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San Joaquin County <br />Environmental Health Department <br />1868 East Hazelton Avenue, Stockton, California 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 468-3433 Web:www}.�jgov.or /� ehd <br />t w 1� r �r yrs <br />a . ... v,. .,; .. Fx , <br />Facility ame: <br />Country Club Valero <br />Facility Pnone: <br />(209) 932-1307 <br />Date: <br />January 23, 2017 <br />Facility Adress: <br />2575 COUNTRY CLUB BLVD, Stockton, CA 9520410118074 <br />ULK5 lU: <br />Inspection Contact: <br />Dave Hinds <br />Title: <br />Manager <br />one: <br />(209 932-1307 <br />Inspection Type: <br />ROUTINE INSPECTION - Operating Permit <br />rogram: <br />2351 - UST FACILITY- 2481 COMPLIANT <br />Consent For: <br />0 Inspection 21 Photos 0 Sam les <br />r Consent Given By: <br />I Dave Hinds, Manager <br />Service Technician Onsite: Exp. Date: <br />David Winkler 03/01/2018 <br />Designated Operator: Exp. Date: <br />Ian Hall 02/01/2018 <br />Service Technician Manufacturer's Training <br />VR, 02/03/18; VMI, 11/12/17; TT,03/31/17 <br />CCR= a i ornia ode ot Regulations HSC =Health and zsatetyuode = oeo Federal egu a ions <br />V = Violation R = Repeat violation COS = Corrected on site during inspection <br />L`+ <br />`V I £ <br />S v£ <br />z} ��sy8 ,{ & <br />., .1" ,h, $I 4 in •:R. . SIi, F. 'i t <br />101 <br />HSC 25284 <br />No permit to operate <br />❑ V ❑ R ❑ COS <br />102 <br />HSC 25284(a)(3) <br />No written agreement between tank owner and tank operator to monitor the tank system <br />❑ V ❑ R ❑ COS <br />103 <br />HSC 25292.2 <br />Current financial responsibility documents not submitted <br />❑ V ❑ R ❑ COS <br />104 <br />CCR 2711 <br />UST operating permit application for facility and tank information not submitted or current <br />❑ V ❑ R ❑ COS <br />105 <br />CCR 2632(d)(1) <br />Failed to have an approved UST monitoring plan <br />❑ V ❑ R ❑ COS <br />106 <br />CCR 2632(d)(2) <br />Failed to have an approved UST response plan <br />❑ V ❑ R ❑ COS <br />107 <br />CCR 2632(d)(1)(C) <br />Plot plan/site map not submitted or failed to completely show where monitoring is performed <br />❑ V ❑ R ❑ COS <br />108 <br />CCR 2637(f), 2638(e) <br />Failed to notify the EHD 48 hours prior to conducting testing <br />❑ V ❑ R ❑ COS <br />109 <br />CCR 2637 <br />Failed to test secondary containment <br />❑ V ❑ R ❑ COS <br />110 <br />CCR 2637(e) <br />Failed to submit secondary containment test report within 30 days <br />❑ V ❑ R ❑ COS <br />111 <br />CCR 2638(a) <br />Failed to test monitoring and leak detection equipment annually <br />❑ V ❑ R ❑ COS <br />112 <br />HSC 25284.2 <br />Failed to test spill containers annually <br />■ V ❑ R ❑ COS <br />113 <br />CCR 2638(d) <br />Failed to submit monitoring system certification test report within 30 days <br />❑ V ❑ R ❑ COS <br />114 <br />CCR 2636(f) <br />Failed to perform 0.1 gph annual line test for pressurized piping without fail safe or shut down <br />❑ V ❑ R ❑ COS <br />115 <br />CCR 2715(a) <br />Failed to inform the EHD of designated operator identification or change within 30 days <br />❑ V ❑ R ❑ COS <br />116 <br />CCR 2715 <br />Designated operator, service tech or installer did not possess current ICC certification <br />❑ V ❑ R ❑ COS <br />117 <br />CCR 2663 <br />Failed to inspect a lined or repaired steel tank within 10 years of lining and every 5 years after <br />❑ V ❑ R ❑ COS <br />118 <br />CCR 2663 <br />Failed to submit tank lining certification within 30 days or to conduct proper tests <br />❑ V ❑ R ❑ COS <br />119 <br />HSC 25299 <br />Documents were falsified or misrepresented <br />❑ V ❑ R ❑ COS <br />120 <br />CCR 2635(d) <br />Failed to submit UST Certification of Installation/Modification <br />❑ V ❑ R ❑ COS <br />121 <br />CCR 2712(f) <br />Failed to submit a written response within 30 days of receiving an inspection report <br />❑ V ❑ R ❑ COS <br />122 <br />CCR 26310) <br />Failure to submit UST system component statement of compatibility for substance stored <br />❑ V ❑ R ❑ COS <br />tttRWYMMIT <br />3k gS <br />201 <br />CCR 2712(b) <br />Failed to maintain alarm logs and/or records of follow up actions <br />■ V ❑ R ❑ COS <br />202 <br />CCR 2712(b) <br />Failed to maintain cathodic protection test records on site for at least 6 1/2 years <br />❑ V ❑ R ❑ COS <br />203 <br />CCR 2712(b) <br />Failed to maintain records of monitoring, repair, lining, and upgrades on site <br />❑ V ❑ R ❑ COS <br />FA0006439 PR0231070 SCO01 01/23/2017 <br />EHD 23-01 Rev. 09/22/16 Page 1 of 6 Underground Storage Tank Program OIR <br />