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Environmental Health Department Aboveground Petroleum Storage Act Inspection Report Date: November 18, 2021 Facility Address: 13130 E Peltier Rd, Acampo Facility Name: L-01 Grand Vin Land SPCC Plan Requirements for Onshore Facilities (excluding production facilities) 721 □ V □ R □ COSFailed to provide corrosion protection for buried pipingCFR 112.8(d)(1) 722 □ V □ R □ COSFailed to cap/blank-flange connection at transfer point and mark its origin if not in serviceCFR 112.8(d)(2) 723 □ V □ R □ COSFailed to design pipe supports to minimize abrasion/corrosion and to allow for expansion/contractionCFR 112.8(d)(3) 724 □ V □ R □ COSFailed to regularly inspect aboveground valves, piping, and appurtenancesCFR 112.8(d)(4) 725 □ V □ R □ COSFailed to conduct integrity and leak testing on buried piping any time it is worked onCFR 112.8(d)(4) 726 □ V □ R □ COSFailed to adequately warn vehicles entering facility to protect piping and other transfer operationsCFR 112.8(d)(5) 727 □ V □ R □ COSPlan failed to adequately describe overfill prevention methods for each containerCFR 112.7(a)(1), 112.8(c)(8) Other Violations 4010 □ V □ R □ COSUnlisted Administration/Documentation violation See below 4020 □ V □ R □ COSUnlisted Training violation See below 4030 □ V □ R □ COSUnlisted Operations/Maintenance violation See below 4040 □ V □ R □ COSUnlisted Release/Leaks/Spills violation See below 4050 □ V □ R □ COSUnlisted Abandonment/Illegal Disposal/Unauthorized Treatment violation See below SUMMARY OF VIOLATIONS (CLASS I, CLASS II, or MINOR - Notice to Comply) RemarksItem # 103 HSC 25270.6(a) Failed to file HMBP or annual facility tank statement. OBSERVATION: A tank facility statement or business plan has not been submitted. REGULATION GUIDANCE: A tank facility statement identifying the name and address of the tank facility, a contact person for the tank facility, the total storage capacity of the tank facility, and the location, size, age, and contents of each storage tank that exceeds 10,000 gallons in capacity and that holds a substance containing at least 5 percent of petroleum shall be submitted annually. Submittal of a business plan satisfies the requirement to submit a tank facility statement. CORRECTIVE ACTION: Immediately submit a tank facility statement or business plan. This is a Class II violation. Overall Inspection Comments: Complete and submit a copy of the Return to Compliance Certification form to the EHD with a statement documenting the corrective actions that have been or will be taken for each violation, and any supporting paperwork, by December 18, 2021. To minimize person to person contact EHD is choosing to write the name of person receiving the report instead of having them sign. Starting September 1, 2018, all in-office CERS help will be provided at EHD hourly rate ($152). To schedule an appointment, please call (209) 468-3420. The following was observed during this inspection: -One 20,000 gallon diesel tank FA0016715 PR0529078 SC001 11/18/2021 EHD 28-01 Rev. 9/16/2020 Aboveground Petroleum Storage Act OIRPage 4 of 5 1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjgov.org/EHD