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San Joaquin County Environmental Health Department 1868 East Hazelton Avenue, Stockton, California 95205-6232 Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: www.sigov.org/ehd AM PM HAMMER/15 FOOD #83113 HSC 25284 209 474-9125 May 26 2016 Facility Address: ❑ COS 102 CERS ID: 3250 W HAMMER LN STOCKTON CA 95209 ❑ R 10180825 Inspection Contact: HSC 25292.2 Title: ❑ V Phone: Wes Parkinson 104 Owner UST Operating Permit Application for Facility and Tank information not submitted or current 209 474-9125 Inspection Type: ❑ COS Program: HSC 25286(c) ROUTINE INSPECTION - O eratinPermit ❑ V 2361 - UST FACILITY ❑ COS Consent For: Consent Given By: Monitoring and response plans not current or approved by the EHD ■ V ® Inspection ® Photos ® Samples Wes Parkinson Owner 107 CCR 2632(d)(1)(C) Service Technician Onsite: Exp. Date: Designated Operator: Exp. Date: Isaac Anderson 06/22/2016 Jacob Weaver 03/05/2017 Service Technician Manufacturer's Training: ❑ COS 109 VMI 03/20/17 VR 09/21/16 Failed to test secondary containment ❑ V ❑ R CCR = ralifnrnia Cnria of Rani fln inne NSC = HPn1th anr1 .gnfoty Cnrio CFR = rnrio of Foriarni Rani iintinne 110 V = Violation R =Repeat violation COS = Corrected on site during inspection 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 monitor the 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(a) 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(d) 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(a) 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 1 000'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 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 125 CCR 2712(f) Failed to submit a written response within 30 days of receiving an inspection report ■ V ■ R ❑ COS 126 HSC 25404(e)(4) Failed to report program data electronically ❑ V ❑ R ❑ COS Page 1 of 6