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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 ' k'Rut . O.;Wvr Facility Name: Facility Phone: Date: F464- Lane, deizhA( V��1� za9 c234 - 4�¢ &119 1 Facility Address:. �� I I e, �Q�'hTa GERM: 1 Inspection on c : i e: one: nspec iontype: Program: Con nt For: consent Given y: nspection 2'1�hotos �ples b �p f Service Technician Onstte: Exp.Date: DesignatedOperator: Exp.Date- r Service ec nicianan cures raining: zee, serve California Code of =Health and Safety code GFR=Code o e e Regulations V=Violation R=Repeat violation COS=Corrected on site during inspection FAIERRevtew -. 101 HSC 25284 No permit to operate^ dV o R o COS 102 HSC 25284(a)(3) No written agreement between tank owner and tank operator to monitor the tank system ❑V o R ❑COS 103 HSC 25292.2 Current financial responsibility documents not submitted W�/ o R o COS 104 CCR 2711 UST operating permit application for facility and tank information not submitted or current o R o COS 105 CCR 2632(d)(1) Failed to have an approved UST monitoring plan o R o COS 106 CCR 2632(d)(2) Failed to have an approved UST response plan o 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 WT o R o COS 108 CCR 2637(f),2638(e) Failed to notify the EHD 48 hours prior to conducting testing o V o R o COS 109 CCR 2637 Failed to test secondary containment ❑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 ❑R o COS 112 HSG 25284.2 Failed to test spill containers annually o V in R ❑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 ❑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 o 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 a) Failure to submit UST system component statement of compatibility for substance stored o V o R o COS • it e-0-0-Ta. 201 CCR 2712(b) Failed to maintain alarm logs and/or records of follow up actions o V 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