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COMPLIANCE INFO_2011-2018
Environmental Health - Public
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2300 - Underground Storage Tank Program
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PR0232224
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COMPLIANCE INFO_2011-2018
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Last modified
4/7/2021 10:16:11 AM
Creation date
6/3/2020 9:56:43 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2011-2018
RECORD_ID
PR0232224
PE
2361
FACILITY_ID
FA0001877
FACILITY_NAME
AM PM HAMMER/I5 FOOD #83113
STREET_NUMBER
3250
Direction
W
STREET_NAME
HAMMER
STREET_TYPE
LN
City
STOCKTON
Zip
95209
APN
08240009
CURRENT_STATUS
01
SITE_LOCATION
3250 W HAMMER LN
P_LOCATION
01
P_DISTRICT
003
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0232224_3250 W HAMMER_2011-2018.tif
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EHD - Public
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RECJIV <br /> 4FrD <br /> MAY 2018 <br /> San Joaquin County ENVIRONMENTAL <br /> Environmental Health DepartmeMEALTH DF:PARTMENT <br /> 1868 East Hazelton Avenue, Stockton, California 95205-6232 <br /> Telephone:(209)468-3420 Fax:(209)468-3433 Web.mMAsjgL)v.org/—Qhd <br /> Underground Storage Tank Program Inspection Report <br /> Facility Name: Facility Phone: Date: <br /> A rAl P PA 11 A M IM F R/1-5 F c)o n-1,,9 i 3 74 MI-gy 25, 211,17 <br /> 1 (209) ,41. --9i2-1; W� <br /> Facility Address: —QE R S—ID <br /> VV , STOCKTON, CA 9620] <br /> 10180 <br /> '825 <br /> Inspection Contact: Title: Phone: <br /> Rommel Santos Manager (209)474-9125 <br /> Inspection Type: Program: <br /> ROUTINE INSPECTIOW-Operating Permit 2361 -UST FAGU-I'Y <br /> Consent For: Consent then—By. <br /> 0 Inspection FjZ Photos '01 Samples I Rommel Santos, PAanaa-er <br /> Service Technician Onsite: Exp.Date: T—Designated Operator: Exp.Date: <br /> Chad White 02!2312-018 Shawiln Rcdnguez 05104,,'2013 <br /> Service Technician Manufacturer's Training <br /> Veeder Root,05128/17; VMI,05/23/19 <br /> CCR=Califfi—mia Code of Regulations FISC=Health and Sa Code CFR=Code of Federal Regulations <br /> V-violation R=Repeat violation COS=Corrected on site during Inspection <br /> File Review <br /> 101 HSC 25284 No permit to operate n V o R u COS <br /> 102 HSC 25284(a)(3) No written agreement between tank owner and tank operator to monitor the tank system o V u R n COS <br /> 103 HSC 25292.2 Current financial responsibility documents not submitted n V o R u COS <br /> 104 CCR 2711 UST operating permit application for facility and tank information not submitted or current u V n R o COS <br /> 105 CCR 2632(d)(1) Failed to have an approved UST monitoring plan n V o R u COS <br /> 106 CCR 2632(d)(2) Failed to have an approved UST response plan u V r-i R a COS <br /> 107 CCR 2632(d)(1)(C) Plot plan/site map not submitted or failed to completely show where monitoring is performed o V u R n COS <br /> 108 CCR 2637(o,2638(e) Failed to notify the EHD 48 hours prior to conducting testing u V n R o COS <br /> 109 CCR 2637 Failed to test secondary containment a V u R n COS <br /> 110 CCR 2637(e) Failed to submit secondary containment test report within 30 days n V o R u COS <br /> 111 CCR 2638(a) Failed to test monitoring and leak detection equipment annually o V u R o COS <br /> 112 HSC 25284.2 Failed to test spill containers annually n V o R u COS <br /> 113 CCR 2638(d) Failed to submit monitoring system certification test report within 30 days u V n R o COS <br /> 114 CCR 2636(f) Failed to perform 0.1 gph annual line test for pressurized piping without fail safe or shut down n V a R o COS <br /> 115 CCR 2715(a) Failed to inform the EHD of designated operator identification or change within 30 days a V a R a COS <br /> 116 CCR 2715 Designated operator,service tech or Installer did not possess current ICC certification n V n R o COS <br /> 117 CCR 2663 Failed to inspect a lined or repaired steel tank within 10 years of lining and every 5 years after u V u R n COS <br /> 118 CCR 2663 Failed to submit tank lining certification within 30 days or to conduct proper tests o V n R o COS <br /> 119 HSC 25299 Documents were falsified or misrepresented u V u R n COS <br /> 120 CCR 2635(d) Failed to submit UST Certification of installation/Modification n V a R u COS <br /> 121 CCR 2712(0 Failed to submit a written response within 30 days of receiving an inspection report w V a R n COS <br /> 122 CCR 2631 Q) Failure to submit UST system component statement of compatibility for substance stored n V a R n COS <br /> On Site Records <br /> 201maintain alarm logs and/or records of follow up actions u V a R c3 COS <br /> 202 CCR 2712(b) Failed to maintain cathodic protection test records on site for at least 6 112 years o V o R n COS <br /> 203 CCR 2712(b) Failed to maintain records of monitoring,repair,fining,and upgrades on site o V n R ri COS <br /> FA0001877 PR0232224 S0001 06/25/2017 <br /> EHD 23-01 Rev.09/22116 Page 1 of 6 Underground Storage Tank Program OIR <br />
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