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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.sigov.org/ehd <br />UNDERGROUND STORAGE TANK (UST) PROGRAM INSPECTION REPORT <br />Fame Mossdale Investments LLC. <br />Name: <br />Faculty 444 Mossdale Road, Lathrop <br />Addr: <br />Address. <br />I�ttlon Jun 29, 2012 <br />Facility <br />Contact: Pritpal <br />Dhillon <br />Title: <br />Owner) <br />234-1256 <br />Inspection <br />Type: <br />X Routine 11Monitoring System <br />Certification r i Installation I 1 Complaint — ID# i I Other. <br />(Authority HSC 25289) d <br />Consent for. DQlnspection )Sampling ):(Photos Granted by: Randy (over the phone) Title: Manager <br />Monitoring Veeder-Root TLS -350 <br />Panel: <br />Piping <br />❑ <br />System: XPressurized Suction [ 1 Gravity <br />Overfill <br />prevention: XMeChanical ❑Audible/visual <br />UST <br />4 <br />56 <br />------------- <br />Product <br />-------------- <br />87 -octane <br />------------- <br />DSL <br />---- <br />91 -octane <br />----------------- <br />-------------- <br />-------------- <br />f ------------- I <br />-------------- <br />Designated <br />Operator. Karen Arnaiz6/11/13 <br />Date: <br />Violations: I I M1 -Release Detection I I M2 -Release Prevention i M3 — Both <br />On Site Service <br />ICC Exp. Manufacturer's <br />Technician: <br />Date: Training: <br />VIOLATIONS <br /># <br />I C1 <br />C2 <br />M <br />Code Section <br />HSC = California Health and Safety Code; CCR = California Code of Regulations <br />C1 = Class 1 violation; C2 = Class 2 violation; M = Minor violation <br />File Review <br />101 <br />HSC 25284 <br />No permit to operate <br />102 <br />HSC 25404.5 <br />Annual operating fees not paid <br />103 <br />HSC 25284(a)(3) <br />No written agreement between the person that the operating permit was issued to and the tank operator to <br />monitor the tanks stem <br />104 <br />X HSC 25292.2 <br />Current financial responsibility documents not on file with the Environmental Health Department (EHD) <br />105 <br />CCR 2711 <br />Current Unified Program Consolidated Forms not on file with the EHD (Facility and tank forth) <br />106 <br />CCR 2632(b) <br />Monitoring Program (Monitoring & Response Plans) is not current or approved by the EHD <br />107 <br />CCR 2632(d)(1)(C) <br />Plot plan/site map not submitted or fails to completely show where monitoring is performed <br />108 <br />X CCR 2637 <br />Secondary containment: (a) test not performed; (e) test report not submitted within 30 days; (f) test notification <br />not provided to the EHD at least 48 hours prior to conducting the test <br />Monitoring equipment certification: (a) not performed annually; (d) test report not submitted within 30 days; <br />109 <br />X CCR 2638 <br />(e) test notification not provided to the EHD at least 48 hours prior to conducting an installation, repair, <br />replacement, calibration, or certification <br />110 <br />X HSC 25291(f) <br />Annual line leak detector test not performed (M7) <br />111 <br />X HSC 25284.2 <br />Annual spill containment testing not performed <br />112 <br />CCR 2636(f)(4) <br />Annual line tightness test not performed if positive shutdown or fail safe not present (M1) <br />113 <br />CCR 2715(a) <br />Failed to inform the EHD of a change of designated operator within 30 days <br />114 <br />CCR 2715(b) <br />Designated operator does not possess a current ICC CA UST System Operator certification <br />115 <br />CCR 2660(k) <br />Repair for tank or piping not tested for tightness after completion of the repair pursuant to (11112) <br />permit conditions <br />116 <br />HSC 25292.5 <br />Enhanced leak detection (ELD) testing not performed on a system located within 1000' of public well, or <br />failures not repaired and retested <br />117 <br />CCR 2661 <br />Permit to repair UST system not obtained <br />118 <br />HSC 25286(a) <br />Operational permit not amended when UST storage and/or monitoring system changed <br />119 <br />HSC 25298(b) <br />Permit to temporarily dose UST system not obtained <br />120 <br />HSC 25298(c) <br />Permit to dose UST system not obtained <br />On Site Records <br />Maintenance & monitoring records not maintained 3 years, cathodic protection records for 6'/2 years, written <br />performance claims pertaining to release detection systems for 5 years, or records of repairs, linings, and <br />201 <br />X CCR 2712(b) <br />upgrades for the life of the tank. Monitoring records include: (1) date and time of all monitoring or sampling; <br />(2) monitoring equipment calibration and maintenance records; (3) results of any visual observations; (4) <br />results of sample analysis performed a lab or in the field; (5) logs of ail readings of gauges or other monitoring <br />equipment, round water elevations, or other test results; 6 results of inventory readings and reconciliations <br />202 <br />CCR 2712(i) <br />Monitoring plan, response plan, and/or operating permit and all conditions not onsite <br />Unauthorized release that: (c) did not escape secondary containment and cleaned up within eight hours (M7) <br />203 <br />CCR 2650 <br />was not recorded; (e) escaped secondary containment, not cleaned up after eight hours, or a sudden loss of <br />product was not reported to the EHD within 24 hours <br />Inspector. RTitl(WA,% <br />Muniappa Naidu (209) 468-3439 <br />EHD 23-02 Rev 04/19/12 Page 1 UST INSPECTION REPORT <br />