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SAN JOAQUIN Environmental Health Departrnerit Underground Storage Tank Program Inspection Report Facility Name: Facility Phone: Date: ARCO STATION#83560* (209)478-5552 January 26. 2022 Facility Address: CERS ID: 2908 W BENJAMIN HOLT DR, STOCKTON. CA 95207 11 0181253 Inspection Contact: Title: Phone: sidenl "209'j 993-782- Lawrence Wight Pre I I I I D Inspection Type: Program. ROUTINE INSPECTION-Operating Permit 12361 - UST FACII.-il Y Consent For: Consent Given By: 2: Inspection Z- Photos El Samples Lawrence Wight, President Service Technician Onsite: Exp.Date: Designated Operator: Exp.Date: Ed Stearns 11/"06;'21)22 Kevir) Dutra 07/2'22 Service Technician Manufacturer's Training: VR, 07/31'23:/23: VM 1, 051127/23: SB, 03/12/22 CCR=Title 23 California Code of Regulations HSC=Health and Safety Code CFR=Code of Federal Regulations EHD=Environmental Health Department V=Violation R=Repeat violation COS=Corrected on site during inspection File Review 101 HSC 25284,CCR Failure to obtain a permit to operate from the EHD including but not limited to unpaid permit fees ■V R COS 2711(d) I 102 CCR 2711 Failure to submit a complete and accurate application for a permit to operate a UST V R -COS 103 CCR 2635(f),2636(c)(2) Failure to submit the UST Certification of Installation/Modification V R COS 104 -CCR 2632(d)(1), Failure to have an approved UST Monitoring Plan V r R -COS 2634(d) 105 CCR 2632(d)(2), Failure to have an approved UST Response Plan V R COS 2634(e) 106 CCR 2632(d),2641(h) Failure to submit and maintain a current facility plot plan/site map V R COS 107 HSC 25292.2;CCR Failure to submit and maintain complete and current financial responsibility documents ■V ■R - COS 2711(a)(1 1) 108 CCR 2620(b),HSC Failure to implement or maintain a written agreement between the UST owner and operator V R COS 25284(a)(3) 109 CCR 2715(.)(1)(8), Failure to submit"Designated Underground Storage Tank Operator Identification Form"within 30 days V R COS 2715(a)(3) 110 CCR 2715(a)(1)(A), Failure to submit the"Underground Storage Tank Statement of Understanding and Compliance Form" V R COS 2715(a)(2) Ill CCR 2637,2638(e), Failed to notify the EHD 48 hours prior to conducting testing V R COS 2643(g) 112 CCR 2638,26410), Failure to have properly qualified service technician test leak detection equipment every 12 months V R COS 2715(f) 113 CCR 2637(a-d),2712(b) Failure to conduct secondary containment testing V R COS (1)(F) 114 CCR 2636(f)(3),2643(c) Failure to perform line integrity test every 12 months or within 30 days of repair of primary pipe V 7 R COS (3) 115 CCR 2638(c),2638(d) Failure to submit"Monitoring System Certification Form"within 30 days of completion of the test V -R COS 116 CCR 2637.1(d), Failure to submit the"Spill Container Testing Report Form"within 30 days V -R COS 2637.1(e) 117 CCR 2637(e),2637(f) Failed to submit"Secondary Containment Testing Report Form"within 30 days after the test V -R COS 118 CCR 2637.2(d&e), Failure to submit the"Overfill Prevention Equipment Inspection Report Form"within 30 days V R COS 2665(a&b) 119 CCR 2663, 2712(b)(6) Failure to comply with tank lining certification,testing,and inspection requirements c V R COS 120 CCR 2631,2640.1, Failure to submit and/or maintain documentation regarding compatibility for UST system components V R COS 2665,2711 FA0003625 PR0231021 SC001 01/26/2022 EHD 23-01 Rev.12/06/2021 Page 1 of 5 Underground Storage Tank Program OIR V T F Y