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SAN 1OAOLIN Environmental Health Department <br /> Wh Aboveground Petroleum Storage Act Inspection Report <br /> Facility Nam.: Facility PMne: Dab: <br /> CONCRETE INC 209 460-3785 April 23 2019 <br /> Facility Addass: CERSID: <br /> 24717 E BRANDT RD LODI CA 95240 10183309 <br /> Inspection Conrad: Titla: Flww: <br /> Ernesto Alvarez I Plant Mana err 12094 759-3964 <br /> Inspection Type: Pre ral <br /> ROUTIN E INSPECTION-O eratin Permit 2832-AST FAC 10K-</=100 K GAL CUMULATIVE <br /> Consent For: Censer G.By: <br /> Ox Ins ection Ox Photos 71Sam les Ernesto Alvarez Plant Mana err <br /> CCR=Caffamia Regulanne HSC=HeMN and SMeiy Code CFit=Tide 40 Code of Fedend Reg Worn <br /> V=All R=Report Ad.. COS=Comi m she Nng Inspection <br /> Above¢otmd Petroleum Storage Act <br /> 101 HSC 25270ad) Failed to pay APSA program annual fees oV in in COS <br /> 102 HSC 25270A.5(a) Failed to prepare written SPCC Plan In accordance with CFR Part 112 o V o R o COS <br /> 103 HSC 25270.6(a) Failed to Me HMBP or annual facility tan k statem ant h h oCOS <br /> 104 HSC 25270.8 Failed to report spite or releases of 42 gallons(one barrel)or mom h h oCOS <br /> 105 CFR 112.1(bx3k 112.2 Falure to property dose tanks when makln a a claim of perman emy closed h h oCOS <br /> 106 HSC 25404.1.2 Fared to submit a call cation and written resp onse wi[hl n 30 days for mi nor viol ations h h oCOS <br /> 107 HSC 25270.all Faiure to prepare SPCC plan when facility no longer meets oil-filled electrical equipment exclusion h h oCOS <br /> 108 HSC 25270A.5(a) Fail of conditionally exempt facility to conduct Inspections or Install secondary containment h h oCOS <br /> 109 HSC 25270.2(ox1xC) Failure to have secondary containment andlor leak detection if TllJGA piping cannot be ewed h h oCOS <br /> (nexllp <br /> 110 HSC 25404(ex4) Failed to report program data In the California Environmental Reporting System(CERS) h h oCOS <br /> Requirement to Prepare and Implement a SPCC Plan <br /> 201 CFR 112.3(4) Failureto have a licensed PE properly rehewand certifythe SPCC plan in in in COS <br /> 202 CFR 112.3(ex1) Fared to maintain a copy of We Plan on site h h oCOS <br /> 203 CFR 112.3 Fail to mplement the SPCC Plan h h oCOS <br /> 200 CFR 112.3(g) Faiure to prepare SPCC Plan when redlty nm lege mets Qul6e l Facaty criteria o V o R o COS <br /> 205 CFR 112.3,112.6 Failure to prepare SPCC Plan Mat meets all applicable requirements in V in R in COS <br /> 206 CFR 112.3(d)(1) paid re of owner to assure that the PE makes all requi red attestati ons In the Pl an .V .R .COS <br /> Amendment of SPCC Plan by Owners or Operators <br /> 301 CFR 112.5(a) Failed to amend Plan as necessary •V •R .COS <br /> 302 CFR 112.51 Failed to revew Plan once eery Me years andlor Implement any resulting amandhnetle in h oCOS <br /> 303 CFR 112.5(c) Failed to have a PE certify technical amendments o V o R o COS <br /> 304 CFR 112.5(a),112.5(b) paid re to imp lem ant SPCC pl an amen dments wthln 6 m onth s h h oCOS <br /> Qualified Facility-Tier I <br /> 401 CFR 112.6(a),112.6(b) Tier I Qualified Facility Plan not certified by the owner or a PE .V .R .COS <br /> 402 CFR 112.6(ax2) Owner of Tiler l Qualified Facility failed to self certify technical amendment in in in COS <br /> 403 CFR 112.61ax3xi) Ran failed to predict dlrectionlrate offiowttotal quantity of oil potentially discharged h h oCOS <br /> 404 CFR 112.61ax3xii) tlo 2CT for bJhwMains ,or mobilo derage ceMareS ant located to preweN discharge h h oCOS <br /> FM010199 PR0515597 S0001 04C3R019 <br /> E1018U1 R-09frZ/A1S Pag.tof6 Abowe9round Ptlrtlam Sona)e Al OR <br /> 1868 E. Hazelton Avenue I Stockton,California 95205 1 T 209 468-3420 1 F 209 464-0138 1 w .sjcehd.com <br />