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San Joaquin County Environmental Health Department 1868 East Hazelton Avenue, Stockton, California 95205-6232 Telephone:(209)468-3420 Fax:(209)468-3433 Web:www.sigov.orq/ehd Isom ,. d rgomumd ST- Facility Name: Facility Phone: Date: S V 211-i' -23, 3 6 - -0 -j7 Facility Address:' d 6� GEHS ID: nspec ton on t e: one: — 2di' �-2-3 nspecton Type- Program:" CUP Consent For: Consent urven y: Di-Inspection 144hMos 4;; amples ervice Technician ngte: L;Ip.Date: Designated Operator Exp.Data: ernce ec moan anu ac urers rat mg: SCtG� -2- California Code olI I—Ithan R= ode or FederalRegulations V=Violation R=Repeat violation COS=Corrected on site during inspection 101 HSC 25284 No permit to operate ❑R ❑COS 102 HSC 25284(a)(3) No written agreement between tank owner and tank operator to monitor the tank system o V o R o COS 103 HSC 25292.2 Current financial responsibility documents not submitted �V o R o COS 104 CCR 2711 UST operating permit application for facility and tank information not submitted or current -a-V o R o COS 105 CCR 2632(d)(1) Failed to have an approved UST monitoring plan e'd o R c COS 106 CCR 2632(d)(2) Failed to have an approved UST response plan V o R o COS 107 CCR 2632(d)(1)(C) Plot plan/site map not submitted or failed to completely show where monitoring is performed .a-V' ❑R o COS 108 CCR 2637(f),2638(e) Failed to notify the EHD 48 hours prior to conducting testing ❑V o R o COS 109 CCR 2637 Failed to test secondary containment o V o R o COS 110 CCR 2637(e) Failed to submit secondary containment test report within 30 days o V o R o COS 111 CCR 2638(a) Failed to test monitoring and leak detection equipment annually o V 3R o COS 112 HSG 25284.2 Failed to test spill containers annually o V ❑R o COS 113 CCR 2638(d) Failed to submit monitoring system certification test report within 30 days o V o R o COS 114 CCR 2636(f) Failed to perform 0.1 gph annual line test for pressurized piping without fail safe or shut down o V o R o COS 115 CCR 2715(a) Failed to inform the EHD of designated operator identification or change within 30 days o V o R o COS 116 CCR 2715 Designated operator,service tech or installer did not possess current ICC certification o V o R o COS 117 CCR 2663 Failed to inspect a lined or repaired steel tank within 10 years of lining and every 5 years after o V o R o COS 118 CCR 2663 Failed to submit tank lining certification within 30 days or to conduct proper tests ❑V o R o COS 119 HSC 25299 Documents were falsified or misrepresented ❑V o R o COS 120 CCR 2635(d) Failed to submit UST Certification of Installation/Modification o V o R o COS 121 CCR 2712(f) Failed to submit a written response within 30 days of receiving an inspection report o V o R o COS 122 CCR 2631 Q) Failure to submit UST system component statement of compatibility for substance stored o V o R o COS 201 CCR 2712(b) Failed to maintain alarm logs and/or records of follow up actions o R o COS 202 CCR 2712(b) Failed to maintain cathodic protection test records on site for at least 6 1/2 years o V o R o COS 203 CCR 2712(b) Failed to maintain records of monitoring,repair,lining,and upgrades on site o V o R o COS Page 1 of 3