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z . SAN 10 A Q U I N Environmental Health Department - ' COUN T GrectnPtc groov i hvr :, Underground Storage Tank Program Inspection Report Facility Name: Facility Phone: Date: VALLEY PACIFIC HWY 99 CARDLOCK (209) 948-9412 January 19, 2023 Facility Address : CERS ID: 3550 S HWY 99 , STOCKTON , CA 95215 10182167 In pectio1" Contacts Title: Phone:or aka " So � �ISWC+ 6'tUl (Unft�,sk,&Q( cal %�t lw2 `)13 94q3 Inspection Type: Program: ROUTINE INSPECTION - Operating Permit 2361 - UST FACILITY Consent For: Consent Given By: r Tins ection Photos ElSamples . i M ASH " 12 '16 " ems► d ")CL S vl fiv S ice Technician Onsite: Date: Designated Operator: Exp Date: ct ( f-Z W �zr �� z i iw � y u ► ) 20 Service Tech icia Manufacturer's Training : VM ..., M I — WI0Z(2.o2*sff VtL,... jejj j ( jj> jj1 8r.;,vL? — 12 � oy12uz} UPS — '(JS � 3l � �D �" ( CCR = Title 23 California Code of Regulations 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 D V D R D COS 2711 (d) 102 CCR 2711 Failure to submit a complete and accurate application for a permit to operate a UST D 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 D V D R D COS 2634(d) 105 CCR 2632(d) (2) , Failure to submit a complete and accurate UST Response Plan D V u R D COS 2634(e) 106 CCR 2632(d) , 2641 (h) Failure to submit and maintain a current facility plot plan / site map D V DR D COS 107 HSC 25292. 2; CCR Failure to submit and maintain complete and current financial responsibility documents DR D 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 D 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 DR D COS 2715(a)(3) 110 CCR 2715(a) (1 ) (A) , Failure to submit the " Underground Storage Tank Statement of Understanding and Compliance Form" D V DR D COS 2715(a) (2) 111 CCR 2637, 2638(e) , Failed to notify the EHD 48 hours prior to conducting testing OV DR D COS 2643(g) 112 CCR 2638 , 26410) , Failure to have properly qualified service technician test leak detection equipment every 12 months D V DR D COS 2715(f) 113 CCR 2637(a-d) , 2712(b) Failure to conduct secondary containment testing D V DR o COS (1 )(F) 114 CCR 2636(f) (3) 1 2643(c) Failure to perform line integrity test every 12 months or within 30 days of repair of primary pipe OV DR D 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 D R D COS 116 CCR 2637. 1 (d) , Failure to submit the "Spill Container Testing Report Form" within 30 days D V D R D COS 2637. 1 (a) 117 CCR 2637(e) , 2637(f) Failed to submit "Secondary Containment Testing Report Form" within 30 days after the test DV D R D COS 118 CCR 2637.2(d&e) , Failure to submit the "Overfill Prevention Equipment Inspection Report Form" within 30 days D V D R D 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. 11 Failure to submit and/or maintain documentation regarding compatibility for UST system components D V DR D COS 2665, 2711 FA0007030 PRO505827 SC001 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