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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 1868 East Hazelton Avenue, Stockton, California 95205-6232 Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: www.sj ov.oq ra/ehd UNDERGROUND STORAGE TANK (UST) PROGRAM INSPECTION REPORT CONTINUED Facility Name: Cherokee Lane Service Station Facility 900 SCherokee Ln. Lodi, CA S. Address: Inspection Date: Jun 18, 2013 responsibility documents are required to be submitted annually. Complete and submit a copy of the financial responsibility by July 18, 2013. 105. UST diesel, 91, 87A(west), and 8713(east) tank forms on file with the EHD are not current. Any change of information on these forms must be submitted to the EHD within 30 days of the changes. Immediately complete and submit a copy of the facility and tank forms to the EHD. Complete a separate tank form for each tank. 106 & 202. Current approved copies of the monitoring and response plans were not found on site nor on VIOLATIONS # C1 C2 M Code Section HSC = CA Health and Safety Code; CFR = Code of Federal Regulations C1 = Class 1 violation; C2 = Class 2 violation; M = Minor violation performed on October 29, 2012, and a test report was not submitted to the EHD until May 28, 2013 (seven months late). A copy of the test report must be submitted within 30 days of the tests. Ensure that Non -Pressurized Piping (continued) 702 THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. ' CCR 2643(e) Biennial tightness test of gravity piping not performed (pre -January 1, 1984) (M1) 703 CCR 2643(d) Triennial line test for conventional suction piping not performed (pre -January 1, 1984) (M1) fLOther Violations 999 Other: See attached "Continuation — Official Inspection Report" for violation(s) not listed above. SUMMARY OF VIOLATIONS CLASS I, CLASS II, or MINOR -Notice to Comply) On site to conduct a routine inspection. 104. Current financial responsibility documents have not been submitted to the EHD. Current financial responsibility documents are required to be submitted annually. Complete and submit a copy of the financial responsibility by July 18, 2013. 105. UST diesel, 91, 87A(west), and 8713(east) tank forms on file with the EHD are not current. Any change of information on these forms must be submitted to the EHD within 30 days of the changes. Immediately complete and submit a copy of the facility and tank forms to the EHD. Complete a separate tank form for each tank. 106 & 202. Current approved copies of the monitoring and response plans were not found on site nor on file with the EHD. The monitoring and response plans must be current and approved by the EHD. Complete and submit a copy of the monitoring and response plans for approval by the EHD by July 18, 2013. An approved copy will be returned for your records. 108. Secondary containment testing was performed on October 18, 2012, and a test report was submitted to the EHD on May 21, 2013(seven months late). A copy of the test report must be submitted within 30 days of the test. Ensure that you submit a copy of the test reports to the EHD within 30 days of the tests. 109. Annual monitoring system certification, leak detector testing, and spill container testing were performed on October 29, 2012, and a test report was not submitted to the EHD until May 28, 2013 (seven months late). A copy of the test report must be submitted within 30 days of the tests. Ensure that you submit a copy of the test reports to the EHD within 30 days of the tests. ALL EHD STAFF TIME ASSOCIATED WITH FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL BE BILLED AT THE CURRENT HOURLY RATE. THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. ' Inspector ! ' ' A Received By: Title: EHD 23-02 Rev 04/19/12 Page 3 UST INSPECTION REPORT