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0 0 REGEIVEI,-/'*, <br />JAN ­2 8 2015 Sart Joaquin County <br />FEB 12 2015 <br />Environmental Heath -Department W <br />493 a _vlRONVGN` <br />,r,.r ya.� k. � '�(t� i r.+ x -�+�nr .r ��j� ..,ls .'C�:' y4.. 'v • t ��. .i ; it � '�I� r 1". h+ •.. Y :. h* �.y �V +, ,,,y n3' c`3i <br />a. it,�l"='4"��� ��a�•� ` ��..�,,�,..�iy„R �Y��f�,'��yyFw4� ��'yy+'��. <br />,�fr�l� ,o. yv��YJl'"�'iv <br />v.c' <br />Facility Nama; FbcilityAddr4Ss:M <br />Date: <br />CHEVRON S'T'ATION 1210997` 1442 Colon Dr, RlPtiN <br />January27, 2015 <br />01; <br />i'.47;4 <br />S •l u,.�r� <br />_ <br />Item 0 Remarks <br />323 CCR 2636(f)(2) Leak detector failed to detect a 3,0 gph leak at 10 psi. <br />The 87 -octane electronic line leak detector failed to detect a leak when tested. All line leak detectors shall be <br />capable of detecting a 3 -gallon per hour leak at 10 psi. The service technician installed anew siphon jet on the <br />existing 87 -octane line leak detector, retested it, and it passed. This is a Class 11 violation. This was corrected on <br />site. <br />Overall Inspection Comments: <br />Complete and Submit a copy of the Return to Compliance Certification form to the EHD with a statement <br />documenting the corrective actions that have been or will be taken for each violation, and any supporting <br />paperwork, by February 26, 2015, <br />Consent to perform the inspection, take photos and collect samples was given by Perla Gomez, the store <br />manager . This facility's designated operator i5 Elijah Pendergraft (ECC expiration date: June Z, 2016) . The <br />service technician was Jarrod Cooke (ICC expiration date: April 30, 2015), who had the following manufacturer's <br />certifications: VR- May 6, 2016 and VMI- February 10, 2015. <br />Please be aware that as of January 1, 2014, facility'operatcrs are required to upload the fallowing UST program <br />documents into the Califomia Environmental Reporting System (GERS): UST Monitoring Site Plan, UST <br />Certification of Financial Responsibility, UST response Plan, UST Owner/Operator: Written Agreement (if <br />applicable), UST Letter from Chief Financial Officer, and Owner Statement of Designated UST Operator <br />Compliance. <br />THIS FACILIT(15 SUBJI±CTTO RE=INSPECTICN AT ANY TIME AT EHDrS CURRENT HOURLY BATF- <br />Recaiv (signat� <br />Ttda <br />Dates <br />tp nta name : <br />In9peetbr. <br />na r ann: <br />7{V, 6 <br />ELENA MANZO, REH <br />(209) 8553-7699 <br />Page 4 of A `-'' U <br />