COMPLIANCE INFO_2019 - Laserfiche WebLink

Home Browse Search

S A N J O Q Q U I N Environmental Health Department — C0UN `fY — •it ` ii =r, { rt85 ; gr' UwS h re . Underground Storage Tank Program Inspection Report Facility Name: FacilityPhone : Date : �V So �� WCO � �. Q,�3raft � q - q; ,-j ,z - 23 Facility Address : CERS ID : C13 43C WCj 019 Inspection Contact: Title: CI � Z— 02:3qpwy 3' <' , Inspection Type : Program: Consent For: Consent Given By : Ins ection Photos am les kMCon Service Technician Onsite : Exp, Date : Designated Operator: Exp, Date: Service Technician Manufacturer's Training : V lr Qex►� `� ( �t °I WIZ Ski UI 1110 CCR = 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 o COS 102 HSC 25284(a) (3) (A)/(B) No written agreement between tank owner and tank operator to monitor the tank system ❑ V ❑ R n COS 103 HSC 25292. 21 25299.30 Failure to submit and maintain complete and current financial responsibility documents o 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 o V o R o 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 o R ❑ COS 108 CCR 2637 , 2638(e) , Failed to notify the EHD 48 hours prior to conducting testing ❑ V o 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) 112 HSC 25293 Failure to maintain UST records to enable the UPA to determine whether the UST is in compliance o V ❑ R ❑ COS 113 CCR 2638(c) , 2638 (d) Failure to submit "Monitoring System Certification Form" within 30 days of completion of the test o 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 o V ❑ R ❑ COS 2715(a) (3) 116 CCR 2715 Designated operator, service tech or installer did not possess current ICC certification ❑ V ❑ R o COS 117 CCR 26633 2712(b) (6) Failure to comply with tank lining , recordkeeping , and inspection requirements o V ❑ R ❑ COS 118 CCR 2715 (a)(1 ) (A) , Failure to submit the " Underground Storage Tank Statement of Understanding and Compliance Form" ❑ V o R ❑ COS 2715 (a) (2) 119 HSC 25299(a) (8) , Documents were falsified or misrepresented ❑ V o 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. 11 Failure to submit and/or maintain documentation regarding compatibility for UST system components ❑ V o R ❑ COS 2665 , 2711 FA0004625 PR0231426 SCO01 09/28/2018 EHD 23-01 Rev. 09/28/2018 Page 1 of 4 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