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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 600 East Main Street, Stockton, California 95202-3029 Telephone: (209)468-3420 Fax: (209)468-3433 Web:www.sigov.org/ehd ABOVEGROUND PETROLEUM STORAGE ACT (APSA) PROGRAM INSPECTION REPORT Facility Facility y� Inspectio ate: �7 Name: pry Address: Z(7 —� >1 HcA,,, i-- 2 / Facility I / Title: Phone: Contact: `:&3? — %K AST A� Total Facility Shell Content rj Capacity(gal): ------ ---------- ---------- ----------- ---------- ----------- ----------- ---------- Shell SPCC Plan 5 year Q Capacity �f/ c 500 review date: A SPCC Plan type: ❑APSA SPCC conditionally exempt(HSC 25270.4.5(b)) A Fully or partially Professional Engineer certified ❑Self-Certified Inspection Type: outine ❑Follow up ❑Complaint-ID#: (Authority HSC 25270.4) AA ,• Consent for: spection Sampling Photos Granted by: vy),J-t i 15 Title: j�Q VIOLATIONS R HSC=CA Health and Safe Code;CFR=Code of Federal Regulations;V=Violation;RV=Repeat violation # V v Code Section Specific requirements of HSC 25270.4.5(a)are identified as CFR code sections beginning with 112 1 A HSC 25270.4.5(a) Failed to prepare a written SPCC Plan in accordance with CFR Part 112 2 HSC 25270.4.5(a) Failed to conduct periodic inspections of the storage tank to assure compliance with CFR Part 112 3 HSC 25270.6(a) Failed to file business plan or annual tank facility statement if capacity>10K gallons and 2:5%petroleum 4 HSC 25270.6(b) Failed to submit APSA fees 5 HSC 25270.8 Failed to report spills or releases of 42 gallons or more 6 CFR 112.3(d) SPCC Plan certification by a Professional Engineer(PE)missing or incomplete 7 CFR 112.3(e) Failed to retain a copy of the SPCC Plan on site 8 CFR 112.5(a) Failed to amend SPCC Plan within 6 months, or implement changes within 6 months of amendment when there is an applicable change to the facility 9 CFR 112.5(b) Failed to amend SPCC Plan within 6 months,or implement changes within 6 months of amendment after scheduled 5 year Plan review 10 CFR 112.5(b) Failed to complete a review and evaluation of SPCC plan at least once every 5 years 11 CFR 112.5(c) Failed to have a PE certify technical amendments within 6 months of change 12 CFR 112.6 Failed to self-certify technical amendment when there is an applicable change to the: (a)(2)Tier I qualified facility; orb 2 Tier II qualified facility 13 CFR 112.6(a)(3) Tier I qualified facility SPCC Plan incomplete 14 CFR 112.6(b)(1) Tier II qualified facility SPCC Plan self certification missing or incomplete 15 CFR 112.6(b)(4) Failed to provide written PE certification in a self-certified plan for alternate methods which provide environmental equivalence, or provisions in lieu of secondary containment due to impracticality 16 CFR 112.7 SPCC Plan lacks full approval of management at a level of authority to commit the necessary resources to implement the Plan 17 CFR 112.7(a)(2) Failed to provide equivalent environmental protection and/or state the reasons for nonconformance and describe the alternate methods and how they achieve equivalent environmental protection 18 CFR 112.7(a)(3) No facility diagram or diagram failed to show location and contents of each container,transfer stations, and connecting pipes. 19 (, CFR 112.7(a)(3)(i) SPCC Plan failed to include description of product type and storage capacity for each container 20 CFR 112.7(a)(3)(ii) SPCC Plan failed to include procedures for routine handling of products and discharge prevention measures 21 CFR 112.7(a)(3)(iii) SPCC Plan failed to show discharge or drainage controls(secondary containment), equipment, and procedures for the control of a discharge 22 CFR 112.7(a)(3)(iv) SPCC Plan failed to show countermeasures for discovery, response and cleanup of discharges 23 CFR 112.7(a)(3)(v) SPCC Plan failed to address disposal methods for recovered materials 24 CFR 112.7(a)(3)(vi) SPCC Plan failed to include required contact list and phone numbers of the facility's response coordinator, cleanup contractors, and agencies to notify in case of discharge 25 CFR 112.7(a)(4) Failed to provide information and procedures to enable a perso to adequately report discharges if a response plan was not submitted to the Regional Ad nistr r RA 26 CFR 112.7(a)(5) Failed to organize emer ency pro s for dis ar es readily useable way if a response plan was not submitted to the RX r Inspect o Phone: Rec ve y: Title: 07 g" i c EH 28-02 Rev 2/19/10 Page 1 APSA INSPECTION REPORT