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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.sjgov.org/ehd <br />Underground Storage Tank Program Inspection Report <br />Facility Name: Facility Address: <br />1 <br />Date: <br />CHEVRON STATION #210997 1442 Colony Dr, RIPON <br />January 27, 2015 <br />SUMMARY OF VIOLATIONS <br />(CLASS I, CLASS il, or MINOR- Notice to Comply) <br />Item #' 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 a new siphon jet on the <br />existing 87 -octane line leak detector, retested it, and it passed. This is a Class Il 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 is Elijah Pendergraft (ICC expiration date: June 2, 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 operators are required to upload the following UST program <br />documents into the California Environmental Reporting System (CERS): 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 />DATES <br />THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br />eG ived y (sig aturep <br />Title: <br />Date: <br />Re By (printed me): <br />Inspector: <br />Inspector Phone: <br />,,��(,,4 1. 6j,, , . <br />ELENA MANZO, REHSAk�a� <br />(209) 953-7699 <br />Page 4 of 4 <br />