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INSTALL_2014 B100
Environmental Health - Public
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INSTALL_2014 B100
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Last modified
8/11/2021 11:07:34 AM
Creation date
11/5/2018 3:05:57 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
INSTALL
FileName_PostFix
2014 B100
RECORD_ID
PR0505264
PE
2361
FACILITY_ID
FA0006672
FACILITY_NAME
FLYING J TRAVEL PLAZA #618*
STREET_NUMBER
1501
Direction
N
STREET_NAME
JACK TONE
STREET_TYPE
RD
City
RIPON
Zip
95366
APN
22811017
CURRENT_STATUS
01
SITE_LOCATION
1501 N JACK TONE RD
P_LOCATION
05
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\J\JACK TONE\1501\PR0505264\INSTALL FILE B100 2014.PDF
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EHD - Public
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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.or. Ig ehd <br /> UNDERGROUND STORAGE TANK (UST) PROGRAM INSPECTION REPORT <br /> Facility Facility Inspection , <br /> Name: Pilot Flying J #618 Address; 1501 N Jack Tone Road, Ripon Date: Mar 29, 2014 <br /> Facility Title: Phone: <br /> Contact: Mike Baumgaertel President 760-403-5533 <br /> Inspection E Routine ❑Monitoring System Certification X Installation com taint-ID#: ❑Other. t <br /> Type: 9 y p Final inspection <br /> I; <br /> (Authority HSC 25289) <br /> Consent for. XInspection LiSampling Z Photos Grantedby:Mlke Baurrigaertel Title: President <br /> Monitoring VdRt TLS-3508 Piping El Pressurized XSuction ❑Gravity Overfill XMechanical -Audiblelvisual <br /> eeer- oo <br /> Panel: System- Prevention: <br /> LEST 8 I' <br /> _ Product Biodiesel ---------------- <br /> - - - - -- - ------ <br /> - - - - -- - -- ----------- <br /> - - - - -T <br /> ------------ <br /> - - - ---------------- ------------ -------- - - - <br /> Designated Lance York ICC Exp <br /> Operator Date: 9-1-2014 Violations: E M1-Release Detection I M2-Release Prevention i i M3-Both <br /> Site Service ICC l=xp. Manufacturer's <br /> Te VR: 10-27-2014 VMI: 8-6-2014 <br /> Technician: Edwin COreas Date: 5-17-2015 Training: <br /> VIOLATIONS <br /> # C1 C2 M Code Section HSC=California Health and Safety Code;CCR=California Code of Regulations <br /> C1=Class 1 violation;C2=Class 2 violation;M=Minor violation ti <br /> File Review <br /> 101 HSC 25284 No permit to operate <br /> 102 HSC 25404.5 Annual operating fees not paid <br /> 103 HSC 25284(a)(3) No written agreement between the person that the operating permit was issued to and the tank operator to <br /> monitor the tanks stem <br /> 104 HSC 25292.2 Current financial responsibility documents not on file with the Environmental Health Department(EHD) <br /> 105 CCR 2711 Current Unified Program Consolidated Forms not on file with the EHD(Facility and tank form) <br /> 106 CCR 2632(b) Monitoring Program(Monitoring&Response Plans)is not current or approved by the EHD <br /> 107 CCR 2632(d)(1)(C) Plot plan/site map not submitted or fails to completely show where monitoring is performed <br /> 108 CCR 2637 Secondary containment:(a)test not performed;(e)test report not submitted within 30 days;(f)test notification <br /> not provided to the EHD at least 48 hours prior to conducting the test k; <br /> Monitoring equipment certification:(a)not performed annually;(d)test report not submitted within 30 days; <br /> 109 CCR 2638 (e)test notification not provided to the EHD at least 48 hours prior to conducting an installation,repair, <br /> replacement,calibration,or certification <br /> 110 HSC 25291(f) Annual line leak detector test not performed (M1) <br /> 111 HSC 25284.2 Annual spill containment testing not performed <br /> 112 CCR 2636(f)(4) Annual line tightness test not performed if positive shutdown or fail safe not present (M7) <br /> 113 CCR 2715(a) Failed to inform the EHD of a change of designated operator within 30 days <br /> 114 CCR 2715(b) Designated operator does not possess a current ICC CA UST System Operator certification <br /> p 115 CCR 2660(k) Repair for tank or piping not tested for tightness after completion of the repair pursuant to (M2► <br /> permit conditions <br /> IEnhanced leak detection(ELD)testing not performed on a system located within 1000'of public well,or <br /> 116 HSC 25292.5 failures not repaired and retested <br /> 117 CCR 2661 Permit to repair UST system not obtained <br /> 118 HSC 25286(a) Operational permit not amended when UST storage and/or monitoring system changed <br /> 119 HSC 25298(b) Permit to temporarily close UST system not obtained <br /> 120 HSC 25298(c) Permit to close UST system not obtained <br /> On Site Records <br /> Maintenance&monitoring records not maintained 3 years,cathodic protection records for 6'/2 years,written <br /> performance claims pertaining to release detection systems for 5 years,or records of repairs,linings,and <br /> 201 CCR 2712(b) upgrades for the life of the tank. Monitoring records include:(1)date and time of all monitoring or sampling; <br /> (2)monitoring equipment calibration and maintenance records;(3)results of any visual observations;(4) <br /> results of sample analysis performed a lab or in the field;(5)logs of all readings of gauges or other monitoring <br /> equipment, round water elevations,or other test results; 6 results of inventory readings and reconciliations <br /> 202 CCR 2712(i) Monitoring pian,response plan,and/or operating permit and all conditions not onsite <br /> Unauthorized release that:(c)did not escape secondary containment and cleaned up within eight hours (M1) <br /> 203 CCR 2650 was not recorded;(e)escaped secondary containment,not cleaned up after eight hours,or a sudden loss of <br /> product was not reported to the EHD within 24 hours <br /> Inspector. Received a <br /> Elena Manzo (209) 953-7699 _J <br /> EHC 23-02 Rev 04/19112 Page 1 LIST INSPECTION REPORT <br />
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