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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.sioov.oro/ehd <br /> Underground Storage Tank Program Inspection Report <br /> Facility Name: Facility Phone: Date: <br /> Tracy Blvd Chevron (209)836-9422 February 21, 2017 <br /> Facility Address: CERS ID: <br /> 3775 N TRACY BLVD, TRACY, CA 95376 10181337 <br /> Inspection Contact: Tltie: Phone: <br /> Davinder Jutla Owner 0- <br /> Inspection Type: Program: <br /> ROUTINE INSPECTION-Operating Permit 2361 -UST FACILITY <br /> Consent For. I Consent Given ay: <br /> 9 Inspection 17 Photos ❑ Samples Davinder Jutta, Owner <br /> Service Technician Onsite: Exp.Date: Designated Operator: Exp.Date: <br /> David Winkler 03/01/2018 David Winkler 02/26/2018 <br /> Service Technician Manufacturers Training: <br /> Veeder Root, 02/03/18;Tank Tester, 03/31/17;VMI test, 11/12/17 <br /> CCR-Caldomia Code of Regulations HSC=Health and Safety Code CFR=Cade o/Federal Regulations <br /> V-violation R=Repeat violation COS-Corrected on site during inspectio <br /> File Review <br /> 101 HSC 25284 No permit to operate v V a R v COS <br /> 102 HSC 25284(a)(3) No written agreement between tank owner and tank operator to monitor the tank system o V v R v COS <br /> 103 HSC 25292.2 Current financial responsibility documents not submitted to V v R v COS <br /> 104 CCR 2711 UST operating permit application for facility and tank information not submitted or current v V v R o COS <br /> 105 CCR 2632(d)(1) Failed to have an approved UST monitoring plan in V o R v COS <br /> 106 CCR 2632(d)(2) Failed to have an approved UST response plan o V v R a COS <br /> 107 CCR 2632(d)(1)(C) Plot plan/site map not submitted or failed to completely show where monitoring is performed o V o R v COS <br /> 108 CCR 2637(8,2638(e) Failed to notify the EHD 48 hours prior to conducting testing v V v R o COS <br /> 109 CCR 2637 Failed to test secondary containment o V v R a COS <br /> 110 j CCR 2637(.) Failed to submit secondary containment test report within 30 days in V o R o COS <br /> 111 CCR 2638(a) Failed to test monitoring and leak detection equipment annually a V v R o COS <br /> 112 HSC 252a4.2 Failed to test spill containers annually o V o R v COS <br /> 113 CCR 2638(d) Failed to submit monitoring system certification test report within 30 days v V o R o COS <br /> 114 CCR 2636(f) Failed to perform 0.1 gph annual line test for pressurized piping without fail safe or shut down o V o R o COS <br /> 115 CCR 2715(a) Failed to inform the EHD of designated operator identification or change within 30 days o V o R in COS <br /> 116 CCR 2715 Designated operator,service tech or installer did not possess current ICC certification in V a R v 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 V v R o COS <br /> 118 CCR 2663 Failed to submit tank lining certification within 30 days or to conduct proper tests in V v R o COS <br /> 119 HSC 25299 Documents were falsified or misrepresented o V v R v COS <br /> 120 CCR 2635(d) Failed to submit UST Certification of Installation/Modification o V o R o COS <br /> 121 CCR 2712({) Failed to submit a written response within 30 days of receiving an inspection report v V o R v COS <br /> 122 CCR 26310) Failure to submit UST system component statement of compatibility for substance stored o V o R o COS <br /> On Site Records <br /> 201 CCR 2712(b) Failed to maintain alarm logs and/or records of follow up actions V v R o COS <br /> 202 CCR 2712(b) Failed to maintain cathodic protection test records on site for at least 6 1/2 years v V o R v COS <br /> 203 CCR 2712(b) Failed to maintain records of monitoring,repair,lining,and upgrades on site o V v R o COS <br /> Page 1 of 4 <br />