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E <br />1868 East Hazelton Avenue, Stockton, Calffornia 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: www&jgov.gMLqhd ENVIRONMENTAL H'ILTH <br />San Joaquin County <br />Environmental Health Department <br />FA0003603 PRO231346 SC001 02/2312017 <br />EHD 23-01 Rev. 09J22/16 Page 1 of 4 Underground Storage Tank Program OIR <br />I I 1 11 <br />Underground Storage Tank, Pr6graminspectiOn Report <br />1 <br />Facility Name: <br />TESORO (MOBIL) 68152 <br />Facility Phone: <br />(209) 368-8787 <br />Date: <br />February 23, 2017 <br />Facility Address: <br />401 W KETTLEMAN LN, LODI, CA 95240 <br />CERS ID: <br />10181231 <br />Inspection Contact <br />Stephen Coulter <br />—77me-- <br />Environmental Compliance <br />Phone: <br />- <br />(209) 368-8787 <br />Inspection Type: <br />ROUTINE INSPECTION - Operating Permit <br />Program: <br />2361 - LIST FACILITY <br />Consent For: <br />9 inspection 9 Photos 0 Sam ples <br />Consent Given By: <br />Patty Moreno, Manager <br />Service Technician Onsite: <br />Kristopher Bell <br />Exp. Data: <br />08124/2018 <br />Designated Operator. <br />Kaylynn Rammell <br />Exp. Date: <br />06/15/2018 <br />Service Technician Manufacturer's Training* <br />VMI LDT890, 11/11/18; Veeder root TLS-3XX, 05/11/17 <br />CCR =California Code of Regulations H - Hearth and safety Code CFA - Code of Federal Regulations <br />V = Violation R = Repast violation <br />COS = Corrected on site during inspection <br />r7-7-7777-7771 i' <br />e'V Wew <br />File Review <br />7 <br />101 HSC 25284 <br />No permit to operate <br />c V <br />o R <br />c COS <br />102 HSC 25284(a)(3) <br />No written agreement between tank owner and tank operator to monitor the tank system <br />o V <br />o R <br />o COS <br />103 HSC 25292.2 <br />Current financial responsibility documents not submitted <br />o V <br />c R <br />o COS <br />104 CCR 2711 <br />UST operating permit application for facility and tank information not submitted or current <br />a V <br />o R <br />c COS <br />106 CCR 2632(dX1) <br />Failed to have an approved UST monitoring plan <br />o V <br />o R <br />c COS <br />106 CCR 2632(d)(2) <br />Failed to have an approved LIST response plan <br />o V <br />o R <br />o COS <br />107 CCR 2632(d)(1)(C) <br />Plot plan/site map not submitted or failed to completely show where monitoring is performed <br />■ V <br />n R <br />n COS <br />108 CCR 2637(f), 2638(e) <br />Failed to notify the EHD 48 hours prior to conducting testing <br />❑ V <br />o R <br />o COS <br />109 CCR 2637 <br />Failed to test secondary containment <br />❑ V <br />0 R <br />0 COS <br />110 CCR 2637(e) <br />Failed to submit secondary containment test report within 30 days <br />c V <br />o R <br />u COS <br />111 CCR 2638(a) <br />Failed to test monitoring and leak detection equipment annually <br />o V <br />o R <br />o COS <br />112 HSC 25284.2 <br />Failed to test split containers annually <br />o V <br />in R <br />o COS <br />113 CCR 2638(d) <br />Failed to submit monitoring system certification test report within 30 days <br />o V <br />c R <br />o COS <br />114 CCR 2636(f) <br />Failed to perform 0.1 gph annual line test for pressurized piping without fail safe or shut down <br />a V <br />o R <br />c COS <br />115 CCR 2715(a) <br />Failed to inform the EHD of designated operator identification or change within 30 days <br />o V <br />o R <br />o COS <br />116 CCR 2715 <br />Designated operator, service tech or installer did not possess current ICC cerfificatiort <br />c V <br />o R <br />o COS <br />117 CCR 2663 <br />Faded to inspect a lined or repaired steel tank within 10 years of lining and every 5 years after <br />o V <br />c R <br />o COS <br />118 CCR 2663 <br />Failed to submit tank lining certification within 30 days or to conduct proper tests <br />o V <br />o R <br />o COS <br />119 HSC 25299 <br />Documents were falsified or misrepresented <br />o V <br />o R <br />o COS <br />120 CCR 2635(d) <br />Failed to submit UST Certification of installation/Modification <br />c V <br />o R <br />o COS <br />121 CCR 2712(f) <br />Failed to submit a written response within 30 days of receiving an inspection report <br />o V <br />o R <br />o COS <br />122 CCR 26310) <br />Failure to submit UST system component statement of compatibility for substance stored <br />o V <br />in R <br />a COS <br />on Siler Records <br />201 CCR 2712(b) <br />Failed to maintain alarm "a and/or records of follow up actions <br />o V <br />c R <br />o COS <br />202 CCR 2712(b) <br />Faded to maintain cathodic protection test records on site for at least 6 1/2 years <br />r3 V <br />a R <br />r3 COS <br />203 CCR 2712(b) <br />Failed to maintain records of monitoring, repair, lining, and upgrades on site <br />c V <br />o R <br />o COS <br />FA0003603 PRO231346 SC001 02/2312017 <br />EHD 23-01 Rev. 09J22/16 Page 1 of 4 Underground Storage Tank Program OIR <br />