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Page 1 of 3 San Joaquin County Environmental Health Department 1868 East Hazelton Avenue, Stockton, California 95205-6232 Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: www.sigov.ora/ehd Undergr0 d'Storif&:Tank pYq Facility Name: Perste `n GRs Facility Phone: aL)r 47 -800'1-919)17 Date: Facility ress:. 4445 `1n ve. S}o 't -20'7 nspec IonContact: I e: one: o nspec Ion ype:rogram: onsent or. ai spection C7-r�otos Copies onsen ver y' r DAI i 1 Si r1 ervlce ec nl Ianslte: 35ave p. e: eslgnate rotor. 3n lt%�„Klw ! Dave WN ikIe Exp. Data: -2/.2(,J)8 ervrce ec moan amu ac ure s I raining: W i 0 k I 1131)g IK X 3 o Idakreshe,, 3 3 / UUK = CMIunnls e or Regulanons HO = Realin one Mae arK= o ere sgue4ons V = Violation R= Repeal halation COS = Corrected on site dunng InspL.n QW r,Review 101 HSC 25284 No permit to operate o V o R o COS 102 HSC 25284(a)(3) No written agreement between tank owner and tank operator to monitor the tank system o V o R o COS 103 HSC 25292.2 Current financial responsibility documents not submitted o V o R o COS 104 CCR 2711 UST operating permit application for facility and tank information not submitted or current o V o R o COS 105 CCR 2632(d)(1) Failed to have an approved UST monitoring plan 0'V o R o COS 106 CCR 2632(4)(2) Failed to have an approved UST response plan o R o COS 107 CCR 2632(d)(1)(C) Plot plan/site map not submitted or failed to completely show where monitoring is performed o V o R o COS 108 CCR 2637(f), 2638(e) Failed to notify the EHD 48 hours prior to Conducting testing o V ❑ R a COS 109 CCR 2637 Failed to test secondary containment o V o R o COS 110 CCR 2637(e) Failed to submit secondary Containment test report within 30 days o V o R o COS 111 CCR 2638(a) Failed to test monitoring and leak detection equipment annually o V o R o COS 112 HSC 25284.2 Failed to test spill containers annually o V o R in COS 113 CCR 2638(d) Failed to submit monitoring system certification test report within 30 days o V o R o COS 114 CCR 2636(f) Failed to perform 0.1 gph annual line test for pressurized piping without fail safe or shut down o V o R o COS 115 CCR 2715(a) Failed to inform the EHD of designated operator identification or change within 30 days o V o R o COS 116 CCR 2715 Designated operator, service tech or installer did not possess current ICC certification o V o R o COS 117 CCR 2663 Failed to inspect a lined or repaired steel tank within 10 years of lining and every 5 years after ❑ V o R o COS 118 CCR 2663 Failed to submit tank lining certification within 30 days or to Conduct proper tests o V o R o COS 119 HSC 25299 Documents were falsified or misrepresented o V o R o COS 120 CCR 2635(d) Failed to submit UST Certification of Installa0on/Modification o V o R o COS 121 CCR 2712(f) Failed to submit a written response within 30 days of receiving an inspection report o V o R o COS 122 CCR 26310) Failure to submit UST system component statement of compatibility for substance stored o V o R o COS 201 CCR 2712(b) Failed to maintain alarm logs and/or records of follow up actions ^' o R o COS 202 CCR 2712(b) Failed to maintain cathodic protection test records on site for at least 6 1/2 years o V o R o COS 203 CCR 2712(b) Failed to maintain records of monitoring, repair, lining, and upgrades on site o V o R o COS Page 1 of 3