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Facility <br />PERSHNS <br />San Joaquin County <br />_nvlrunrnentai Health Department <br />rider ac ouch tut �.en4ui5 ne ��tuarov< <br />I Facility Phorro[ <br />(209) 477-8004 <br />) <br />; <br />Dare[ <br />January 29, 2015 <br />Facility Address: <br />4445N Pershing Ave, STOCKTON, CA 95207 <br />EPA IQ <br />CERS ID. - <br />D:4445 <br />10181565 <br />Facility Contact: Contact Phone: Contact during inspection, if <br />SUKHVINDER S CHEEMA (209)477-8004 �ciftnettfrom facllttycenttct <br />Inspection type: Program: <br />ROUTINE INSPECTION - Operating Permit 2361 - UST FACILITY <br />I <br />i <br />; <br />CCR= a forma ale of ego tions k = Health and afely Code = Curie of ems egularwns <br />Y = Vidatbn R = Repeat vloWJon COS = CaTecmd en ake dwkp Irsp umaah <br />i ui HSc 2ez84 ( me penult to operate o v o n a COS l <br />102 <br />HSC 25284(a)(3) <br />No written agreement between tank owner and tank operator to monitor the tank system <br />IsV <br />o R <br />o COS <br />l 103 iHSC <br />25292 2 i <br />Content f+nanr_:iae respunsii,9iiy dorumrnis nol submitted <br />(■ <br />V <br />u R <br />u COS <br />' 104 <br />CCR 2711 i <br />UST Operating Peril Application for Facility and Tank information not submitted or current <br />n V <br />in R <br />n COS <br />105 <br />HSC 25286(c) <br />Curren+ NOF number not submitted <br />^- V <br />o R <br />^- COS <br />J()6 <br />CCR 2632 <br />Monitoring and response pians .not c-+trent or approved by the EHD <br />■ V <br />u R <br />e COS <br />i 107 ! <br />CCR 2632(d)(1)(C) <br />Plot plaNsite map not submitted or failed to completely show where monitoring is performed <br />I a V <br />u R <br />o COS <br />1108 I" <br />R 2637(Pr, 2 36(e) <br />FnBed to iiofify Ira Fnv 43 hoofs V. for to conducting lea trig <br />I � � V <br />n R <br />n COS <br />109 <br />CCR 2637 <br />Failed to test second'at y containment <br />u V <br />u R <br />❑COS <br />110 <br />CCR 2637(e) <br />Failed to submit secondary containment test report within 30 days <br />at V <br />o R <br />L+ COS <br />M <br />CCR 2636(a) I <br />Failed to test monitoring and leak detection equipment annually <br />I o V <br />o R <br />o CVS <br />HSC 25284.2 <br />Failed to test spill containers annually <br />n V <br />o R <br />o COS <br />[112 <br />113 <br />CCR 2638(d) <br />Failed to submit monitoring system certification test report within 30 days <br />�.� V <br />�_� R <br />+., COS <br />114 <br />CCR 2..3G(� <br />Failed to pe: conn 0.1 gph m+nual litre test fol' ;v ..�,�, �« ..0 without fail safe arm shut down <br />V <br />u R <br />u COS <br />115 <br />116 <br />CCR 2715(a) <br />CCR 2.15 <br />Failed to infoim the EHD of a change of designated oyetaioi wiihin 30 days <br />Designated operator, service tech or installer did not possess corrent ICC certification <br />u V <br />u V <br />OR <br />o R <br />u COS <br />o COS <br />117 <br />HEC 252025 <br />Failed to ccnduct ELD testing on a system located wdhin 1000' of a publicvrell <br />u V <br />o R <br />c COS <br />ltd <br />HSI: 2b292.5 <br />(-ailed to repair and retest system due to tailed tLu test <br />u V <br />u R <br />u GUS <br />119 <br />CCR 2644.1(2)(5) <br />Failed to submit ELD test results within 60 days <br />u V <br />o R <br />o COS <br />12n <br />rY'R ?FA -3 <br />Failed in inapwl a li" +d or repaired steel tank within 1n yeara of lining and every 5 ,years after <br />n V <br />j R <br />o COWS <br />42 i <br />CCR 2663 <br />Failed to submii iank lining certification wirnin 36 days of to conduct proper tests <br />OV <br />OR <br />u COS <br />i-122 <br />HSC 25295 <br />Documents were falsified or misrepresented <br />n V <br />o R <br />o COS <br />123 <br />1 CCR 2661 <br />Peril to repair UST system nut obtained <br />i+ V <br />u R <br />ti COS <br />r <br />-R <br />n of fns. lslicrdf 7cdi5aafion <br />❑ V <br />c R <br />., CCS <br />1 25 <br />L <br />CCR 2712(f) <br />Failed to submit a written respon se within 30 days of receiving an inspection repo, <br />o V <br />u R <br />o COS <br />126 <br />HSC 254D4(e)(4) <br />Failed to report program data electronically <br />o V <br />OR <br />o COS <br />12(b) <br />Failed to maintain alar togs andfor records of fabow up actions <br />o K <br />c CLS <br />Recciven by {inRlai): <br />) Inspector: <br />FATINAH ZAREEF, REHS <br />Phone: <br />(209) 953-7311 <br />Date: <br />01/29/2015 <br />Page 1 or 5 <br />