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SAN .JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 600 East Main Street, Stockton, California 95202-3029 Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: www.sioov.org/ehd/unitiii.htmi UNDERGROUND STORAGE TANK (UST) PROGRAM INSPECTION REPORT FacilityFacility Lane Service Station 900 Cherokee Ln. Lodi, CA 102 HSC 25404.5 Inspection Oct 31, 2011 Date: Name: Cherokee monitor the tanks stem S. Address: Current financial responsibility documents not on file with the Environmental Health Department (EHD) 105 X CCR 2711 Facility Didar Rhandhawa 106 X CCR 2632(b) Monitoring Program (Monitoring & Response Plans) is not current or approved by the EHD Title: owner Plot plan/site map not submitted or fails to completely show where monitoring is performed PPM) 334-3129 Contact: 108 CCR 2637 not provided to the EHD at least 48 hours prior to conducting the test Monitoring equipment certification: (a) not performed annually; (d) test report not submitted within 30 days; 109 CCR 2638 (e) test notification not provided to the EHD at least 48 hours prior to conducting an installation, repair, re lacement, calibration, or certification 110 HSC 25291(f) Inspection XRoutine XMonitoring System Certification ❑ Installation ❑ Complaint- ID# ❑ Other. Type: Annual line tightness test not performed if positive shutdown or fail safe not present (M1) 113 CCR 2715(a) Failed to inform the EHD of a change of designated operator within 30 days (Authority HSC 25289) Designated operator does not possess a current ICC CA UST System Operator certification Balwinder Singh by: g Title: operator Consent for- Wnspection XSampling KPhotos permit conditions Granted Enhanced leak detection (ELD) testing not performed on a system located within 1000' of public well, or Monitoring Incon TS Piping System: XPressurized ❑ Suction 0 Gravity Overfill Prevention: XMechanical 0 Audible/visual Panel: jig HSC 25298(b) Permit to temporarily close UST system not obtained 120 1 1 1 1 HSC 25298(c) Permit to close UST system not obtained UST 6 7 8 -- ------�;--- 9 ----- performance claims pertaining to release detection systems for 5 years, or records of repairs, linings, and upgrades for the life of the tank. Monitoring records include: (1) date and time of all monitoring or sampling; 201 ----Product-- -----91-------87--- dsl results of sample analysis performed a lab or in the field; (5) logs of all readings of gauges or other monitoring equipment, round water elevations, or other test results; 6 results of inventory readings and reconciliations 202 X CCR 2712(1) Monitoring plan, response plan, and/or operating permit and all conditions not onsite Designated David Winkler ICC Exp. 3-24-12 Violations: W M1 -Release Detection [I M2 -Release Prevention OM3 -Both Operator. Date: product was not reported to the EHD within 24 hours On Site Service Zane NImmo ICC Exp. Manufacturer's incon8-11-13; 6-23-13 Training: s�vrcb2-28-13, vmi 1-27-13 Technician: Date: VIOLATIONS HSC = California Health and Safet Code; CCR = California Code of Re ulations C1 = Class 1 violation; C2 = Class 2 violation; M = Minor violation # C1 C2 M Code Section File Review 101 HSC 25284 No permit to operate 102 HSC 25404.5 Annual operating fees not paid No written agreement between the person that the operating permit was issued to and the tank operator to 103 HSC 25284(a)(3) monitor the tanks stem 104 X HSC 25292.2 Current financial responsibility documents not on file with the Environmental Health Department (EHD) 105 X CCR 2711 Current Unified Program Consolidated Forms not on file with the EHD (Facility and tank form) 106 X CCR 2632(b) Monitoring Program (Monitoring & Response Plans) is not current or approved by the EHD 107 CCR 2632(d)(1)(C) Plot plan/site map not submitted or fails to completely show where monitoring is performed Secondary containment: (a) test not performed; (e) test report not submitted within 30 days; (f) test notification 108 CCR 2637 not provided to the EHD at least 48 hours prior to conducting the test Monitoring equipment certification: (a) not performed annually; (d) test report not submitted within 30 days; 109 CCR 2638 (e) test notification not provided to the EHD at least 48 hours prior to conducting an installation, repair, re lacement, calibration, or certification 110 HSC 25291(f) Annual line leak detector test not performed (M1) 111 HSC 25284.2 Annual spill containment testing not performed 112 X CCR 2636(f)(4) Annual line tightness test not performed if positive shutdown or fail safe not present (M1) 113 CCR 2715(a) Failed to inform the EHD of a change of designated operator within 30 days 114 CCR 2715(b) Designated operator does not possess a current ICC CA UST System Operator certification Repair for tank or piping not tested for tightness after completion of the repair pursuant to (M2) 115 CCR 2660(k) permit conditions Enhanced leak detection (ELD) testing not performed on a system located within 1000' of public well, or 116 HSC 25292.5 failures not repaired and retested 117 CCR 2661 Permit to repair UST system not obtained 118 HSC 25286(a) Operational permit not amended when UST storage and/or monitoring system changed jig HSC 25298(b) Permit to temporarily close UST system not obtained 120 1 1 1 1 HSC 25298(c) Permit to close UST system not obtained On Site Records Maintenance & monitoring records not maintained 3 years, cathodic protection records for 6'/2 years, written performance claims pertaining to release detection systems for 5 years, or records of repairs, linings, and upgrades for the life of the tank. Monitoring records include: (1) date and time of all monitoring or sampling; 201 CCR 2712(b) (2) monitoring equipment calibration and maintenance records; (3) results of any visual observations; (4) results of sample analysis performed a lab or in the field; (5) logs of all readings of gauges or other monitoring equipment, round water elevations, or other test results; 6 results of inventory readings and reconciliations 202 X CCR 2712(1) Monitoring plan, response plan, and/or operating permit and all conditions not onsite Unauthorized release that: (c) did not escape secondary containment and cleaned up within eight hours (M1) 203 x CCR 2650 was not recorded; (e) escaped secondary containment, not cleaned up after eight hours, or a sudden loss of product was not reported to the EHD within 24 hours Inspector. Received By: Title: Aris Cacapit (209) 468-3453 ,1 4 'A'v EHD 23-02 Rev 09/01/11 Page 1 U01 "' 1 '