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San Joaquin County 1W Environmental Health Department 1868 East Hazelton Avenue, Stockton, California95205-6232 iefephane: (269) 468-3424 Fair. (209) 466-3433 Web. www.s ay.or lehd Underground Storage Tank Program inspection Report Facility Name:} LY—1-1 599-0149 " "'' , iary 21, 2016 -1D.- CHEVRON STATION #1210997' CERS D:Facility FacilityAddress: !0184539 1442 Colony Dr, RIPON, CA 95336 Phone: Inspection Contact: Title: Manager ) - Perla Gomez Program: Inspection ype: RO' .IE INSPECTION - Operating Permit 2 ;p I- '� i S r t i l 1 Y Consent For: Consent Given By: u Ins eetion Photos Sam les Perla Gomez, Manager Designated Operator: Exp. Date: Service Technician Onsite: Exp. Date: 04p20ate: Jarrod Cooke Service Technician Manufacturer's Training VM1,02111117: VR. X5106116 eo a era eguations = a omla a Regulations = ealt an atety o e - V = halation R =Repeat violation CpS =Corrected on site during inspection File Review flV nR ❑COS 101 HSC 25284 No permit to operate tank operator to monitar the tank system ❑V aR nCOS 102 HSC 25284(a)(3) f+lo written agreement between tank o ner and q V fl R n CO5 103 HSG 25292.2 Current financial responsibility locum nts not submitted nR oC05 UST Operating Permit Application for acility and Tank information not submitted or current ❑V 104 CCR 2711 ❑V aR ❑CQS 105 HSC 25286(c) Current BOE number not submitted ❑ V ❑R ❑COS 106 CCR 2632 Monitoring and response plans not c rrent or approved by the EHD ❑R ❑COS CCR 2632(d)(1)(C) Plot planlsite map not submitted or fa led to completely show where monitoring is performed ❑V COS 107 108 CCR t637(f), 2638(e) Failed to notify the EHD 48 hours prior to conducting testing o o ❑ V ❑ R Li ❑ COS 109 CCR 2637 Failed to test secondary containment Ti o ❑COS 110 CCR 2637(e) Failed to submit secondary containm nt test report within 30 days ❑V o ❑GOS Failed to test monitoring and leak de ction equipment annually 111 CCR 2638(a) caV m ❑COS 112 HSC 25284.2 Failed to test spill containers annually r�V aR ❑COS Failed to submit monitoring system rtification test report within 30 days 113 CCR 2638(d) 0.1 gph annual line test for pressurized piping without fail safe or shut down V ❑ R o COS 114 CCR 2636(f) Failed to perform ❑ V a R ❑COS Failed to inform the EHD of a change of designated operator within 30 days 115 CCR 2715(a) operator, service tech or installer did not possess current ICC certification ❑V �R ❑COS 116 CCR 2715 Designated located within 1000, of a public well ❑V aR ❑COS 117 HSC 25292.5 Failed to conduct ELI) testing on a system QV o ❑GOS 118 HSC 25292.5 Failed to repair and retest system due to failed ELD test ❑V in ❑COS 119 CCR 2644.1(a)(5) Failed to submit ELD test results within 60 days V o R o COS lined or repaired steel tank within 10 years of fining and every 5 years after 0 120 CCR 2663 Failed to inspect a 30 days orto conduct proper tests ❑ V ❑ R ❑ COS 121 CCR 2663 Failed to submittank lining certification within ❑V ❑R aCOS 122 HSC 25299 Documents were falsified or misrepresented ❑V ❑R oC05 Permit to repair LIST system not obtained 123 CCR 2661 ❑ V ❑ R ❑COS 124 CCR 2635(d) Failed to submit UST Certification of InstallationfModification c V ❑ R a COS Failed to submit a written responsewithin30 of receiving an inspection report 125 CCR 2712(f) Date: Rece ved yInspector: Phone: EHS (209)953-7699 01/21/2016 (initial): k C) ELENA MANZO, Senior