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San Joaquin County Environmental Health Department 1868 East Hazelton Avenue, Stockton, California95205-6232 Telephone: (209) 468-3420 Fax: (209) 468-3433 Web:vvvvvv.sigov.orq/ehd Aboveground Petroleum Storage Act Inspection Report Facility Name: Facility Address: Date: Nr)P.T!-JFRNI CA,�)F P!)VVPP- !.n!'- ?1'31 1/1/ T' o PF". I_C)fll lahi.lafy 06. ?Q1F SPCC Plan Requirements for Onshore Facilities (excluding production facilities) 723 CFR 112.8(d)(1) Failed to provide corrosion protection for buried piping ❑V R ❑COS 724 CFR 112.8(d)(2) Failed to cap/blank-flange connection at transfer point and mark its origin if not in service ❑V ❑R ❑COS 725 CFR 112.8(d)(3) Failed to design pipe supports to minimize abrasion/corrosion and to allow for expansion/contraction ❑V ❑R ❑COS 726 CFR 112.8(d)(4) Failed to regularly inspect aboveground valves,piping,and appurtenances =:V ❑ R ❑COS 727 CFR 112.8(d)(4) Failed to conduct integrity and leak test on buried piping any time it is worked on ■V ❑R ❑COS 728 CFR 112.8(d)(5) Failed to adequately warn vehicles entering facility to protect piping and other transfer operations o V n R ❑COS Other Violations 4010 See below Unlisted Administration/Documentation violation ❑V ❑R ❑COS 4020 See below Unlisted Training violation ❑V ❑R ❑COS 4030 See below Unlisted Operations/Maintenance violation ❑V ❑ R ❑COS 4040 See below Unlisted Release/Leaks/Spills violation ❑V a R ❑COS SUMMARY OF VIOLATIONS (CLASS I,CLASS II,or MINOR-Notice to Comply) Item # Remarks Overall Inspection Comments: 1 checklist was left on site at the time of inspection. A complete report will be provided. :complete and submit a copy of the Return to Compliance Certification form to the EHD with a statement -iocumenting the corrective actions that have been or will be taken for each violation, and any supporting paperwork, by within 30 days of receiving the completed report. Please be aware as of January 1, 2013, all businesses are required to submit all hazardous materials information online to the California Environmental Reporting System (CERS) at http://cers.calepa.ca.gov. Be sure to include your hazardous waste activity in the Businesses Activities section in CERS in addition to any other relevant activities and required fields. Documents reviewed: SPCC Plan (dated 8/7/13), Training records. Weekly inspection records Documents provided: Return to Compliance Certification form, Schedule of free CUPA classes AFTER THE COMPLIANCE DATE, EHD WILL BILL FOR ALL TIME AND ACTIVITIES ASSOCIATED WITH BRINGING THIS FACILITY BACK INTO COMPLIANCE. THIS FACILI IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. Received By Received By(printed name and title): Date: (signature): Vinnie Venethongkham, Compliance Manager Inspector Inspector(printed name and title): Inspector Phone: (signature): ARTS VELOSC iur REHS (209) 468-3453 Page 3 of 3