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% 0. <br />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 />MR <br />.ii r� Tt1 1n 3IC31ri <br />act i yName: <br />Facili hone: <br />-4-�- <br />Date: <br />Facility <br />ress:QhK5jU: <br />vr �Aa VAQ- <br />Inspection Contact: <br />f9aw UAL <br />t e: _ <br />one: <br />C <br />nspec to ype: <br />rogram- <br />Co t For:9q�A,Pent <br />nspection Photo <br />ample <br />Given <br />�C�f�tt.- L <br />echntOnsite: Exp. Date: <br />ACX - <br />Designated Operator: <br />Gl_ <br />Exp. Date: <br />4 <br />ervtce ec m\ojan anu attc urey �sy rammfg�: g ��® Owl _ <br />=calitornia oae of Regulations =Health and Safely uoae CFR = code of a eral Regulations <br />V = Violation R = Repeat violation <br />COS = Corrected on site during inspection <br />101 <br />HSC 25284 <br />iP <br />No permit to operate <br />❑ V ❑ R ❑ COS <br />102 <br />HSC 25284(a)(3) <br />No written agreement between tank owner and tank operator to monitor the tank system <br />o V <br />❑ R <br />o COS <br />103 <br />HSC 25292.2 <br />Current financial responsibility documents not submitted <br />❑ R <br />o COS <br />104 <br />CCR 2711 <br />UST Operating Permit Application for Facility and Tank information not submitted or current <br />❑ V <br />❑ R <br />o COS <br />105 <br />CCR 2632 <br />Monitoring and response plans not current or approved by the EHD <br />V <br />❑ R <br />OS <br />106 <br />CCR 2632(d)(1)(C) <br />Plot plan/site map not submitted or failed to completely show where monitoring is performed <br />o V <br />o R <br />o COS <br />107 <br />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 />108 <br />CCR 2637 <br />Failed to test secondary containment <br />❑ V <br />❑ R <br />❑ COS <br />109 <br />CCR 2637(e) <br />Failed to submit secondary containment test report within 30 days <br />❑ V <br />❑ R <br />❑ COS <br />110 <br />CCR 2638(a) <br />Failed to test monitoring and leak detection equipment annually <br />❑ V <br />o R <br />❑ COS <br />111 <br />HSC 25284.2 <br />Failed to test spill containers annually <br />❑ V <br />o R <br />❑ COS <br />112 <br />CCR 2638(d) <br />Failed to submit monitoring system certification test report within 30 days <br />❑ V <br />❑ R <br />❑ COS <br />113 <br />CCR 2636(f) <br />Failed to perform 0.1 gph annual line test for pressurized piping without fail safe or shut down <br />❑ V <br />o R <br />❑ COS <br />114 <br />CCR 2715(a) <br />Failed to inform the EHD of designated operator identification or change within 30 days <br />❑ V <br />o R <br />❑ COS <br />115 <br />CCR 2715 <br />Designated operator, service tech or installer did not possess current ICC certification <br />❑ V <br />❑ R <br />o COS <br />116 <br />CCR 2663 <br />Failed to inspect a lined or repaired steel tank within 10 years of lining and every 5 years after <br />❑ V <br />❑ R <br />❑ COS <br />117 <br />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 />118 <br />HSC 25299 <br />Documents were falsified or misrepresented <br />o V <br />❑ R <br />c COS <br />119 <br />CCR 2635(d) <br />Failed to submit UST Certification of Installation/Modification <br />❑ V <br />❑ R <br />c COS <br />120 <br />201 <br />CCR 2712(f) <br />CCR 2712(b) <br />Failed to submit a written response within 30 days of receiving an inspection report <br />13 <br />Failed to maintain alarm logs and/or records of follow up actions <br />❑ V <br />N2 <br />. <br />o V <br />❑ R <br />❑ R <br />o COS <br />o COS <br />202 <br />CCR 2712(b) <br />Failed to maintain cathodic protection test records on site for at least 6 1/2 years <br />❑ V <br />❑ R <br />o COS <br />203 <br />CCR 2712(b) <br />Failed to maintain records of monitoring, repair, lining, and upgrades on site <br />❑ V <br />❑ R <br />o COS <br />204 <br />I CCR 2712(i) <br />I Current monitoring plan approved by the EHD not found on site <br />I ❑ V <br />❑ R <br />o COS <br />Page 1 of 3 <br />