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VW San Joaquin County Environmental-•. 1868 East Hazelton Avenue, Stockton, California95205-6232 Telephone. (209) 468-3420 Fax. (209) 468-3433 Web. vvww.sigov.orcI/ehd Underground ! i Tank ProgramInspection ! FacilityName: HSC 25284 No permit to operate acility hone: ❑ V ate: ❑ COS 102 HSC 25284(a)(3) No written agreement between tank owner and tank operator to monitorthe tank system 016 FacilityAddress: ❑ COS 103 HSC 25292.2 CERS ID: 1001 YOSE�-.MTE AVEl MAN'TECAr CA 95336 ❑ R ❑ COS 10 '1 80593 IpjnAspection Contact: UST Operating Permit Application for Facility and Tank information not submitted or current it e: one: ❑ COS 105 HSC 25286(c) Current BOE number not submitted InspectionType: ❑ R rogram: 106 �� 1,.;. INE �� c. Via: i...,.,r � i'�:.� :4 �L d� t`.�.,=i �; -- .��) � �31t#.f� , �.'7�Sls't � w a d_N. .� J ; m UST ?". �. �. ❑ V Consent For: Consent Given By: 107 CCR 2632(d)(1)(C) -'_. Inspection [— Photos F<], Samples x aS;bii- Sing!"E, Manager ■ V ❑ R Service Technician Onsite: Exp. Date: Designated Operator: Exp. Date(: �.f 31 �� Y s...'E `�,J �J t�l;:�, -!l✓ ., t. service i ecnnician manuracturer-s i raining: I i'7$F�6 mTa �nnc _ Pa an _ eCPR =Cride ofFederal Reaulations V = Violation R = Repeat violation COS = Corrected on site during inspection File Review 101 HSC 25284 No permit to operate ❑ V ❑ R ❑ COS 102 HSC 25284(a)(3) No written agreement between tank owner and tank operator to monitorthe tank system ❑ V ❑ R ❑ COS 103 HSC 25292.2 Current financial responsibility documents not submitted ■ V ❑ R ❑ COS 104 CCR 2711 UST Operating Permit Application for Facility and Tank information not submitted or current ❑ V ❑ R ❑ COS 105 HSC 25286(c) Current BOE number not submitted ❑ V ❑ R ❑ COS 106 CCR 2632 Monitoring and response plans not current or approved by the EHD ❑ V ❑ R ❑ COS 107 CCR 2632(d)(1)(C) Plot plan/site map not submitted or failed to completely show where monitoring is performed ■ V ❑ R ❑ COS 108 CCR 2637(f), 2638(e) Failed to notify the EHD 48 hours prior to conducting testing ❑ V ❑ R ❑ COS 109 CCR 2637 Failed to test secondary containment ❑ V ❑ R ❑ COS 110 CCR 2637(e) Failed to submit secondary containment test report within 30 days ❑ V ❑ R ❑ COS 111 CCR 2638(x) Failed to test monitoring and leak detection equipment annually ❑ V ❑ R ❑ COS 112 HSC 25284.2 Failed to test spill containers annually ❑ V ❑ R ❑ COS 113 CCR 2638(4) Failed to submit monitoring system certification test report within 30 days ❑ V ❑ R ❑ COS 114 CCR 2636(f) Failed to perform 0.1 gph annual line test for pressurized piping without fail safe or shut down ❑ V ❑ R ❑ COS 115 CCR 2715(x) Failed to inform the EHD of a change of designated operator within 30 days ■ V ❑ R ❑ COS 116 CCR 2715 Designated operator. service tech or installer did not possess current ICC certification ❑ V ❑ R ❑ COS 117 HSC 25292.5 Failed to conduct ELD testing on a system located within 1000' of a public well ❑ V ❑ R ❑ COS 118 HSC 25292.5 Failed to repair and retest system due to failed ELD test ❑ V ❑ R ❑ COS 119 CCR 2644.1(a)(5) Failed to submit ELD test results within 60 days ❑ V ❑ R ❑ COS 120 CCR 2663 Failed to inspect a lined or repaired steel tank within 10 years of lining and every 5 years after ❑ V ❑ R ❑ COS 121 CCR 2663 Failed to submit tank lining certification within 30 days or to conduct proper tests ❑ V ❑ R ❑ COS 122 HSC 25299 Documents were falsified or misrepresented ❑ V ❑ R ❑ COS 123 CCR 2661 Permit to repair UST system not obtained ❑ V ❑ R ❑ COS 124 CCR 2635(d) Failed to submit UST Certification of Installation/Modification ❑ V ❑ R ❑ COS Received y (initial): Inspector N svI A f S :Iior one: t:0.f} . 1 3 .�'� Date 6U.M<f Il i1