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RECEIVED <br />SAN MAOWN Environment& Fie4ItiR pva2dgment <br />ENVIRONMENTAL HEALTH <br />PERMIT/SERVICES <br />....... ........ . .. .. . .. .... <br /> <br />Underground Storage Tank Program. Inspection Report.. .................. ........ <br />Facility Name: <br />Pershing Holdings, Inc. DBA Esclon Arco <br />Facility Phone: <br />(209) 838-7579 <br />Date: <br />February 17, 2022 <br />Facility Address: <br />1329 Escalon Ave, Escalon, CA 95320 <br />CERS ID: <br />10746523 <br />Inspection Contact: <br />Satbir Dhada <br />Title: <br />Manager <br />Phone: <br />(209) 598-0818 <br />Inspection Type: <br />ROUTINE INSPECTION - Operating Permit <br />Program: <br />2351 - UST FACILITY - 2481 COMPLIANT <br />Consent For: <br />El Inspection El Photos El Samples <br />Consent Given By: <br />Satbir Dhada, Manager <br />Service Technician Onsite: Exp. Date: <br />Guadalupe Sanchez 04/02/2023 <br />Designated Operator: Exp. Date: <br />Guadalupe Sanchez 01/20/2023 <br />Service Technician Manufacturer's Training: <br />OPW, 06/05/23; VR, 09/29/23; VMI, 06/13/23 <br />CCR = Title 23 California Code of Regulations HSC = Health and Safety Code CFR = Code of Federal Regulations EHD = Environmental Health Department <br />V = Violation R = Repeat violation COS = Corrected on site during inspection <br />File Review <br />101 HSC 25284; CCR <br />2711(d) <br />Failure to obtain a permit to operate from the EHD including but not limited to unpaid permit fees DV oR oCOS <br />102 CCR 2711 Failure to submit a complete and accurate application for a permit to operate a UST oV oR oCOS <br />103 CCR 2635(f), 2636(c)(2) Failure to submit the UST Certification of Installation/Modification oV oR oCOS <br />104 CCR 2632(d)(1), <br />2634(d) <br />Failure to have an approved UST Monitoring Plan oV oR oCOS <br />105 CCR 2632(d)(2), <br />2634(e) <br />Failure to have an approved UST Response Plan oV all oCOS <br />106 CCR 2632(d), 2641(h) Failure to submit and maintain a current facility plot plan / site map oV oR o COS <br />107 HSC 25292.2; CCR <br />2711(a)(11) <br />Failure to submit and maintain complete and current financial responsibility documents oV oR C2 COS <br />108 CCR 2620(b); HSC <br />25284(a)(3) <br />Failure to implement or maintain a written agreement between the UST owner and operator oV oR o COS <br />109 CCR 2715(a)(1)(8), <br />2715(a)(3) <br />Failure to submit "Designated Underground Storage Tank Operator Identification Form" within 30 days oV oR o COS <br />110 CCR 2715(a)(1)(A), <br />2715(a)(2) <br />Failure to submit the "Underground Storage Tank Statement of Understanding and Compliance Form" oV oR oCOS <br />111 CCR 2637, 2638(e), <br />2643(g) <br />Failed to notify the EHD 48 hours prior to conducting testing aV oR a COS <br />112 CCR 2638, 2641(j), <br />2715(f) <br />Failure to have properly qualified service technician test leak detection equipment every 12 months oV oR oCOS <br />113 CCR 2637(a-d), 2712(b) <br />(1(F) <br />Failure to conduct secondary containment testing oV oR oCOS <br />114 CCR 2636(f)(3), 2643(c) <br />(3) <br />Failure to perform line integrity test every 12 months or within 30 days of repair of primary pipe oV oR o COS <br />115 CCR 2638(c), 2638(d) Failure to submit "Monitoring System Certification Form" within 30 days of completion of the test oV oR oCOS <br />116 CCR 2637.1(d), <br />2637.1(e) <br />Failure to submit the "Spill Container Testing Report Form" within 30 days oV oR o COS <br />117 CCR 2637(e), 2637(f) Failed to submit "Secondary Containment Testing Report Form" within 30 days after the test oV oR o COS <br />118 CCR 2637.2(d&e), <br />2665(a&b) <br />Failure to submit the "Overfill Prevention Equipment Inspection Report Form" within 30 days oV oR oCOS <br />119 CCR 2663, 2712(b)(6) Failure to comply with tank lining certification, testing, and inspection requirements oV oR o COS <br />120 CCR 2631, 2640.1, <br />2665, 2711 <br />Failure to submit and/or maintain documentation regarding compatibility for UST system components o V a Ft a COS <br />I <br />FA0000293 PR0231487 SC001 02/17/2022 <br />EHD 23-01 Rev. 12/06/2021 Page 1 of 4 Underground Storage Tank Program OIR <br />1868 E. Hazelton Avenue I Stockton, California 95205 I T 209 468-3420 I F 209 464-0138 I www.sjgov.org/EHD