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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.sigay.orgfehd <br /> Underground Storage Tank Program Inspection Report <br /> Facility Name: Facility Phone: Date: <br /> VAN DE POL ENTERPRISES INC (209)466-5921 January 19, 2018 <br /> Facility Address: CERS ID: <br /> 816 E FRONTAGE RD, RIPON, CA 95366 10181513 <br /> Inspection Contact: Title: Phone: <br /> Ted Shackelford Service Agent I (209)649-8309 <br /> Inspection Type: Program: <br /> ROUTINE INSPECTION-Operating Permit 2361 -UST FACILITY <br /> Consent For: Consent Given By: <br /> Sx Inspection ® Photos 9 Samples Ted Shackelford, Service Agent <br /> Service Technician Onsite: Exp.Date: Designated Operator: Exp.Date: <br /> Felix Ramirez 11/22/2018 Felix Ramirez 02/26/2018 <br /> Service Technician Manufacturer's Training: <br /> VMI, 11107/19;VR,07106118;TT, 05/31/20 <br /> CCR=Califomia Cade of Regulations HSC=Health and Safety Cade CFR=Code of Federal Regulations <br /> V=Violation R=Repeat violation COS=Corrected on site during inspection <br /> File Review <br /> 101 HSC 25264 Failure to obtain a valid permit to operate from the EHD including but not limited to unpaid fees ■V a R o COS <br /> 102 HSC 25284(a)(3)(A)/(B) No written agreement between tank owner and tank operator to monitor the tank system a V o R u COS <br /> 103 HSC 25292.2,25299.30 Current financial responsibility documents not submitted ❑V u R o COS <br /> 104 CCR 2711 UST operating permit application for facility and tank information not submitted or current ❑V o R o COS <br /> 105 CCR 2632(d)(1), Failed to have an approved UST monitoring plan o V ❑R o COS <br /> 2634(d) <br /> 106 CCR 2632(d)(2), Failed to have an approved UST response plan o V o R ❑COS <br /> 2634(e) <br /> 107 CCR 2632(d)(1)(C) Plot planlste map not submitted or failed to completely show where monitoring is performed ■V ❑R ❑COS <br /> 106 CCR 2637(f),2638(e) Failed to notify the EHD 48 hours prior to conducting testing o V ❑R o COS <br /> 109 CCR 2637 Failed to test secondary containment o V o R o COS <br /> 110 CCR 2637(e) Failed to submit secondary containment test report within 30 days o V o R o COS <br /> 111 CCR 2636(a) Failed to test monitoring and leak detection equipment annually ❑V u R o COS <br /> 112 HSC 25284.2 Failed to test spill containers annually ❑V u R u COS <br /> 113 CCR 2638(d) Failed to submit monitoring system certification test report within 30 days ■V ❑R ❑COS <br /> 114 CCR 2636(f) Failed to perform 0.1 gph annual[Erie test for pressurized piping without fail safe or shut down o V o R o COS <br /> 115 CCR 2715(a) Failed to submit to EHD notification of designated operator identification or change wfin 30 days o V o R o COS <br /> 116 CCR 2715 Designated operator,service tech or installer did not possess current ICC certification o V ❑R ❑COS <br /> 117 CCR 2663(h) Failed to inspect a lined or repaired steel tank within 10 years of lining and every 5 years after ❑V ❑R ❑COS <br /> 118 CCR 2663 Failed to submit tank lining certification within 30 days or to conduct proper tests u V u R u COS <br /> 119 HSC 25299(a)(8), Documents were falsified or misrepresented u V ❑R o COS <br /> 25299(b)(7) <br /> 120 CCR 2635(d) Failed to submit UST Certification of Installation/Modification ❑V o R u COS <br /> 121 CCR 2712(f) Failed to submit a written response within 30 days of receiving an inspection report ■V ❑R o COS <br /> 122 CCR 2631(1) Failure to submit and maintain UST system component statement of compatibility for substance stored ❑V ❑R u COS <br /> On Site Records <br /> 201 CCR 2712(b) Failure to maintain monitoring,maintenance,and follow up action records z V n R ❑COS <br /> 202 CCR 2712(b) Failed to maintain cathodic protection test records on site for at least 6 112 years :i V o R o COS <br /> FA0003911 PR0231470 SCO01 0111912018 <br /> EHD 23-01 Rev.09122/16 Page 1 of 8 Underground Storage Tank Program OIR <br /> 9171 9690 0935 0152 1704 50 <br />