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San Joaquin County AMENDED Environmental Health Department 1868 East Hazelton Avenue, Stockton, California 95205-6232 (S Telephone:(209)468-3420 Fax: (209) 468-3433 Web:www.sogov.org/ehd Underground Storage Tank Program inspection Report Facility Name: Facility Phone: Date: Verizon Business: LDIKCA 209 367-2688 A rii 02 2015 Facility Address: CERS ID: 2500 W Turner Rd Lodi CA 95242 10403278 Inspection Contact: Title: Phone: Zachary Fein old Environmental Manager 909 620-5498 Inspection Type: Program: ROUTINE INSPECTION - Operating Permit 2361 - UST FACILITY Consent For: I Consent Given By: Inspection Photos Samplinq I Dennis Gritsko Facility En ineer Service Technician Onsite: Exp.Date: Designated Operator: Exp. Date: David Smith 06/23/2016 David Smith 06/07/2016 Service Technician Manufacturer's Training: Pneumercator, 07/16/16 CCR=California Code of Regulations HSC=Health and Safety Code CFR=Code of Federal Regulations V=Violation R=Repeat vioiation COS=Corrected on site during inspection File Review 101 HSC 25284 No permit to operate o V ❑R o COS 102 HSC 25284(a)(3) No written agreement between tank owner and tank operator to monitor the tank system ❑V ❑R ❑COS 103 HSC 25292.2 Current financial responsibility documents not submitted ❑V ❑R ❑COS 104 CCR 2711 UST Operating Permit Application for Facility and lank information not submitted or current o V o R ❑COS 105 HSC 25286(c) Current BOE number not submitted ❑V ❑R ❑COS 106 CCR 2632 Monitoring and response plans not current or approved by the EHD ❑V ❑R ❑COS 107 CCR 2632(d)(1)(C) Plot plan/site map not submitted or failed to completely show where monitoring is performed ❑V DR ❑COS 108 CCR 2637(f),2638(e) Failed to notify the EHD 48 hours prior to conducting testing ❑V ❑R ❑COS 109 CCR 2637 Failed to test secondary containment ❑V ❑R ❑COS 110 CCR 2637(e) Failed to submit secondary containment test report within 30 days ❑V ❑R ❑COS 111 CCR 2638(a) Failed to test monitoring and leak detection equipment annually ❑V ❑R ❑COS 112 HSC 25284.2 Failed to test spill containers annually o V ❑R ❑COS 113 CCR 2638(d) Failed to submit monitoring system certification test report within 30 days ■V a R ❑COS 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 115 CCR 2715(a) Failed to inform the EHD of a change of designated operator within 30 days ❑V ❑R ❑COS 116 CCR 2715 Designated operator,service tech or installer did not possess current ICC certification ❑V ❑R ❑COS 117 HSC 25292.5 Failed to conduct ELD testing on a system located within 1000'of a public well n V ❑R n COS 118 HSC 25292.5 Failed to repair and retest system due to failed ELD test ❑V ❑R ❑COS 119 CCR 2644.1(a)(5) Failed to submit ELD test results within 60 days ❑V ❑R ❑COS 120 CCR 2663 Failed to inspect a lined or repaired steel tank within 10 years of lining and every 5 years after n V ❑R n COS 121 CCR 2663 Failed to submit tank lining certification within 30 days or to conduct proper tests o V ❑R o COS 122 HSG 25299 Documents were falsified or misrepresented ❑V o R o COS 123 CCR 2661 Permit to repair UST system not obtained o V z R ❑COS 124 CCR 2635(d) Failed to submit UST Certification of Installation/Modification ❑V ❑R ❑COS 125 CCR 2712(f) Failed to submit a written response within 30 days of receiving an inspection report ❑V ❑R ❑COS Received by Inspector: Phone: Date: (initial): A`�� CINDY VO, EHS Trainee (209) 468-8257 04/02/2015 7-WA-C'� '�etinDI A Page 1 of 5 � �=� 9171 9690 0935 0084 8427 08 9171 9690 0935 0084 8427 15