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S A N J D AR I N Environmental Health Department <br /> UU ;'�j1Y <br /> Underground Storage Tank Program Inspection Report <br /> Facility Name: Facility Address: Date: <br /> SYNERGY PETROLEUM 322 INC 322 S CENTER ST, STOCKTON March 07, 2023 <br /> Single-Walled Non-Pressurized Piping <br /> 404 CCR 2643(e),2661(f) Failure to conduct 0.1 gph test on single-walled gravity piping biennially or post repair(pre-1984) ❑V ❑R ❑COS <br /> Other Violations <br /> 2010 See below Unlisted General violation ❑V ❑R ❑COS <br /> SUMMARY OF VIOLATIONS <br /> (CLASS I,CLASS II,or MINOR-Notice to Comply) <br /> Item# Remarks <br /> 208 CCR 2716(a-e) Failure to comply with the designated operator inspection requirements. <br /> 1)OBSERVATION:The designated operator failed to check and note all required items on the visual inspection <br /> reports.The incorrect and missing information included the following from the inspection reports: <br /> -The DO reports did not include the operator/owners name,signature and date. <br /> REGULATION GUIDANCE: During the visual inspection,the designated operator shall check that all required <br /> testing and maintenance for the UST system have been completed and shall check all required items on the report. <br /> CORRECTIVE ACTION: Ensure that designated operators performing visual inspections at this facility are including <br /> all of the required information on the reports. <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> 2)OBSERVATION:The following were not attached to the designated operator inspection reports: <br /> -Monthly alarm history <br /> REGULATION GUIDANCE: The designated operator visual inspection report shall include: <br /> -a copy of documentation demonstrating action taken in response to each compliance issue identified during the <br /> previous inspection <br /> -a copy of the alarm history since the previous inspection <br /> -a copy of documentation demonstrating action taken in response to each alarm since the previous inspection <br /> -a list of each alarm since the previous inspection for which there is no documentation of the alarm condition and <br /> action taken in response <br /> CORRECTIVE ACTION: Ensure all required documents are attached to future designated operator inspection <br /> reports. <br /> ----------------------------------------------------------------------------------------------------------------------- <br /> 3)OBSERVATION:The designated operator failed to check and note the correct test dates for the secondary <br /> containment testing on the designated operator inspection reports. The incorrect date is 11/25/2019. The correct <br /> date for secondary containment testing is 11/08/2022. <br /> REGULATION GUIDANCE: During the inspection, the designated operator shall check that all required testing and <br /> maintenance for the UST system have been completed and document the dates they were done. <br /> CORRECTIVE ACTION: Ensure that designated operators performing inspections at this facility are including all of <br /> the required information on the reports. <br /> This is a minor violation. <br /> FA0012628 PR0516472 SCO01 03/07/2023 <br /> EHD 23-01 Rev.12/06/2021 Page 4 of 6 Underground Storage Tank Program OIR <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/EHD <br />