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FEB i '9 1U18 San Joaquin County Environmental Health Department 1868 East Hazelton Avenue, Stockton, California 95205-623,, Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: www.segov. Underground Storage Tank Program Inspection Facility Name: Facility Phone: CHEVRON STATION /307709` (209) 952-2213 Facility Address: 10858 TRINITY PKWY STOCKTON CA 95219 Inspection Contact: Angelical Salinas Title: Assistant Man a er Inspection Type: INSPECTION/REINSPECTION 1 hr minimum Program: 2351 -UST FACILIJ Y - 2481 Consent For: I Consent Given By: Ins ection 10 Photos 0 Samples I Angelica Salinas. Assistant Manager Service Technician Onsite Exp. Date: Jesus Saldivar 06/16/2019 Designated Operator: Service Technician Manufacturer's Training Veeder-Root, 05/01/19 = California Code egu ations HSC = Health and Safety Code CFR =Code of Federal Regulations V = Violation R = Repeal viola] File Review 101 HSC 25284 Failure to obtain a valid permit to operate from the EHD including but not limited to ur 102 HSC 25284(a)(3)(Ay 8) No written agreement between tank owner and tank operator to monitor the tank sysl 103 HSC 25292.2, 25298.30 Current financial responsibility documents nol submitted 104 CCR 2711 UST operating permit application for facility and tank information not submitted or cur 105 CCR 2632(d)(1), 2634(d) Failed to have an approved UST monitoring plan 106 CCR 2632(d)(2), 2634(e) Failed to have an approved USI' response plan 107 CCR 2632(d)(1)(C) Plot plan/site map not submitted or failed to completely show where monitoring is per 108 CCR 2637(1), 2638(e) Failed to notify the EHD 48 hours prior to conducting testing 109 CCR 2637 Failed to lest secondary containment Failed to submit secondary containment test report within 30 days 110 CCR 2637(e) 111 CCR 2638(a) Failed to test monitoring and leak detection equipment annually 112 HSC 25284.2 Failed to test spill containers annually 113 CCR 2638(d) Failed to submit monitoring system certification test report within 30 days 114 CCR 2636(}) Failed to perform 0.1 gph annual line test for pressurized piping without fail safe or sh Failed to submit to EHD notification of designated operator identification or change wl 115 CCR 2715(a) 116 CCR 2715 Designated operator, service tech or installer did not possess torrent ICC certification 117 CCR 2663(h) Failed to Inspect a lined or repaired steel tank within 10 years of lining and every 5 ye 118 CCR 2663 Failed to submit tank lining certification within 30 days or to conduct proper tests 119 _ HSC 25299(a)(8). 25299(b)(7) Documents were falsified or misrepresenled 120 CCR 2635(d) Failed to submit UST Certification of Installation/Modification 121 CCR 2712(1) Failed to submit a written response within 30 days of receiving an inspection report 122 CCR 26310) Failure to submit and maintain UST system component statement of compatibility for On Site Records 201 CCR 2712(b) Failure to maintain monitoring, maintenance, and follow up action records R COS 770 9C /o o %v a/ehd deport Date: -February 14 2018 CERS ID: one: J9)952-2213 rANT —(0 Exp. Date: n7n �c =ed lid fees on site during inspeclior jMENT V R COS 1 V R COS it V R COS V R V R COS COS med V R COS V R COS V R COS V R COS V R COS V R _: COS V R COS V R COS down V V R R COS COS 30 days V R COS after V i R COS V - R COS V R COS V R COS V R COS )stance stored V R COS V R GOS ;A0017737 PR0526212 SC333 02/142018 t_HD 23-01 Rev. 09/22/16 Page 1 of 4 Underground Storage Tank Program OIR _1 H