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SAN J OAQ U I N Environmental Health Department PC Underground Storage Tank Program Inspection Report Facility Name: Facility Phone: Date: VALLEY PACIFIC CHARTER WAY CARDLOCK 1 / 13/2023 209) 948-9412 Facility Address : 1501 W CHARTER WAY, STOCKTON CA 95206 CERS ID: 10181557 Inspection Contact: Jordan Johnson Title: Environmental Contact Phone: (209) 639-6254 Inspection Type: ROUTINE INSPECTION - Operating Permit Program: 2361 - UST FACILITY Consent For: Consent Given By: ❑ Inspection ❑ Photos ❑ Samples I- i j ( I C 00 Service Technician Onsite: Exp, Data: Designated Operator: Fxp. D te: tP� c1nG� rdC �' 2 = Au r C 0 hr%CqOft I Ci Service Technician Manufacturer's Training : CCR = Title 23 California Code of R gulations 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 o V OR o COS 2711 (d) 102 CCR 2711 Failure to submit a complete and accurate application for a permit to operate a UST o V OR ❑ COS 103 CCR 2635(01 2636(c)(2) Failure to submit the UST Certification of Installation/Modification o V OR o COS 104 CCR 2632(d) (1 ) , Failure to submit a complete and accurate UST Monitoring Plan o V OR o COS 2634 (d) 105 CCR 2632(d) (2) , Failure to submit a complete and accurate UST Response Plan OV OR o COS 2634(e) 106 CCR 2632 (d) , 2641 (h) Failure to submit and maintain a current facility plot plan / site map o V ❑ R o COS 107 HSC 25292.2; CCR Failure to submit and maintain complete and current financial responsibility documents o V OR o COS 2711 (a) (11 ) 108 CCR 2620(b) ; HSC Failure to implement or maintain a written agreement between the UST owner and operator o V OR o COS 25284(a) (3) 109 CCR 2715(a) (1 )(6) , Failure to submit " Designated Underground Storage Tank Operator Identification Form" within 30 days o V o R o COS 2715(a) (3) 110 CCR 2715(a) (1 ) (A) , Failure to submit the "Underground Storage Tank Statement of Understanding and Compliance Form" o V o R o COS 2715(a)(2) 111 CCR 2637 , 2638(e), Failed to notify the EHD 48 hours prior to conducting testing n V o R o COS 2643(g) 112 CCR 2638, 26410) , Failure to have properly qualified service technician test leak detection equipment every 12 months o V o R c COS 2715 (f) 113 CCR 2637(a-d), 2712(b) Failure to conduct secondary containment testing o V o R o COS ( 1 ) (F) 114 CCR 2636(0 (3) , 2643(c) Failure to perform line integrity test every 12 months or within 30 days of repair of primary pipe o V ❑ R o COS (3) 115 CCR 2638 (c) , 2638(d) Failure to submit "Monitoring System Certification Form" within 30 days of completion of the test o V o R ❑ COS 116 CCR 2637 . 1 (d) , Failure to submit the "Spill Container Testing Report Form" within 30 days o V o R o COS 2637 . 1 (e) 117 CCR 2637(e) , 2637(f) Failed to submit "Secondary Containment Testing Report Form" within 30 days after the test o V o R o COS 118 CCR 2637.2(d&e) , Failure to submit the "Overfill Prevention Equipment Inspection Report Form" within 30 days o V o R o COS 2665(a&b) 119 CCR 2663, 2712(b) (6) Failure to comply with tank lining certification, testing , inspection, and record requirements o V o R o COS 120 CCR 2631 , 2640. 1 , Failure to submit and/or maintain documentation regarding compatibility for UST system components o V o R o COS 2665, 2711 PR0231989 Page 1 of 4 Underground Storage Tank rogram OIR 1868 E . Hazelton Avenue I Stockton , California 95205 1 T 209 468-3420 F 209 464-0138 1 www. sjgov. org/EHD