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AMENDED <br /> SAN ) OAQUIN a 11301kEnvironmental Health Department <br /> COUNTY <br /> Underground Storage Tank Program Inspection Report <br /> Facility Name : Facility Phone: Date: <br /> Colonial Energy CE 40135 ( DBA Power Mart) (209) 8584998 January 03 , 2019 <br /> Facility Address : CERS ID: <br /> 192 Lathrop Rd , Lathrop , CA 95330 10169823 <br /> Inspection Contact: Title : Phone: <br /> Desiz Burns Environmental Contact (916) 285-7402 <br /> Inspection Type: T2361 <br /> rogram: <br /> ROUTINE INSPECTION - Operating Permit - UST FACILITY <br /> Consent For: Consent Given By: <br /> Z Inspection ❑x Photos ❑x Samples Casey Smith , Manager <br /> Service Technician Onsite: Exp. Date: Designated Operator: Exp. Date : <br /> Anthony Reyes 09/16/2020 Margaret Oglesby 05/15/2020 <br /> Service Technician Manufacturer's Training : <br /> Veeder Root, 02/13/ 19 ; VMI , 07/ 12/ 19 ; Franklin Fueling , 05/05/19 <br /> CCR = Title 23 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 HSC 25284 Failed to obtain a permit to operate from the EHD including but not limited to unpaid permit fees ❑ V ❑ R ❑ COS <br /> 102 HSC 25284(a) (3) (A)/(B) No written agreement between tank owner and tank operator to monitor the tank system ❑ V ❑ R ❑ COS <br /> 103 HSC 25292.22 25299. 30 Failure to submit and maintain complete and current financial responsibility documents ■ V ■ R ❑ COS <br /> 104 CCR 2711 UST operating permit application for facility and tank information not submitted or current ■ V ❑ R ❑ COS <br /> 105 CCR 2632(d)(1 ) , Failed to have an approved UST monitoring plan ❑ V ❑ R ❑ COS <br /> 12634(d) <br /> 106 CCR 2632(d) (2) , Failed to have an approved UST response plan ❑ V ❑ R ❑ COS <br /> 2634 (e) <br /> 107 CCR 2632(d) (1 ) (C) Plot plan/site map not submitted or failed to completely show where monitoring is performed ❑ V ❑ R ❑ COS <br /> 108 CCR 2637, 2638 (e) , Failed to notify the EHD 48 hours prior to conducting testing ❑ V ❑ R ❑ COS <br /> 2643 (g) <br /> 109 CCR 2637(a-d) , 2712 Failed to test secondary containment, or failed to maintain test records for 36 months ❑ V ❑ R ❑ COS <br /> 110 CCR 2637(e) , 2637(f) Failed to submit "Secondary Containment Testing Report Form" within 30 days after the test ❑ V ❑ R ❑ COS <br /> 111 CCR 2638(a) & (b) , Failed to test monitoring and leak detection equipment annually ❑ V ❑ R ❑ COS <br /> 26410) <br /> 112 HSC 25293 Failure to maintain UST records to enable the UPA to determine whether the UST is in compliance ❑ V ❑ R ❑ COS <br /> 113 CCR 2638 (c) , 2638(d) Failure to submit "Monitoring System Certification Form" within 30 days of completion of the test ❑ V ❑ R ❑ COS <br /> 114 CCR 2636(0 (3) , 2643 (c) No 0 . 1 gph annual line integrity test for pressurized piping , or within 30 days after repair ❑ V ❑ R ❑ COS <br /> (3) <br /> 115 CCR 2715(a) (1 ) (B) , "Designated Underground Storage Tank Operator Identification Form" not submitted within 30 days ❑ V ❑ R ❑ COS <br /> 2715(a) (3) <br /> 116 CCR 2715 Designated operator, service tech or installer did not possess current ICC certification ❑ V ❑ R ❑ COS <br /> 117 CCR 26631 2712(b)(6) Failure to comply with tank lining , recordkeeping , and inspection requirements ❑ V ❑ R ❑ COS <br /> 118 CCR 2715(a) (1 ) (A) , Failure to submit the "Underground Storage Tank Statement of Understanding and Compliance Form" ❑ V ❑ R ❑ COS <br /> 2715(x) (2) <br /> 119 HSC 25299(a) (8) , Documents were falsified or misrepresented ❑ V ❑ R ❑ COS <br /> 25299 (b)(7) <br /> 120 CCR 2635 (d) Failed to submit UST Certification of Installation/Modification ❑ V ❑ R ❑ COS <br /> 121 CCR 2712(f) Failed to submit a written response within 30 days of receiving an inspection report ❑ V ❑ R ❑ COS <br /> 122 CCR 26315 2640. 11 Failure to submit and/or maintain documentation regarding compatibility for UST system components ❑ V ❑ R ❑ COS <br /> 2665 , 2711 <br /> FA0007059 PR0505867 SCO01 01 /03/2019 <br /> EHD 23-01 Rev. 09/28/2018 Page 1 of 6 Underground Storage Tank Program OIR <br /> 1868 E . Hazelton Avenue I Stockton , California 95205 1 T 209 468-3420 1 F 209 464 -0138 1 www. sjcehd . com <br />