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I Jon 26 18 04:66p <br />p.4 <br />EHID 23-01 Rev. Cal PAODDI PRD231761 SOM, <br />Page I of It underground Storage Tank PiogrI CIR <br />San Joaquin County <br />Environmental Health Department <br />1868 East Hazelton Avenue, Stockton, California 95205.6232 <br />TelePhone.'(209) <br />468-3420 Fax., (209) 468-3433 Web: <br />3AN <br />www,$'C0yorafehd <br />�A- <br />Wiwi sm <br />Facility Nam¢. <br />a <br />i STORE i FaPhone <br />Facility Address: <br />(209) 931-2850 <br />January 22, 2018 <br />4407 E WATERLOO RD, <br />STOCKTON, CA 95215 <br />"MiCti lut <br />mspection contact: <br />To"Ier <br />10180913 <br />Ernest Gjardnecchini <br />I <br />Phone: <br />I -P -H.- Type: <br />(209) 931-2850 <br />ROUTINE INSPECTION - <br />Operating Permit Program: <br />Consent For. <br />2361 - LIST FACILITY <br />Consent Given By: <br />®Photos <br />a "'10 Samples Ernest Giannecchini, Owner <br />I <br />Service Technician <br />David Winkler <br />Exp. note: Designated Operator. <br />03/0112018Zane <br />Service Technician Manrg: <br />11 Date: <br />08/2612018 <br />TT, 03/31120; VMI, 11/15!19: VR, 02/03118 <br />CCR= Cadifi Cod, of Regulatlona RSC = Reapm snit slaty Cade CFR = Code d Federal ReWtadom <br />V VelemonR Repeal "i"I <br />K -4 V <br />Corrected COS Contaed M aide during inspedon <br />V z <br />—Igrp <br />101 HSC 2$284 <br />Feature to obtain 0 valid Permit to Opened() from the EHO including but not limited to <br />102 HSC 25284(a)(3XAY(B) <br />unpaid fees_ <br />No written agreement between lark owner <br />oV art G COS <br />and tank operator to mcnikir the tank system <br />. V r R n COS <br />103 HSC 25292.2. 25298.30 <br />Current financial responsibility doamdvbs <br />not submidect <br />a V •R a COS <br />:04 OCR 2711 <br />1 dpwafirg permit itt'PlIdetton for facility and tank Information not submitted or current <br />105 OCR 2632(dX1). <br />Failed to have an approved UST moritching plan <br />n V a R I, COS <br />2634 d <br />a V a R D COS <br />105 GCR 2832(dI <br />Failed lo have an approved UST <br />2634 a <br />V in R n, COS <br />107 CCR 2632(dXIXC) <br />Plot P1101 to hi 1i wtvinifted or failed to completely show where morthoring Is performed <br />1108 CCR 2637(0.2638(e) <br />Failed 10 ratify the EFIC 48 hours Prior to conducting <br />a v 0 R I&COS <br />109 CCR 2637 <br />testing <br />Failed to test secondary Containment <br />ct V p R D COS <br />V <br />110 <br />CCR 281 <br />Failed to subirrift secondary containment beat report <br />0 a R 000S <br />tj V tj R u COS <br />111 <br />ICCR2638(a) <br />within 30 days <br />Failed to test monitoring and leak detection equipment <br />. V . R o COS <br />112 <br />125284.2 <br />annually <br />Failed to test 50111 Containers annually <br />118 <br />CCR 2638(d) <br />Failed to submit monitoring system Cerliflixii test Moot within 30 days <br />n V In I In COS <br />V <br />11.4 <br />CCR 28360 <br />Failed to perform a.1 9Ph annual line last for filientiritsed piping without fail safe orshutdown <br />. . I � COS <br />V <br />116 <br />CCR 2715(a) <br />Failed to sudond to EHD notification of designated upinallor lakindilication or change wAn 30 <br />a 7R a COS <br />115 <br />CCR 2715 <br />days <br />Designate <br />� V a R U COS <br />V R <br />117 <br />CCR 261 <br />Faded to Inspect alined W repaired steel tank within 10 years of lining and awry 5 years Oar <br />a o ,C05 <br />116 <br />CCR 2663 <br />Paled to submit lank lining certification within 30 days or to Conduct proper tests <br />0 V a R <br />119 <br />HSC 25298(a)(6),rs <br />Decumentswefalsified or misrepresented <br />o V <br />a V It R c COS <br />25299 b(7 <br />120 <br />CCR 2635(d) <br />Failed to submit UST Cortificatort of InsellatioNlidodifcation <br />121 <br />CCR 2712(f) <br />writMnv <br />CV � R nCOS <br />u R COS <br />122 CCR 26310) <br />Failure to sulandit andmaintain UST system component <br />u <br />statemertorcompaliblifty, for substance stored <br />oV ort nCOS <br />A-4wh <br />2DI CCR 2712(b) Failure to maintain monscring, maintenance, and follow <br />up action records <br />202 CCR 27122(b) Failed to maintain cathodic Protection test <br />records on site for at least 6 1/2 years <br />EHID 23-01 Rev. Cal PAODDI PRD231761 SOM, <br />Page I of It underground Storage Tank PiogrI CIR <br />