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COMPLIANCE INFO_2021
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2300 - Underground Storage Tank Program
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PR0231691
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COMPLIANCE INFO_2021
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Entry Properties
Last modified
10/27/2021 8:21:24 AM
Creation date
3/18/2021 8:25:58 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0231691
PE
2361
FACILITY_ID
FA0003593
FACILITY_NAME
Nella Oil #487
STREET_NUMBER
983
STREET_NAME
MOFFAT
STREET_TYPE
Blvd
City
Manteca
Zip
95336
APN
221-15-006
CURRENT_STATUS
01
SITE_LOCATION
983 Moffat Blvd
P_LOCATION
04
P_DISTRICT
005
QC Status
Approved
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SJGOV\kblackwell
Tags
EHD - Public
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Environmental Health Department <br /> SQN . JOQQUIN <br /> 10 . ._ ._ _. COU NTY - - <br /> Underground Storage Tank Program Inspection Report <br /> Facility Name: Facility Phone: Date: <br /> Nella Oil #487 (530) 885-0401 July 22 , 2021 <br /> Facility Address : CERS ID : <br /> 983 Moffat Blvd , Manteca , CA 95336 10132636 <br /> Inspection Contact: Title: Phone : <br /> Anais Maurel Environmental Contact (530) 885-0401 <br /> Inspection Type: Program : <br /> ROUTINE INSPECTION - Operating Permit 2361 - UST FACILITY <br /> Consent For: Consent Given By: <br /> 0 Inspection Ox Photos 0 Samples Fernando Hernandez , Maintenance <br /> Service Technician Onsite : Exp. Date: Designated Operator: Exp . Date : <br /> Anthony Reyes 09/22/2022 Clent Gagnier 10/06/2022 <br /> Service Technician Manufacturer's Training : <br /> VR , 01 /14/23 , VMI , 07/ 14/23 , COW, 03/ 19/23 <br /> CCR = Title 23 California Cade of Regulations HSC = Health and Safety Cade CFR = Code of Federal Regulations <br /> V = Violation R = Repeat violation COS = Corrected on site during inspection <br /> File Review <br /> 101 HSC 25284; CCR Failure to obtain a permit to operate from the EHD including but not limited to unpaid permit fees a V ❑ R a COS <br /> 2711 (d) <br /> 102 CCR 2711 Failure to submit a complete and accurate application for a permit to operate a UST ❑ V ❑ R ❑ COS <br /> 103 CCR 2635(f) , 2636 (c) (2) Failure to submit the UST Certification of Installation/Modification ❑ V o R ❑ COS <br /> 104 CCR 2632 (d) (1 ) , Failure to have an approved UST Monitoring Plan a V o R ❑ COS <br /> 2634 (d) <br /> 105 CCR 2632(d) (2) 0 Failure to have an approved UST Response Plan ❑ V ❑ R a COS <br /> 2634 (e) <br /> 106 CCR 2632(d) , 2641 (h) Failure to submit and maintain a current facility plot plan / site map ❑ V ❑ R ❑ COS <br /> 107 HSC 25292. 2; CCR Failure to submit and maintain complete and current financial responsibility documents ❑ V ❑ R o COS <br /> 2711 (a)(11 ) <br /> 108 CCR 2620(b) ; HSC Failure to implement or maintain a written agreement between the UST owner and operator ❑ V o R ❑ COS <br /> 25284 (a)(3) <br /> 109 CCR 2715 (a) (1 ) (B) , Failure to submit "Designated Underground Storage Tank Operator Identification Form" within 30 days o V o R ❑ COS <br /> 2715(a) (3) <br /> 110 CCR 2715(a) (1 ) (A) , Failure to submit the "Underground Storage Tank Statement of Understanding and Compliance Form" o V o R ❑ COS <br /> 2715(x)(2) <br /> 111 CCR 2637, 2638 (e), Failed to notify the EHD 48 hours prior to conducting testing ❑ V o R ❑ COS <br /> 2643(g) <br /> 112 CCR 2638 , 26410) , Failure to have properly qualified service technician test leak detection equipment every 12 months ❑ V ❑ R ❑ COS <br /> 2715 (f) <br /> 113 CCR 2637 (a-d) , 2712(b) Failure to conduct secondary containment testing ❑ V ❑ R o COS <br /> (1 ) (F) <br /> 114 CCR 2636(0(3) , 2643(c) Failure to perform line integrity test every 12 months or within 30 days of repair of primary pipe o V ❑ R ❑ COS <br /> (3) <br /> 115 CCR 2638(c) , 2638(d) Failure to submit "Monitoring System Certification Form" within 30 days of completion of the test ❑ V a R ❑ COS <br /> 116 CCR 2637 . 1 (d) , Failure to submit the "Spill Container Testing Report Form" within 30 days ❑ V ❑ R o COS <br /> 2637. 1 (e) <br /> 117 CCR 2637(e) , 2637(f) Failed to submit "Secondary Containment Testing Report Form" within 30 days after the test ❑ V ❑ R ❑ COS <br /> 118 CCR 2637.2 (d&e) , Failure to submit the "Overfill Prevention Equipment Inspection Report Form" within 30 days ❑ V a R ❑ COS <br /> 2665 (a&b) <br /> 119 CCR 2663 , 2712(b)(6) Failure to comply with tank lining certification, testing , and inspection requirements o V ❑ R ❑ COS <br /> 120 CCR 2631 , 2640. 11 Failure to submit and/or maintain documentation regarding compatibility for UST system components a V ❑ R a COS <br /> 2665 , 2711 <br /> FA0003593 PR0231691 SCO01 07/22/2021 <br /> EHD 23-01 Rev. 9/16/2020 Page 1 of 5 Underground Storage Tank Program OIR <br /> 1868 E . Hazelton Avenue I Stockton , California 95205 1 T 209 468-3420 ( F 209 464-0138 I www. sjgov. org/EHD <br />
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