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San Joaquin County <br />Environmental Health Department <br />1868 East Hazelton Avenue, Stockton, California 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 468-3433 Web; www.s'gov.org/ehd <br />Underground Storage Tank Program Inspection Report <br />Facility Name: <br />CHEVRON STATION 4210997' <br />Facility Phone: <br />(2.09) 599-0149 <br />hate: <br />January 27, 2015 <br />Facility Address: <br />1442 Colony Dr, RIPON, CA 95336 <br />EPA ID. <br />1 <br />CERS ID: <br />10184539 <br />Facility Contact: Contact Phone: <br />PERMIT DESK (925) 842-4259 <br />Contact during inspection, if <br />different from facility contact: <br />Inspection type: <br />ROUTINE INSPECTION - Operating Permit <br />Program: <br />2361 - UST FACILITY <br />CCR = California Code of Regulations HSC = Health and Safety Code CFR =Code of Federal Regulations <br />V = Vioiation R =Repeat violation COS = Corrected on site during inspectierl <br />File Review <br />101 <br />HSG 25284 <br />No permit to operate <br />❑ V u R n COS <br />102 <br />HSC 25284(a)(3) <br />No written agreement between tank owner and tank operator to monitor the tank system <br />❑ V u R ❑ COS <br />103 <br />HSC 25292.2 <br />Current financial responsibility documents not submitted <br />u V ❑ R ❑ COS <br />104 <br />CCR 2711 <br />UST Operating Permit Application forlFacility and Tank information not submitted or current <br />❑ V ❑ R ❑ COS <br />105 <br />HSC 25286{c) <br />Current BOE number not submitted <br />❑ V ❑ R ❑ COS <br />106 <br />CCR 2632 <br />Monitoring and response plans not current or approved by the EHD <br />❑ V ❑ R ❑ COS <br />107 <br />CCR 2632(d)(1)(C) <br />Plot plan/site map not submitted or faited to completely show where monitoring is performed <br />a V n R ❑ COS <br />108 <br />CCR 2637(f), 2638(e) <br />Failed to notify the END 48 hours prior to conducting testing <br />❑ V ❑ R ❑ COS <br />109 <br />CCR 2637 <br />Failed to test secondary containment <br />❑ V u R ❑ COS <br />1101 <br />CCR 2637(e) <br />Failed to submit secondary containment test report within 30 days <br />❑ V u R a COS <br />111 <br />CCR 2638(x) <br />Failed to test monitoring and leak detection equipment annually <br />❑ V n R ❑ COS <br />112 <br />HSC 25284.2 <br />Failed to test spill containers annually <br />❑ V u R ❑ COS <br />113 <br />CCR 2638(d) <br />Failed to submit monitoring system certification test report within 30 days <br />n V u R ❑ COS <br />114 <br />CCR 2636(f) <br />Failed to perform 0.1 gph annual line test for pressurized piping without fail safe or shut down <br />© V u R u COS <br />115 <br />CCR 2715(a) <br />Failed to inform the EHD of a change of designated operator within 30 days <br />❑ V ❑ R ❑ COS <br />116 <br />117 <br />CCR 2715 <br />HSC 25292.5 <br />Designated operator, service tech or installer did not possess current [CC certification <br />Failed to conduct ELD testing on a system located within 1000' of a public well <br />❑ V ❑ R ❑COS <br />n V o R ❑ COS <br />118 <br />HSC 25292.5 <br />Failed to repair and retest system due to failed ELD test <br />❑ V ❑ R a COS <br />119 <br />CCR 2644.1(a)(5) <br />Failed to submit ELD test results within 60 days <br />❑ V ❑ R ❑ COS <br />120 <br />CCR 2663 <br />Failed to inspect a lined or repaired steel tank within 10 years of lining and every 5 years after <br />❑ V ❑ R ❑ COS <br />121 <br />122 <br />123 <br />CCR 2663 <br />HSC 25299 <br />CCR 2661 <br />Failed to submit tank lining certification within 30 days or to conduct proper tests <br />Documents were falsified or misrepresented <br />Permit to repair UST system not obtained <br />❑ V n R ❑ COS <br />n V ❑ R u COS <br />❑ V u R ❑COS <br />124 CCR 2635(4) <br />125 CCR 2712(f) <br />126 HSC 25404(e)(4) <br />201 CCR 2712(b) <br />Failed to submit UST Certification of Installation/Modification <br />Failed to submit a written response within 30 days of receiving an inspection report <br />Failed to report program data electronically <br />On Site Records <br />Failed to maintain alarm logs andlor retards of #olldw up actions <br />o V u R ❑ COS <br />❑ V ❑ R u COS <br />❑ V u R u COS <br />■ V n R u COS <br />R ceived t� initis <br />nspector: Pftone: <br />ELENA MANZO, RENS (209) 953-7699 <br />ate: <br />01/27/2015 <br />Page 1 of 4 <br />