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Page 1 of 5 San Joaquin County Environmental Health Department 1868 East Hazelton Avenue, Stockton, California95205-6232 Telephone: (209) 468-3420 Fax: (209) 468-3433 Web. WWW.sigov.orq/ehd Underground Storage Tank Program Inspection Report Facility Name: Facility Phone: CHEROKEE LANE SERVICE STATION` Date: October 12, 2015 Facility Address: 'EROKEE LN LODI CA 95240 CERS ID: - Inspection Contact: Daljit Grover & Saiwinder Title: o erator Phone: Inspection Type: r- >i FYINE INSPECTION - Operatinq Permit Program: Consent For: -' Inspection -< Photos 7 Samples Consent Given By: r qq I Dal it Grover & Balwinder. Service Technician Onsite: Exp. Date: Designated Operator: 12/06/2016 Felix Ramirez Exp. Date: Service Technician Manufacturer's Training: 12/22/16 CCR=California Code of Regulations HSC =Health and Safety Code CFR =Code of Federal Regulations V =Violation R = Repeat violation COS = Corrected on site during inspection File Review 101 HSC 25284 No permit to operate ❑ V ❑ R ❑ 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 Tank information not submitted or current ■ V ■ 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 planisite map not submitted or failed to completely show where monitoring is performed . V ❑ R ❑ 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 L 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 ❑ V ❑ R ❑ COS 113 CCR 2638(4) Failed to submit monitoring system certification test report within 30 days ■ V ■ 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 1 000'of a public well ❑ 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 ❑ V ❑ R ❑ COS 121 CCR 2663 Failed to submittank lining certification within 30 days orto conduct propertests ❑ V ❑ R ❑ COS 122 HSC 25299 Documents were falsified or misrepresented ❑ V ❑ R ❑ COS 123 CCR 2661 Permit to repair UST system not obtained ❑ V ❑ R ❑ COS 124 CCR 2635(d) Failed to submit UST Certification of Installation/Modification ❑ V ❑ R ❑ COS Received b (initial): Inspector: ARIS VELOSO, Senior REHS Phone: (209) 468-3453 Date: 10/12/2015 Page 1 of 5