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4 SAN J DA U I N Environmental Hell 1p rtment - - COUhI f Y - `� 'It. �Fosb'`: � :' Potticfif5 f� r• ijW � ITcrd , Underground Storage Tank Program Inspection Report Facility Name: Facility Phone: Date: ORLANDOS (209) 887- 1100 July 02 , 2019 Facility Address : CERS ID : 18754 E HWY 26 , LINDEN , CA 95236 10182295 Inspection Contact: Title: Phone: Sam Orlando Owner (916) 708-4999 Inspection Type : F2361 rogram: ROUTINE INSPECTION - Operating Permit - UST FACILITY Consent For: Consent Given By: x❑ Inspection ❑x Photos ❑O Samples Sam Orlando , Owner Service Technician Onsite: Exp. Date: Designated Operator: Exp. Date : Ed Stearns 11 /19/2020 Greg Kaiser 10/ 10/2019 Service Technician Manufacturer's Training : VR , 08/31 /19 ; VMI , 06/20/20 , SB , 11 /29/19 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; 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. 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) , 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 o V ❑ R ❑ COS 111 CCR 2638 , 2641 Q) , 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 26633 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 27120 Failed to submit a written response within 30 days of receiving an inspection report ❑ V ❑ R ❑ COS FA0007722 PR0507164 SCO01 07/02/2019 EHD 23-01 Rev. 09/28/2018 Pagel 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