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�p1r%4 SAN AQN Environmental Health Department coUN1Y Greatness grcws hery Underground Storage Tank Program Inspection Report Facility Name: Facility Phone: Date: TRACY USD - SERVICE CENTER (209) 830-3230 January 19, 2023 Facility Address : CERS ID: 1975 W LOWELL AVE , TRACY, CA 95376 10181579 Inspection Contact; Title: t/� i !'h >I , � to Phone: , Inspection Type: Program: ROUTINE INSPECTION - Operating Permit 2361 - UST FACILITY Consent For: ons ant Given By: i Inspection E Vhotos Samples y �'��1'1C $ ice Technician Onsite: Exp. Date: Diisignated Operator: Exp. Date: Service Tec nician Manufacturer's Training : CCR = TiM 23 California! Code of Regulations HSC = Health and Safety Code CFR = Code of Federal Regulations EHD = Environmental Health Department V = Violation R = Repeal 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 DR ❑ COS 2711 (d) 102 CCR 2711 Failure to submit a complete and accurate application for a permit to operate a UST ❑ V DR D COS 103 CCR 2635(f) , 2636(c) (2) Failure to submit the UST Certification of Installation/Modification D V DR D COS 104 CCR 2632(d) (1 ) , Failure to submit a complete and accurate UST Monitoring Plan ❑ V D R D COS 2634 (d) 105 CCR 2632(d) (2) , Failure to submit a complete and accurate UST Response Plan D V D R ❑ COS 2634(e) 106 CCR 2632(d) , 2641 (h) Failure to submit and maintain a current facility plot plan / site map D V ❑ R D COS 107 HSC 25292. 2; CCR Failure to submit and maintain complete and current financial responsibility documents )�V XIR COS 2711 (a) (11 ) 108 CCR 2620(b) ; HSC Failure to implement or maintain a written agreement between the UST owner and operator D V D R ❑ COS 25284(a) (3) 109 CCR 2715(a)(1 ) (B) , Failure to submit "Designated Underground Storage Tank Operator Identification Form" within 30 days D V D R D COS 2715(a) (3) 110 CCR 2715(a)(1 ) (A) , Failure to submit the "Underground Storage Tank Statement of Understanding and Compliance Form" ❑ V D R D COS 2715(a) (2) 111 CCR 2637 , 2638(e), Failed to notify the EHD 48 hours prior to conducting testing D V D R ❑ COS 2643(g) 112 CCR 2638 , 2641 Q) , Failure to have properly qualified service technician test leak detection equipment every 12 months D V D R D COS 2715(f) 113 CCR 2637(a-d) , 2712(b) Failure to conduct secondary containment testing ❑ V D R ❑ COS (1 ) (F) 114 CCR 2636(f) (3) 0 2643(c) Failure to perform line integrity test every 12 months or within 30 days of repair of primary pipe ❑ V D R ❑ COS (3) 115 CCR 2638 (c) , 2638(d) Failure to submit "Monitoring System Certification Form" within 30 days of completion of the test D V ❑ R D COS 116 CCR 2637 . 1 (d) , Failure to submit the "Spill Container Testing Report Form" within 30 days D V DR D COS 2637A (a) 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 D V DR n COS 2665(a&b) 119 CCR 2663, 2712(b)(6) Failure to comply with tank lining certification , testing , inspection , and record requirements D V DR D COS 120 CCR 2631 , 2640. 1 , Failure to submit and/or maintain documentation regarding compatibility for UST system components D V ❑ R D COS 2665 , 2711 FA0004044 PR0232521 SCO01 01 /19/2023 EHD 23-01 Rev. 12/06/2021 Page 1 Of 4 Underground Storage Tank Program OIR 1868 E . Hazelton Avenue I Stockton , California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www. sjgov. org/EHD