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i u LJ�� <br />9171 9690 0935 0030 7390 90 <br />SAN JOAQUIN COUNTYr <br />ENVIRONMENTAL HEALTH DEPARTMENT �ov ipp � i! <br />1868 East Hazelton Avenue, Stockton, California 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: www. s ov.or lehd <br />UNDERGROUND STORAGE TANK (UST) PROGRAM INSPECTION REPORT <br />Facey Jims' 24 HR Gas 'N Go <br />X <br />HSC 25284 <br />102 <br />Facility <br />ty <br />Michael Associates, LLC <br />ConJames <br />Contact: <br />103 <br />Inspection XRoutine D Monitoring System Certification <br />Type: <br />104 <br />(Authority HSC 25289) <br />HSC 25292.2 <br />Consentfor. ❑ Inspection n Sampling D Photos <br />X <br />Monitoring <br />Veeder-Root TLS -350 <br />Piping <br />System. <br />Panel: <br />CCR 2632(b) <br />UST---CJ--- <br />-- � <br />----------------�---- <br />Product - -------- <br />87-octane 91 -octane <br />DSL <br />Designated <br />ICC Exp. <br />Operator: <br />Date: <br />On Site Service <br />IGC Exp. <br />Technician: <br />Date:. <br /># I Cl I c2 I M } Code Section <br />101 <br />X <br />HSC 25284 <br />102 <br />X <br />HSC 25404.5 <br />103 <br />HSG 25284(a)(3) <br />104 <br />X <br />HSC 25292.2 <br />105 <br />X <br />CCR 2711 <br />106 <br />X <br />CCR 2632(b) <br />107 <br />CCR 2632(d)(1)( <br />108 <br />X <br />CCR 2637 <br />109 1 X <br />110 <br />111 <br />112 <br />113 <br />114 <br />115 <br />116 <br />117 <br />118 <br />119 <br />120 <br />CCR 2638 <br />HSC 25291(f) <br />HSC 25284.2 <br />CCR 2636(f)(1 <br />CCR 2715(a) <br />CCR 2715(b) <br />CCR 2660(k) <br />HSC 25292.5 <br />CCR 2661 <br />HSC 25286(a <br />HSC 25298(1 <br />HSC 25298(c <br />201 X <br />202 X <br />203 <br />Inspector. <br />EHD 23-02 Rev 04119112 <br />Facility Inspection Jun 20, 2013 <br />Address: 8243 East Highway 26, Stockton Date: <br />Title: Tanks/Prop owner 6��803-5026 <br />Certification ❑ Installation ❑ Complaint- ID#: D Other. <br />Grantedby;owner cannot be reached Title: <br />Overl'ill XMechanical D Audiblelvisual <br />)KPressurized I] Suction D Gravity Prevention: <br />Violations: D M1 -Release Detection D M2 -Release Prevention n M3 - Both <br />Manufacturer's <br />Training: <br />C1 = Class 1 violation; C2 =Class 2 <br />File Review <br />No permit to operate <br />Annual operating fees not paid <br />No written agreement between the person that the operating permit was issued to and the tank operator to <br />monitor the tanks stem <br />Current financial responsibility documents not on file with the Environmental Health Department (EHD) <br />Current Unified Program Consolidated Forms not an file with the EHD (Facility and tank form) <br />Monitoring Program (Monitoring & Response Plans) is not current or approved by the EHD <br />Plot planlsite rnap not submitted or fails to completely show where monitoring is performed <br />Secondary containment: (a) test not performed; (e) test report not submitted within 30 days; (f) test notifica <br />not rovided to the EHD at least 48 hours prior to Donductin the test <br />Monitoring equipment certification: (a) not performed annually; (d) test report not submitted within 30 days; <br />(e) test notification not provided to the EHD at least 48 hours prior to conducting an installation, repair, <br />re lacement, calibration or certification <br />Annual line leak detector test not performed <br />Annual spill containment testing not performed ' <br />Annual line tightness test not performed if positive shutdown or fail safe not present <br />Failed to inform the EHD of a change of designated operator within 30 days <br />Designated operator does not possess a current [CC CA UST System Operator certification <br />Repair for tank or piping not tested for tightness after completion of the repair pursuant to <br />errnit conditions <br />Enhanced teak detection (ELD) testing not performed on a system located within 1000' of public well, or <br />failures not re aired and retested <br />Permit to repair UST system not obtained <br />OpFrational permit not amended when UST storage andlor monitoring system changed <br />Permit to temporarily close UST system not obtained <br />Permit to close UST system not obtained <br />O S't Records <br />(M i <br />(M2)1 <br />In re <br />Maintenance & monitoring records not maintained 3 years, cathodic protection records for 6 Y2 years, written <br />performance claims pertaining to release detection systems for 5 years, or records of repairs, linings, and <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 lah or in the field; (5) logs of all readings of gauges or other monitoring <br />aqui meat, round water elevations, or other test results; 6 results of invents readin s and reconciliations <br />CCR 27 12(1) Monitoring plan, response plan, andlor operating permit and all conditions not onsite <br />Unauthorized release that: (c) did not escape secondary containment and cleaned up within eight hours (MI) <br />CCR 2650 was not recorded; (e) escaped secondary containment, not cleaned up after eight hours, or a sudden loss of <br />nrnduct was not reported to the EHD within 24 hours <br />Page 1 <br />UST INSPECTION REPORT <br />