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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.sigov.org/ehd Underground Storage Tank Program Inspection Report Facility Name: Facility Phone: Date: VI-Va Ncco - Zgoo'' 1 acr My ress: CERS 10: 0(4n r kn r d. S C N G Sz.(-)6 nspec on on ac: I e: one: ��;-.q 65_ 2481 ns r pe: Program: cx n n \ - USC consent For: nsen i en y: Gel-Inspection C'Photos ErSamples wp,( S,-0) ".)nal Service Technician Onsite: xp. ate: esigna aoperator: Exp.Date: a\"16 i \L-\c-e 21, I Service Tecirmician manuracturers i raining: V �I ML \\ 1 O - 4'1 • '(TIFE CalimmiaMooeo egu a ons = e ano 3atety =Codeo a era egu a ions V=Violation R=Repeat violation COS=Corrected on site during inspection File Review 101 HSC 25284 No permit to operate ❑V ❑R o COS 102 HSC 25284(a)(3) No written agreement between tank owner and tank operator to monitor the tank system o V o R o COS 103 HSC 25292.2 Current financial responsibility documents not submitted o V o 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) Failed 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 o V o R o COS 107 CCR 2632(d)(1)(C) Plot plan/site map not submitted or failed to completely show where monitoring is performed o V o R o COS 108 CCR 2637(f),2638(e) Failed to notify the EHD 48 hours prior to conducting testing o V ❑R ❑COS 109 CCR 2637 Failed to test secondary containment o V o R o COS 110 CCR 2637(e) Failed to submit secondary containment test report within 30 days o V o R ❑COS 111 CCR 2638(a) Failed to test monitoring and leak detection equipment annually o V ❑R o COS 112 HSC 25284.2 Failed to test spill containers annually o V o R o COS 113 CCR 2638(d) Failed to submit monitoring system certification test report within 30 days o V o 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 o R o COS 115 CCR 2715(a) Failed to inform the EHD of designated operator identification or change within 30 days o V o R ❑COS 116 CCR 2715 Designated operator,service tech or installer did not possess current ICC certification o V ❑R o COS 117 CCR 2663 Failed to inspect a lined or repaired steel tank within 10 years of lining and every 5 years after o V o R o COS 118 CCR 2663 Failed to submit tank lining certification within 30 days or to conduct proper tests ❑V o R ❑COS 119 HSC 25299 Documents were falsified or misrepresented ❑V ❑R ❑COS 120 CCR 2635(d) Failed to submit UST Certification of Installation/Modification )KV >(R ❑COS 121 CCR 2712(f) Failed to submit a written response within 30 days of receiving an inspection report YV o COS Failure to submit UST system component statement of compatibility for substance stored ❑V ❑R o CCS 122 FCCR 2631(D On Site Records 201 CCR 2712(b) Failed to maintain alarm logs and/or records of follow up actions Y V XR o COS 202 CCR 2712(b) Failed to maintain cathodic protection test records on site for at least 6 112 years o V o R o COS 203 CCR 2712(b) Failed to maintain records of monitoring,repair,lining,and upgrades on site o V o R o COS Page 1 of 3