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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 1868 East Hazelton Avenue, Stockton, California 95205-6232 Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: www.sicehd.com UNDERGROUND STORAGE TANK UST) PROGRAM INSPECTION REPORT Facility VALLEY PRLIC7G FRESNO AVG C/3iQA3t-0 Facility Inspection Name: Phone: Date: 3/9//-7 Facility ,t — QX C - s IVO AVE Address: � 2- � - CERS / 2- Z ID: �0Q 4 Inspection Contact: A4LKE C-6 --,ISO w Title: C'�4/2d �—OCK +� Phone: ;Lori- 49; 9793 Inspection Type: AN/v uA (— Program: 14 Is r Conent Given For: I nspection 0hotos H"'Sampling Consent Given By: /Krx& 64,ZASOAI Service Tech Exp. 1 LG Onsite: R l G H/l p2 j) TI -16) 7' �4 S Date: // � g Designated Exp./ Operator. JA 44 ES A,3 z T T Date: (0/24.1 Service Technician �// Manufacturers Training: T14NK %ESjEp{o%d /d V /IK .I LLA ja CCR = California Code of Regulations HSC = Health and Safety Code CFR = Code of Federal Regulations V = Violation R = Repeat COS = Corrected on site during inspection EHD 23-01 REV 07/28/16 Page 1 UST INSPECTION REPORT File Review V R COS 101 HSC 25284 No permit to operate (V650) ❑ ❑ ❑ 102 HSC 25284(a)(3) No written agreement between tank owner and tank operator to monitor the tank'system (V735) ❑ ❑ ❑ 103 HSC 25292.2 Current financial responsibility documents not submitted (V720) ❑ ❑ ❑ 104 CCR 2711 UST operating permit application for facility and tank information not submitted or current (V651) ❑ ❑ ❑ 105 CCR 2632(d)(1) Failed to have an approved UST monitoring plan (V852) ❑ 106 CCR 2632(d)(2) Failed to have an approved UST response plan (V853) ❑ ❑ ❑ 107 CCR 2632(d)(1)(C) Plot plan/site map not submitted or failed to completely show where monitoring is performed (V655) ❑ 108 CCR 2637(f), 2638(e) Failed to notify the EHD 48 hours prior to conducting testing (V671) ❑ ❑ ❑ 109 CCR 2637 Failed to test secondary containment (V660) ❑ ❑ ❑ 110 CCR 2637(e) Failed to submit secondary containment test report within 30 days (V662) ❑ ❑ ❑ 111 CCR 2638(a) Failed to test monitoring and leak detection equipment annually (V659) ❑ ❑ ❑ 112 HSC 25284.2 Failed to test spill containers annually (V661) ❑ ❑ ❑ 113 CCR 2638(d) Failed to submit monitoring system certification test report within 30 days (V823) ❑ ❑ ❑ 114 CCR 2636(f) Failed to perform 0.1 gph annual line test for pressurized piping without fail safe or shut down (V663) ❑ ❑ ❑ 115 CCR 2715(a) Failed to inform the EHD of designated operator identification or change within 30 days (V658) ❑ ❑ ❑ 116 CCR 2715 Designated operator, service tech or installer did not possess current ICC certification (V848) ❑ ❑ ❑ 117 CCR 2663 Failed to inspect a lined or repaired steel tank within 10 years of lining and every 5 years after (V666) ❑ ❑ ❑ 118 CCR 2663 Failed to submit tank lining certification within 30 days or to conduct proper tests (V667) ❑ ❑ ❑ 119 HSC 25299 Documents were falsified or misrepresented (V657) ❑ ❑ ❑ 120 CCR 2635(d) Failed to submit UST Certification of Installation/Modification (V840) ❑ ❑ ❑ 121 CCR 2712(f) Failed to submit a written response within 30 days of receiving an inspection report (V804) ❑ ❑ ❑ 122 CCR 26310) Failure to submit UST system component statement of compatibility for substance stored (V721) ❑ ❑ ❑ EHD 23-01 REV 07/28/16 Page 1 UST INSPECTION REPORT On Site Records V R COS 201 CCR 2712(b) Failed to maintain alarm logs and/or records of follow up actions (V725) ❑ ❑ 202 CCR 2712(b) Failed to maintain cathodic protection test records on site for at least 6 1/2 years (V733) ❑ ❑ ❑ 203 CCR 2712(b) Failed to maintain records of monitoring, repair, lining, and upgrades on site (V732) ❑ ❑ 204 CCR 2712(i) Current monitoring plan approved by the EHD not found on site (V734) ❑ ❑ ❑ 205 CCR 2712(i) Failure to have an approved UST response plan available onsite (V654) ❑ ❑ ❑ 206 CCR 2712 Failure to comply with UST operating permit conditions (V738) ❑ ❑ ❑ 207 HSC 25294 Failed to record unauthorized release from primary containment (V737) ❑ ❑ ❑ Received By (initial): Inspector: /4,4A(, fv ffANG'" Inspector Phone: .2-0 f -3 ¢S3 EHD 23-01 REV 07/28/16 Page 1 UST INSPECTION REPORT