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FADW2409 PR0231211 SC001 0111912017 EHD 23-01 Rev. 09/22/18 Page 1 of 5 Underground Storage Tank Program OIR -" San Joaquin County Environmental Health Department 1868 East Hazelton Avenue, Stockton, California 95205-6232 Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: www.siaov.org/ehd Underground Storage Tank Program inspection Report FacilityName: Safeway Fuel Center #2707 Facility one: (925) 467-3000 ate: January 19, 2017 Facility ss: 6425 N PACIFIC AVE, STOCKTON, CA 95207 7199111r- 10156811 Inspection ontac:e: Aldo Basurto Fuel Field Merchandiser ne: (925) 580 8131 Inspection Type: ROUTINE INSPECTION - Operating Permit ogram: 2371 - UST FACILITY -1702 COMPLIANT orlsent or: ® Ins action ®Photos O Sam les onsent ven By: Caroline Castillo, Manager Service Teehntelan Onaite Brian McPheely Exp. Date:es 11/1412017 gnated Operator: Brian McPheely Exp. Data: 09/14/2018 Service Technician antiacturea Training Veeder Root, 03/01/18; VMI, 12/07/17 = a om a ell ronaHsc =Health and safetye CFR=GWGWFedendReguta9ons V = Vioiafion R =Repeat violation COS = Conected on alta during Inspecdan File Review 101 HSC 25284 No permit to operate u V u R u COS 102 HSC 25284(x)(3) No written agreement between tank owner and tank operator to monitor the tank system a V a R o COS 103 HSC 25292.2 Current financial responsibility documents not submitted a V ❑ R ❑ COS 104 CCR 2711 UST operating permit application for facility and tank information not submitted or current o V o R ❑ COS 105 CCR 2632(d)(1) Felled to have an approved UST monitoring plan ■ V o R o COS 106 CCR 2632(d)(2) Failed to have an approved UST response plan a V o R o COS 107 CCR 2632(dx1)(C) I Plot plantake map not submitted or failed to completely show where monitoring Is performed ■ V ❑ R a COS 108 1 CCR 2637(f), 2638(.) Failed to notify the EHD 48 hours prior to conducting testing ❑ V ❑ R o COS 109 CCR 2637 Failed to teat secondary containment a V o R o COS 110 CCR 2637(e) Felled to submit secondary containment test report within 30 days a V u R o COS 111 CCR 2638(.) Failed to test monitoring and leak detection equipment annually ❑ V o R a COS 112 HSC 25284.2 Faded to test spill containers annually a V ❑ R a COS 113 CCR 2638(d) Faded to submit monitoring system certification test report within 30 days a V o R a COS 114 CCR 2636(1) Failed to perform 0.1 gph annual line test for pressurized piping without fall safe or shut down a V o R ❑ COS 115 CCR 2715(a) Failed to Inform the EHD of designated operator identification or change within 30 days ❑ V o R o COS 116 CCR 2715 Designated operator, sWce, tech or Installer did not possess current ICC certification o V o R o COS 117 CCR 2663 Failed to inspect a lined or repaired steel tank within 10 years of lining and every 5 years atter o V o R ❑ COS 118 CCR 2663 Failed to submit tank lining certification within 30 days or to conduct proper testa a V o R a COS 119 HSC 25299 Documents were falsified or misrepresented ❑ V o R o COS 120 CCR 2835(d) Failed to submit UST Certification of InstadationTtodlfication o V a R o COS 121 CCR 2712(f) Failed to submit a written response within 30 days of recahrtng an Inspection report r V ■ R o COS 122 CCR 2631(1) Failure to submit UST system component statement of compatibility for substance stored c V c R o COS On Site Records 201 CCR 2712(b) 202 CCR2711211b) Failed to maintain alarm logs and/or records of follow up actions Failed to maintain cathodic protection test records on site for at least 6 112 years a V o V o R ❑ COS u R a COS 203 CCR 2712(b) Felled to maintain records of monitoring, repair, lining, and upgrades on eke o V o R a COS it FADW2409 PR0231211 SC001 0111912017 EHD 23-01 Rev. 09/22/18 Page 1 of 5 Underground Storage Tank Program OIR