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CLIVEP <br /> San Joaquin County FEB 12 20157-61911*3 <br /> Environmental Health Department e— V S 7- <br /> 1868 East Hazelton Avenue,Stockton, California 952(1 <br /> WPONMENTAi <br /> 71919phone.(209)468-3420 Faye.(209)468.3433 Web:www.81gov,ortx <br /> ap <br /> 4 <br /> Facility Name: Facility Phone: ®ate: <br /> CHEVRON STATION#201383 (209)836-3181 February 06,2015 <br /> Facility EPA ilk CERS 10: <br /> 1960 W ELEVENTH ST, TRACY,CA 95376 10181657 <br /> Facility Contact: Contact Phone: Contact during inspection,if Pic <br /> CHEVRON MAINTENANCE (800)423-6911 different from faculty contact: <br /> Inspection type: Program: <br /> ROUTINE INSPECTION -® erating Permit 2361 - UST FACILITY <br /> a e o` egu ns s ea ® e o e era eg ear <br /> V=yiotation R=Repeatvioiawn COS=Corradedon eltedutinginaapeafian <br /> :FII"@ft8v QVK` <br /> ,101 HSC 25284 No permit to opemts o V o R a CAS <br /> 102 NSG 26284(a)(3) No written agreement between tank owner and tank operator to monitor the tank system c V o R a COS <br /> 103 HSC 25292.2 Current financial respon5ibility documents not submitted ®V a R o COS <br /> 104 CCR 2711 UST Operating Permit Application for Facility and Tank information not submitted or current a V o R o COS <br /> 105 HSG 25286(c) Current BOE number not submitted a V a R a COS <br /> 106 CCR 2532 Monitoring and response plans not current or approved by the EHD n V a 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 a V a R o COS <br /> 108 CCR 2637(f),2638(e) Failed to notify the EHD 48 hours prior to conducting testing o V o R c COS <br /> 109 CCR 2637 Felled to test secondary containment c V o R o COS <br /> 110 CCR 2537(e) Failed to submit secondary Containment test report within 30 days a V o R n COS <br /> 111 CCR 2638(a) Failed to test monitoring and teak detection equipment annually o V o R A COS <br /> 112 NSC 25284,2 Failed to teat spill containers annually a V o R o COS <br /> 113 CCR 2638(d) Failed to submit monitoring system certification test report within 30 days o V o R a COS <br /> 114 CCR 2636(f) Failed to perform 0.1 gph annual line test for pressurized piping without fail safe or shut down o V o R n COS <br /> 115 OCR 2715(a) Failed to inform the EHD of a change of designated operator within 30 days o V o R a COS <br /> 116 CCR 2715 IJesignated operator,service tech or installer did not possess current ICC certification n V ❑i2 a COS <br /> 117 HSC 25292.5 Failed to can ELD testing on a system located within 1000`of a public well o V a R o COS <br /> 118 HSC 25292.5 Failed to repair and retest system due to failed ELD test a V o R a COS <br /> 119 CCR 2644.1(a)(5) Failed to submit ELD test results within 60 days o V o R o COS <br /> 120 CCR 2853 Failed to inspecta lined or repaired steel tank within 10 years of lining and every 5 years after a V a R n COS <br /> 121 CCR 2583 Failed to submit tank lining certification within 30 days or to conduct proper tests o V a R o COS <br /> 122 HSC 25299 Documents were falsified or misrepresented ❑V n R a CAS <br /> 123 CCR 2661 Permit to repair UST system not obtained o V o R ❑COS <br /> 124 CCR 2635(d) Failed to submit UST Certification of Installation/Modificatlon a V o R a COS <br /> 125 CCR 27120 Failed to submit a written response within$0 days of receiving an inspection report o V a R o COS <br /> 126 HSC 25404(e)(4) Failed to report program data electronically a V °R °COS <br /> hG?n:°sre Rb ti t r <br /> 201 CCR 2712(b) Failed to maintain alarm Jogs and/or records of follow up actions OV a R a COS <br /> ReCe Y(in rt al): inspector. one: <br /> MICHELLE HENRY, Senior REHS (209)468-3454 02/06/2015 <br /> Page 1 <br />