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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, California 95202-3029 <br /> Telephone:(209)468-3420 Fax:(209)468-3433 Web:www.sigov.org/ehd/unitiii.htmi <br /> UNDERGROUND STORAGE TANK(UST) PROGRAM INSPECTION REPORT CONTINUED <br /> Facility USA GAS Station #68152 Facility 401 W. Kettleman Ln. Lodi, CA Inspection Feb 23, 2012 <br /> Name: Address: Date: <br /> VIOLATIONS <br /> # C1 C2 M Code Section HSC=CA Health and Code;CFR=Code of Federal Regulations <br /> C1=Class 1 violation;C2=Class 2 vitiation;M=Minor violation <br /> Non-Pressurized Piping(continued) <br /> 702 CCR 2643(e) Biennial tightness test of gravity piping not performed(pre-January 1,1984) (M7) <br /> 703 CCR 2643(d) Triennial line test for conventional suction piping not performed(pre-January 1,1984) (M7) <br /> Other Violations <br /> 999 Other: See attached"Continuation—Official Inspection Report"for violation(s)not listed above. <br /> SUMMARY OF VIOLATIONS <br /> CLASS I,CLASS 11,or MINOR-Notice to Comply) <br /> On site to perform a routine inspection and witness the annual monitoring system certification testing. <br /> 203. Dispenser#1/2 87 has a weep that has spilled onto the bravo conversion frame pan. Dispenser <br /> #7/8 87 has a weep that has spilled onto the bravo conversion frame pan. These releases were not <br /> recorded. Any release from the primary containment that does not escape the secondary containment <br /> and was cleaned up within eight hours of being detected shall be recorded with the following information: <br /> 1. Operator's name and phone number <br /> 2. List of types, quantities, and concentrations of hazardous substances released <br /> 3. Description of actions taken to control and clean the release <br /> 4. Method and location of disposal of the released substances <br /> 5. Description of actions taken to repair and prevent future releases <br /> 6. Description of method used to reactivate interstitial monitoring after repair or replacement of <br /> primary containment <br /> Immediately record this release with the information required, and maintain it on site with the facility's <br /> monitoring records. Submit a copy of the recordable release statement to the EHD by 3-23-12. <br /> 305. The Bravo box float and chain in the #5/6 sump for the 87 and in the #7/8 sump for the 87 and 91 <br /> products failed to stop the flow of product at the dispenser when tested. All monitoring equipment shall <br /> be maintained to activate an audible and visual alarm or stop the flow of product at the dispenser when it <br /> detects a leak. The service technician adjusted the chain and verified functionality. <br /> Complete and submit a copy of the Return to Compliance Certification form with a statement of how <br /> each violation was corrected, including supporting documentation, by 3-23-12. <br /> Note: Provided copy of the Recordable Release template. <br /> ALL EHD STAFF TIME ASSOCIATED WITH FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL BE BILLED AT THE CURRENT HOURLY RATE. <br /> THIS FACILITY IS SUBJECT TO REINSPECT ON AT ANY TIME AT END'S CURRENT HOURLY RATE. <br /> Inspector. Reoei y: Title: <br /> E <br /> EHD 23-02 Rev 09/01/11 Page 3 UST INSPECTION REPORT <br />