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Facility Address: \/()Soiy) Q AVQ— Facility Contact: cka..Acc CL- Facility Phone: rIDP:ACAutogoal Contact..2.057_g Contact during inspection, if Phone: ; to s) different from facility contact: Inspection Date: UR rogolD (1.1 Facility y Name: Avt) /Arc ° --AmPm Program: di%t CCR = California Code of Regulations HSC = Health and Safety Code CFR = Code of Federal Regulations V = Violation R = Repeat Inspection , Type: COS = Corrected on site during inspection SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 1868 East HazeIton Avenue, Stockton, California 95205-6232 Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: www.sjcehd.com Fils Review V R ' COS 101 HSC 25284 No permit to operate (V650) o 0 0 102 HSC 25284(a)(3) No written agreement between tank owner and tank operator to monitor the tank system (V735) 12 0 0 103 HSC 25292.2 Current financial responsibility documents not submitted (V720) 0 0 0 104 CCR 2711 UST Operating Permit Application for Facility and Tank information not submitted or current (V651) o 0 0 105 HSC 25286(c) Current BOE number not submitted (V652) 0 0 0 106 CCR 2632 Monitoring and response plans not current or approved by the EHD (V654) X 0 0 107 CCR 2632(d)(1)(C) Plot plan/site map not submitted or failed to completely show where monitoring is performed (V655) o 0 ID 108 CCR 2637,(f) 2638(e) Failed to notify the EHD 48 hours prior to conducting testing (V671) 0 0 0 109 CCR 2637 Failed to test secondary containment (V660)o 0 110 CCR 2637(e) Failed to submit secondary containment test report within 30 days (V662) c- 0 .. 0 ID 111 CCR 2638(a) Failed to test monitoring and leak detection equipment annually (V659) o 0 0 112 HSC 25284.2 Failed to test spill containers annually (V661) 0 0 0 113 CCR 2638(d) Failed to submit monitoring system certification test report within 30 days (V823) 0 0 0 114 CCR 2636(f) Failed to perform 0.1 gph annual line test for pressurized piping without fail safe or shut down (V663) 0 0 0 115 CCR 2715(a) Failed to inform the EHD of a change of designated operator within 30 days (V658) 0 (2 0 116 CCR 2715 Designated operator, service tech or installer did not possess current ICC certification (V717) 0 a a 117 HSC 25292.5 Failed to conduct ELD testing on a system located within 1000' of a public well (V672) 0 0 0 118 HSC 25292.5 Failed to repair and retest system due to failed ELD test (V749) 0 0 0 119 CCR 2644.1(a)(5) Failed to submit ELD test results within 60 days (V669) 0 0 0 120 CCR 2663 Failed to inspect a lined or repaired steel tank within 10 years of lining and every 5 years after (V666) 0 0 0 121 CCR 2663 Failed to submit tank lining certification within 30 days or to conduct proper tests (V667) 0 0 0 122 HSC 25299 Documents were falsified or misrepresented (V657) 0 D 0 123 CCR 2661 Permit to repair UST system not obtained (V673) 0 0 0 124 CCR 2635(d) Failed to submit UST Certification of Installation/Modification (V840) 2 a 0 125 CCR 2712(f) Failed to submit a written response within 30 days of receiving an inspection report (V804) a o CI 126 HSC 25404(e)(4) Failed to report program data electronically (V817) o a a On Site Records 1 V R COS 201 CCR 2712(b) Failed to maintain alarm logs and/or records of follow up actions (V725) 0 0 0 202 CCR 2712(b) Failed to maintain cathodic protection test records on site for at least 6 1/2 years (V733) 0 0 0 203 CCR 2712(b) Failed to maintain records of monitoring, repair, lining, and upgrades on site (V732) 0 0 0 204 CCR 27120) Current monitoring plan approved by the EHD not found on site (V734) 0 0 0 205 CCR 2712(i) Operating permit not on site (V738) 0 0 0 206 HSC 25294, 25295 Failed to record or report unauthorized release in appropriate time frame (V737) 0 0 0 207 CCR 2715 Designated operator did not inspect all required items and/or the inspection reports not completed (V723) 0 0 D Page 1 EHD 23-01 RE 0/07/14 ...-1 Received By (initial): Inspector: moo Inspector Phone: 420 q ci 9-6 UST INSPECTION REPORT