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SAN J OAQ U I N Environmental Health Department - - COUNTY Underground Storage Tank Program Inspection Report Facility Name: Facility Address : Date : COUNTRY CLUB MOBIL CIRCLE K 2575 COUNTRY CLUB BLVD , STOCKTON January 18 , 2023 File Review 121 HSC 25299(a) (8) , False statements , representation , or certification made on an application , record , or other document ❑ V ❑ R ❑ COS 25299 (b) (7) 122 CCR 2712(f) Failure to implement corrections and submit written response within 30 days of receiving the report ❑ V ❑ R ❑ COS On Site Records 201 HSC 25293 Failure to maintain UST records to enable the UPA to determine whether the UST is in compliance ❑ V ❑ R ❑ COS 202 CCR 2712(i) Failure to retain a paper or electronic copy of the permit to operate at the facility ❑ V ❑ R ❑ COS 203 CCR 2712(b) ( 1 -2) Failure to maintain monitoring records for 36 months and maintenance records for 60 months XV ❑ R ❑ COS 204 CCR 2712(b) (6) Failure to maintain records of repairs , lining , and upgrades on site , for the life of the UST ❑ V ❑ R ❑ COS 205 CCR 2712 (i) Failure to submit and have current UST Monitoring Plan readily accessible at the facility N4V ❑ R ❑ COS 206 CCR 2712 (i) , 2634(e) Failure to submit and have a current UST Response Plan readily available on site ❑ R ❑ COS 207 CCR 2716(f) Failure to maintain designated operator inspection reports and all attachments on site for 36 months ❑ R ❑ COS 208 CCR 2716(a-e) Failure to comply with the designated operator inspection requirements ❑ R ❑ COS 209 CCR 2715 (c) (3) , Failure to maintain a copy of the " Facility Employee Training Certificate" on-site ❑ V ❑ R ❑ COS 2715(c) (4) 210 CCR 2715 (c) Failure to provide initial training , train every 12 months , and have a trained employee present ❑ R ❑ COS 211 CCR 2715 (c)(2) Failure to have or implement a training program approved by the UPA, at an unstaffed facility ` . ❑ R ❑ COS 212 CCR 2651 ; HSC 25294 Failure to record any unauthorized release from primary containment ❑ V ❑ R ❑ COS 213 CCR 2650(e) , 2652 Failure to notify and submit report of reportable unauthorized release or record release ❑ V ❑ R ❑ COS 214 CCR 2712 Failure to comply with UST operating permit conditions ❑ R ❑ COS 215 CCR 2715 Designated operator, service tech , or installer did not possess current certifications ❑ V ❑ R ❑ COS 216 HSC 25281 . 5(b) (2) Failure to meet exclusion requirements for unburied fuel piping at a marina ❑ V ❑ R ❑ COS 217 HSC 25281 . 5(b) (3) Failure to meet exemption requirements for emergency generator unburied fuel piping ❑ V ❑ R ❑ COS UST System Observations 301 HSC 25292 . 1 (a) Failure to operate UST system to prevent unauthorized releases including leaks , spills and overfills ❑ R ❑ COS 302 CCR 2630(d ) , 2641 (a) Leak detection equipment not installed/maintained/located to detect leaks at earliest opportunity V ❑ R ❑ COS 303 CCR 2630 (d) , 2641 (a) Failure to maintain piping to allow liquid to flow into sump (i . e , failure to remove test boots) ❑ V ❑ R ❑ COS 304 CCR 2631 (a) ; HSC Failure to construct, operate , and maintain primary containment as product-tight ❑ V ❑ R ❑ COS 25290A (c) 305 HSC 25290 . 11 25290 .2 , Failed to maintain secondary containment (e . g . failure of secondary containment testing) ❑ V ❑ R ❑ COS 25291 306 HSC 25291 (e) Failure to remove , analyze , and properly dispose of water in secondary containment (pre-Jul 2003) ❑ V ❑ R ❑ COS 307 HSC 25290 . 1 (c3) , Failure to keep water out of the secondary containment system (post-Jul 2003) ❑ R ❑ COS 25290 . 2 (c3) , 308 CCR 2632(c) , 2634(d) , Failure of the leak detection equipment to have an audible and visual alarm ❑ V ❑ R ❑ COS 2636(f) 309 CCR 2666(b) (2) , Failure to have continuous monitoring that activates audible-visual alarm or stops flow at dispenser ❑ V ❑ R ❑ COS 2636(f) ( 1 ) 310 CCR 2636(f) (4) Failure to meet monitoring requirements in lieu of being tightness tested every 12 months ❑ V ❑ R ❑ COS 311 HSC 2636(a)( 1 ) , Monitoring system incapable of detecting leak into secondary containment (pre-Jul 2003) ❑ V ❑ R ❑ COS 25291 (b) FA0006439 PR0231070 SCO01 01 /18/2023 EHD 23-01 Rev. 12/06/2021 Page 2 of 4 Underground Storage Tank Program OIR 1868 E . Hazelton Avenue Stockton , California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www . sjgov . org/EHD