2637(f) <br />Failed to submit "Secondary Containment Testing Report Form" within 30 days after the test <br />❑ V ❑ R ❑ COS <br />111 <br />CCR 2638(a) & (b), <br />26410) <br />Failed to test monitoring and leak detection equipment annually <br />❑ V ❑ R ❑ COS <br />112 <br />HSC 25293 <br />Failure to maintain UST records to enable the UPA to determine whether the UST is in compliance <br />❑ V ❑ R ❑ COS <br />113 <br />CCR 2638(c), 2638(d) <br />Failure to submit "Monitoring System Certification Form" within 30 days of completion of the test <br />❑ V ❑ R ❑ COS <br />114 <br />CCR 2636(f)(3), <br />2643(c)(3) <br />No 0.1 gph annual line integrity test for pressurized piping, or within 30 days after repair <br />❑ V ❑ R ❑ COS <br />115 <br />CCR 2715(a)(1)(B), <br />2715(a)(3) <br />"Designated Underground Storage Tank Operator Identification Form" not submitted within 30 days <br />❑ V ❑ R ❑ COS <br />116 <br />CCR 2715 <br />Designated operator, service tech or installer did not possess current ICC certification <br />❑ V ❑ R ❑ COS <br />117 <br />CCR 2663, 2712(b)(6) <br />Failure to comply with tank lining, recordkeeping, and inspection requirements <br />❑ V ❑ R ❑ COS <br />118 <br />CCR 2715(a)(1)(A), <br />2715(a)(2) <br />Failure to submit the "Underground Storage Tank Statement of Understanding and Compliance Form" <br />❑ V ❑ R ❑ COS <br />119 <br />HSC 25299(a)(8), <br />25299(b)(7) <br />Documents were falsified or misrepresented <br />❑ V ❑ R ❑ COS <br />120 <br />CCR 2635(d) <br />Failed to submit UST Certification of Installation/Modification <br />❑ V ❑ R ❑ COS <br />121 <br />CCR 2712(f) <br />Failed to submit a written response within 30 days of receiving an inspection report <br />❑ V ❑ R ❑ COS <br />FA0017737 PR0526212 SCO01 03/20/2019 <br />EHD 23-01 Rev. 09/22/16 Page 1 of 4 Underground Storage Tank Program OIR <br />