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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 (UST) PROGRAM INSPECTION REPORT CONTINUED <br /> Facility Chevron USA Inc#98264 Faaldy 3775 North Tracy Blvd, Tracy "8�`"°n Feb 21, 2014 <br /> Name' Address; <br /> VIOLATIONS <br /> HSC=CA Health and Wety Corte;CFR=Code of Federal Regulations <br /> # C1 C2 M Code Section C1=Class 1 Notation;C2=Class 2 miation;M=Minor dolation <br /> Non-Pressurlsad Piping(Continued) <br /> 702 CCR 2643(e) Biennial lightness lest of gravity piping not performed(pre-January 1,1984) (MI) <br /> 703 CCR 2643(d) Triennial line test for conventional suction piping not pertonned(pre-January 1,1984) (Mt) <br /> Other Violations <br /> 999 Other: See attached"Continuation—Official Inspection Report"for violation(s)not listed above. <br /> SUMMARY OF VIOLATIONS <br /> CLASS I,CLASS 11,or MINOR-Notice to Comply) <br /> UST Inspection: Routine & Annual Monitoring System Certification <br /> Minor/ Notice to Comply violations: #113 <br /> 113. A new designated operator (DO), David Winkler of Affordatest, started monthly visual inspection <br /> reports since December 2013 and notification was not provided to the EHD within 30 days of the <br /> change. November 2013 was the last monthly report completed by former DO Andrew Baptista. <br /> On CERS website, an uploaded document of Owner Statement of Designated UST Operator still lists <br /> Andrew Baptista as the sole DO with a signature of owner's agent dated 02/03/14. <br /> Any changes shall be reported to the EHD with 30 days. Submit notification to the EHD via postal mail <br /> or fax or upload revised Owner Statement of DO onto CERS identifying all the designated operators for <br /> this facility by 03/21/14. <br /> Submit to SJC EHD within 30 days (03/21/14): <br /> 1. one copy of the completed "Return to Compliance Certification" form <br /> 2. a written corrective action statement of how notification of changes will be made to EHD <br /> 3. updated Owner Statement of Designated UST Operator(s) onto CERS <br /> ALL EHD STAFF TIME ASSOCIATED WITH FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL BE BILLED AT THE CURRENT HOURLY RATE. <br /> THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br /> Inepetlor. R \ _--q` Titlx <br /> EHD 23-02 Rev 00 12 Page✓3] UST INSPECTION REPORT <br />