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Page 1 of 5 Name San Joaquin County Environmental Health Department 1868 East Hazelton Avenue, Stockton, California95205-6232 Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: www.s0aov.or(1/ehd Underground Storage Tank Program Inspection Report Facility Name: R.- Facility Phone: (209)8" Date: (, 26 2ulb Facility Address: 6126 - j524ii CERS to: 10184805 Inspection Contact:Title: Case S Phone: rig) 992-1463 Inspection Type: ROUTINE INSPECTION -OperatingPermit Program: 23 uST'rACILIIY-1702-OMPLIANT Consent For: I Consent Given By: O Inspection -x] Photos x Sam les I Casey, Paoletti Service Technician Onsite: Kristo Exp. Date: 09/11/2016 Designated Operator: Karen Arnaiz Exp. Date: Service Technician Manufacturer's Training CCR = California Code of Regulations H9C =Health and safety code CPR =Code of Federal Regulations V = Violation R = Repeat violation COS = Corrected on site during inspection File Review 101 HSC 25284 No permit to operate o V o R o COS 102 HSC 25284(a)(3) No written agreement between tank ownerand tank operator to monitorthe tank system ❑ V ❑ R ❑ COS 103 HSC 25292.2 Current financial responsibility documents not submitted ❑ V ❑ R o COS 104 CCR 2711 UST Operating Permit Application for Facility and Tank information not submitted or current ■ V ■ R ❑ COS 105 HSC 25286(c) Current BOE number not submitted ■ V ❑ R ❑ COS 106 CCR 2632 Monitoring and response plans not current or approved by the EHD ■ V ■ R o COS 107 CCR 2632(d)(1)(C) Plot plan/site map not submitted or failed to completely show where monitoring is performed I-V a R o COS 108 CCR 2637(0,2638(e) Failed to notify the EHD 48 hours prior to conducting testing ❑ V o R o COS 109 CCR 2637 Failed to test secondary containment ❑ V o R o COS 110 CCR 2637(e) Failed to submit secondary containment test report within 30 days o V ❑ R ❑ COS 111 CCR 2638(a) Failed to test monitoring and leak detection equipment annually ❑ V ❑ R ❑ COS 112 HSC 25284.2 Failed to test spill containers annually ❑ V ❑ R ❑ COS 113 CCR 2638(d) Failed to submit monitoring system certification test report within 30 days ❑ V ❑ R ❑ COS 114 CCR 2636(f) Failed to perform 0.1 gph annual line test for pressurized piping without fail safe or shut down ❑ V ❑ R o COS 115 CCR 2715(a) Failed to inform the EHD of a change of designated operator within 30 days o V o R o COS 116 CCR 2715 Designated operator, service tech or installer did not possess current ICC certification o V o R c COS 117 HSC 25292.5 Failed to conduct ELD testing on a system located within 1 000'of a public well ❑ V ❑ R o COS 118 HSC 25292.5 Failed to repair and retest system due to failed ELD test ❑ V ❑ R ❑ COS 119 CCR 2644.1(a)(5) Failed to submit ELD test results within 60 days in V o R o COS 120 CCR 2663 Failed to inspect a lined or repaired steel tank within 10 years of lining and every 5 years after o V o R o COS 121 CCR 2663 Failed to submit tank lining certification within 30 days or to conduct proper tests ❑ V ❑ R o COS 122 HSC 25299 Documents were falsified or misrepresented o V ❑ R ❑ COS 123 CCR 2661 Permit to repair UST system not obtained ❑ V ❑ R ❑ COS 124 CCR 2635(d) Failed to submit UST Certification of Installation/Modification ❑ V ❑ R in COS Received by (initial) Inspector: ARIS VELOSO, Senior RE r Phone: i453 Date: 10/26/2015 Page 1 of 5