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cam <br />SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT 4l %/ A 690 0935 007 9701 23 <br />1868 East Hazelton Avenue, Stockton, California 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: www.sigoy.orq/ehd <br />UNDERGROUND STORAGE TANK (UST) PROGRAM INSPECTION REPORT <br />Name Jims' 24 HR Gas'N Go Facility <br />Address: 8203 East Highway 26, Stockton <br />Inspection <br />Date: Jun 26, 2014 <br />Facility Title: <br />Contact: James Michael Associates, LLC Tanks/Prop owner <br />6803-5026 <br />Inspection <br />Type: XRoutine 0 Monitoring System Certification 0Installation U Complaint - ID#: 0 Other. <br />(Authority HSC 25289) <br />Consent for. ❑Inspection 0Sampling UPhotos Grantedby:owner Cannot be reached <br />Title: <br />Monitoring <br />Panel Veeder-Root TLS -350 <br />Pi In <br />System. $Pressurized 0Suction ElGravity <br />Overfill <br />XMechanical ❑Audible/visual <br />Prevention: <br />UST <br />----- <br />4 <br />--87-octane -- <br />5 <br />--91-octane <br />6 <br />Product <br />-- <br />---DSL--- ----------- <br />--- <br />-------------- <br />-------------- <br />-------- <br />ICC EzP . <br />Operator. Date: <br />Violations: 0 Mi -Release Detection D M2 -Release Prevention 0 M3 - Both <br />On Site Service ICC Exp. Manufacturers <br />Technician: Date: Training: <br />VIOLATIONS <br /># <br />C1 <br />C2 <br />M <br />Code Section <br />HSC =California Health and Sate Cotle; CCR =California Code of fte ulations <br />C 1 =Class 1 violation; C2 =Class 2 violation; M =Minor violation <br />File Review <br />101 X No permit to operate <br />102 X Annual operating fees not paid <br />103 No written agreement between the person that the operating permit was issued to andthe tank operator to <br />;HSC <br />m104 <br />M25292.2c. <br />X Current finil ibilidocuments not on file with the Environmental Health Department (EHD) <br />105 X Curret Unified PForms not on file with the EHD (Facility and tank form) <br />106 X MonitorinProram (Monitoring & Response Plans) is not current or approved by the EHD <br />CCRC) Plot plan/site map not submitted or fails to completely show where monitoring is performed <br />108 X CCR 2637 Secondary containment: (a) test not performed; (e) test report not submitted within 30 days; (f) test notification <br />not rovided to the EHD at least 48 hours rior to cenduclin the test <br />Monitoring equipment certification: (a) not performed annually; (d) test report not submitted within 30 days; <br />109 <br />X CCR 2638 (e) test notificetion not provided to the EHD at least 48 hours prior to conducting an installation, repair, <br />re lacement calibretion, or certification <br />110 X HSC 25291(f) Annual line leak detector test not performed <br />(Mt) <br />111 X 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 <br />(Mi) <br />113 X CCR 2715(a) Failed to inform the EHD of a change of designated operator within 30 days <br />114 CCR 2715(6) Designated operator does not possess a curent ICC CA UST System Operator certification <br />115 CCR 2660(k) Repair for lank or piping not tested for tightness after completion of the repair pursuant to (M2) <br />ermit conditions <br />116 HSC 25292.5 Enhanced leak detection (ELD) testing not performed on a system located within 1000' of public well, or <br />failures not repaired and retested <br />117 CCR 2661 Permit to repair UST system not obtained <br />118 X HSC 25286(a) Operational permit not amended when UST storage and/or monitoring system changed <br />119 HSC 25298(6) Permit to temporarily close UST system not obtainetl <br />120 X 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 %, years, written <br />performance claims pertaining to release detection systems for 5 years, or records of repairs, linings, and <br />201 <br />X <br />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 />202 <br />X <br />equipment, round water elevations, or other test results; 6 results of inventory readings and reconciliations <br />CCR 2712(1) Monitoring plan, response plan, and/or operating permit and all conditions not onsite <br />203 <br />Unauthorized release that: (c) did not escape secondary containment and cleaned up within eight hours (M1) <br />l) <br />CCR 2650 was not recorded; (e) escaped secondary containment, not cleaned up after eight hours, or a sudden loss of <br />was not re orted to the EHD within 24 hours <br />inspedor. Received By <br />�'` (; I Title: <br />Jeffrey Wong (209) 468-0335 at�e av1 ��� <br />Page 1 UST INSPECTION REPORT <br />