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SA 1 \c,JOAQU I11 <br />COUNTY <br />Greatness grows here, <br />Environmental Health Department <br />Underground Storage Tank Program Inspection Report <br />Facility Name: <br />Facility Phone: <br />Date: <br />TRACY USD - SERVICE CENTER <br />(209) 830-3230 <br />January 19, 2023 <br />Facility Address: <br />CERS ID: <br />1975 W LOWELL AVE, TRACY, CA 95376 <br />10181579 <br />Inspection Contact: <br />Title: <br />Phone: <br />Lisa Sawyer <br />Transportation Coordinato <br />(209) 830-3216 <br />Inspection Type: <br />Program: <br />ROUTINE INSPECTION - Operating Permit <br />12361 - UST FACILITY <br />Consent For: <br />Consent Given By: <br />0 Inspection 0 Photos 0 Samples <br />Kelly Young, Secretary <br />Service Technician Onsite: Exp. Date: <br />Designated Operator: Exp. Date: <br />Zane Nimmo 05/26/2023 <br />Bryan Kilby 10/21/2024 <br />Service Technician Manufacturer's Training: <br />VR, 05/10/23; VMI, 01/28/23; OPW, 03/10/24 <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 <br />HSC 25284; CCR <br />Failure to obtain a permit to operate from the EHD including but not limited to unpaid permit fees <br />❑ V ❑ R ❑ COS <br />2711(d) <br />102 <br />CCR 2711 <br />Failure to submit a complete and accurate application for a permit to operate a UST <br />❑ V ❑ R ❑ COS <br />103 <br />CCR 2635(f), 2636(c)(2) <br />Failure to submit the UST Certification of Installation/Modification <br />❑ V ❑ R ❑ COS <br />104 <br />CCR 2632(d)(1), <br />Failure to submit a complete and accurate UST Monitoring Plan <br />❑ V ❑ R ❑ COS <br />2634(d) <br />105 <br />CCR 2632(d)(2), <br />Failure to submit a complete and accurate UST Response Plan <br />❑ V ❑ R ❑ COS <br />2634(e) <br />106 <br />CCR 2632(d), 2641(h) <br />Failure to submit and maintain a current facility plot plan / site map <br />❑ V ❑ R ❑ COS <br />107 <br />HSC 25292.2; CCR <br />Failure to submit and maintain complete and current financial responsibility documents <br />■ V ■ R ■ COS <br />2711(a)(11) <br />108 <br />CCR 2620(b); HSC <br />Failure to implement or maintain a written agreement between the UST owner and operator <br />❑ V ❑ R ❑ COS <br />25284(a)(3) <br />109 <br />CCR 2715(a)(1)(B), <br />Failure to submit "Designated Underground Storage Tank Operator Identification Form" within 30 days <br />❑ V ❑ R ❑ COS <br />2715(a)(3) <br />110 <br />CCR 2715(a)(1)(A), <br />Failure to submit the "Underground Storage Tank Statement of Understanding and Compliance Form" <br />■ V ❑ R ❑ COS <br />2715(a)(2) <br />111 <br />CCR 2637, 2638(e), <br />Failed to notify the EHD 48 hours prior to conducting testing <br />o V ❑ R ❑ COS <br />2643(8) <br />112 <br />CCR 2638, 26410), <br />Failure to have properly qualified service technician test leak detection equipment every 12 months <br />❑ V ❑ R ❑ COS <br />2715(f) <br />113 <br />CCR 2637(a -d), 2712(b) <br />Failure to conduct secondary containment testing <br />❑ V ❑ R ❑ COS <br />(1)(F) <br />114 <br />CCR 2636(f)(3), 2643(c) <br />Failure to perform line integrity test every 12 months or within 30 days of repair of primary pipe <br />❑ V ❑ R ❑ COS <br />(3) <br />115 <br />CCR 2638(c), 2638(d) <br />Failure to submit "Monitoring System Certification Form" within 30 days of completion of the test <br />❑ V ❑ R ❑ COS <br />116 <br />CCR 2637.1(d), <br />Failure to submit the "Spill Container Testing Report Form" within 30 days <br />❑ V ❑ R ❑ COS <br />2637.1(a) <br />117 <br />CCR 2637(e), 2637(f) <br />Failed to submit "Secondary Containment Testing Report Form" within 30 days after the test <br />n V ❑ R ❑ COS <br />118 <br />CCR 2637.2(d&e), <br />Failure to submit the "Overfill Prevention Equipment Inspection Report Form" within 30 days <br />❑ V ❑ R ❑ COS <br />2665(a&b) <br />119 <br />CCR 2663, 2712(b)(6) <br />Failure to comply with tank lining certification, testing, inspection, and record requirements <br />❑ V ❑ R ❑ COS <br />120 <br />CCR 2631, 2640.1, <br />Failure to submit and/or maintain documentation regarding compatibility for UST system components <br />❑ V ❑ R ❑ COS <br />2665, 2711 <br />FA0004044 PR0232521 SCO01 01/19/2023 <br />EHD 23-01 Rev. 12/06/2021 Page 1 of 5 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 />