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COMPLIANCE INFO_2016 - 2018
Environmental Health - Public
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2300 - Underground Storage Tank Program
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PR0232523
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COMPLIANCE INFO_2016 - 2018
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Entry Properties
Last modified
12/7/2023 3:29:57 PM
Creation date
11/7/2018 6:59:58 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2016 - 2018
RECORD_ID
PR0232523
PE
2361
FACILITY_ID
FA0003833
STREET_NUMBER
16888
STREET_NAME
MCKINLEY
STREET_TYPE
Ave
City
Lathrop
Zip
95330
CURRENT_STATUS
01
SITE_LOCATION
16888 McKinley Ave
P_LOCATION
07
P_DISTRICT
003
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\M\MCKINLEY\16888\PR0232523\COMPLIANCE INFO 2016 - PRESENT .PDF
QuestysFileName
COMPLIANCE INFO 2016 - PRESENT
QuestysRecordDate
3/15/2017 3:43:37 PM
QuestysRecordID
3353613
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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San Joaquin County <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, California 95205-6232 <br /> Telephone:(209)468-3420 Fax:(209)468-3433 Web:www.sigov.org/ehd <br /> Underground Storage Tank Program Inspection Report <br /> Facility Name: Facility Phone: Date: <br /> Super Store Industries-Grocery Division (209) 858-3365 October 07, 2016 <br /> Facility Address: CERS ID: <br /> 16888 McKinley Ave, Lathrop, CA 95330 10166883 <br /> Inspection Contact: Title: Phone: <br /> Scott Mommerfeld Maintenance Manager (209) 858-3365 <br /> Inspection Type: Program: <br /> ROUTINE INSPECTION -Operating Permit 2361 - UST FACILITY <br /> Consent For: I Consent Given By: <br /> 0 Inspection 0 Photos 0 Samples Scott SommerfeId, Maintenance Manager <br /> Service Technician Onsite Exp.Date: I Designated Operator: Exp.Date: <br /> Felix Ramirez 11/26/2016 Troy Embry 06/21/2018 <br /> Service Technician Manufacturer's Training <br /> Veeder Root, 07/06/18; VMI, 11/05/17; Tank Tester,05/31/17 <br /> UUK=Uairromia Codeo egu ations HSC=Health and Safety Code CFR=Codeo a era Regulations <br /> V=Violation R=Repeat violation COS=Corrected on site during inspection <br /> File Review <br /> 101 HSC 25284 No permit to operate L V ❑R c COS <br /> 102 HSC 25284(a)(3) No written agreement between tank owner and tank operator to monitor the tank system ❑V ❑R ❑COS <br /> 103 HSC 25292.2 Current financial responsibility documents not submitted ❑V ❑R ❑COS <br /> 104 CCR 2711 UST operating permit application for facility and tank information not submitted or current ■V ❑R ❑COS <br /> 105 CCR 2632(d)(1) Failed to have an approved UST monitoring plan ■V ■R ❑COS <br /> 106 CCR 2632(d)(2) Failed to have an approved UST response plan ❑V ❑R in COS <br /> 107 CCR 2632(d)(1)(C) Plot plan/site map not submitted or failed to completely show where monitoring is performed in V in R ❑COS <br /> 108 CCR 2637(%2638(e) Failed to notify the EHD 48 hours prior to conducting testing ❑V ❑R ❑COS <br /> 109 CCR 2637 Failed to test secondary containment in V ❑R ❑COS <br /> 110 CCR 2637(e) Failed to submit secondary containment test report within 30 days in V in R ❑COS <br /> 111 CCR 2638(a) Failed to test monitoring and leak detection equipment annually ❑V ❑R ❑COS <br /> 112 HSC 25284.2 Failed to test spill containers annually in V ❑R ❑COS <br /> 113 CCR 2638(d) Failed to submit monitoring system certification test report within 30 days ❑V ❑R ❑COS <br /> 114 CCR 2636(f) Failed to perform 0.1 gph annual line test for pressurized piping without fail safe or shut down ❑V ❑R ❑COS <br /> 115 CCR 2715(a) Failed to inform the EHD of designated operator identification or change within 30 days ❑V ❑R ❑COS <br /> 116 CCR 2715 Designated operator,service tech or installer did not possess current ICC certification ❑V ❑R ❑COS <br /> 117 CCR 2663 Failed to inspect a lined or repaired steel tank within 10 years of lining and every 5 years after ❑V ❑R ❑COS <br /> 118 CCR 2663 Failed to submit tank lining certification within 30 days or to conduct proper tests ❑V ❑R ❑COS <br /> 119 HSC 25299 Documents were falsified or misrepresented in V in R ❑COS <br /> 120 CCR 2635(d) Failed to submit UST Certification of Installation/Modification in V ❑R ❑COS <br /> 121 CCR 2712(f) Failed to submit a written response within 30 days of receiving an inspection report ❑V ❑R ❑COS <br /> 122 CCR 26310) Failure to submit UST system component statement of compatibility for substance stored ❑V ❑R ❑COS <br /> 201 CCR 2712(b) Failed to maintain alarm logs and/or records of follow up actions ❑V ❑R ❑COS <br /> 202 CCR 2712(b) Failed to maintain cathodic protection test records on site for at least 6 1/2 years ❑V ❑R ❑COS <br /> 203 CCR 2712(b) Failed to maintain records of monitoring, repair, lining,and upgrades on site ❑V ❑R in COS <br /> FA0003833 PR0232523 SCO01 10/07/2016 <br /> EHD 23-01 Rev.09/22/16 Page 1 of 6 Underground Storage Tank Program OIR <br />
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