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02/06/2017 02:22PM 2094773699 <br />0 <br />CAETRON STATION 1731 PAGE 02/06 <br />Ivre-ot,e) -r C>zoglle <br />Itte FEB 0 5 <br />San Joaquin County <br />ZQ17 Environmental Health Department <br />1868 East Hazelton Avenue, Stockton, California 95205-6232 <br />Telephone: (209) 408-3420 Fax. (209) 468-3433 Web. MW,sjgov.o[g1@hd <br />Facility Name:-- <br />Facility 311 <br />Date: <br />Date� <br />CHEVRON STATION #1731'- <br />477-3699 <br />.1(209 '7 <br />February 06, 2017 <br />February <br />FAcIlltyATd—r9w—. <br />CERS 113; <br />3356 E HAMMER LN, STOCKTON, CA 95212 <br />10182331 <br />Inspection contact <br />Title: hon <br />Cathrin Mizer <br />rn r: r% dw <br />Inspection Type; <br />Program; V <br />PL�T V <br />Lme <br />ROUTINE INSPECTION - Operating Permit <br />2361 - LIST <br />--ffd—nSd-Wt For: <br />Consant. Given By; <br />MAR 0 6 2017 <br />I <br />N Ins action IM Photos <br />0 Samples <br />Cathrin Mizer, <br />Service Technician Onsite; <br />EXP6 E <br />Designated Operator: <br />--ffxp- <br />—Date. <br />Jesus Saldivar <br />07/1712017 <br />)arek Balone �g10CjhjhAr-1WrA1 UC:AI-MI07/2018 <br />Service reafinIcEF Manufactureft Training <br />VR. 05127117; VMI (TLDT4000),12/03/17-, SB Vacuum tester, 07/09119 DEPARTMENT <br />GGK - Callfbrnia Code of Regulations <br />—HSC = Health and W Code CFR E-MoTe—olTedera Resu Taons - - -- -- <br />V-= violation R = Repeat vlolatlon COS -Corrededon site during inspection <br />Esm <br />101 HSC 25284 <br />No permit to operate <br />c <br />o <br />a COS <br />102 <br />HSC 26284(a)(3) <br />No written agreement between tank owner And tank operator to monitor the tank system <br />a V <br />c3 R <br />c COS <br />103 <br />HSC 25292.2 <br />Current financial responsibility documents not submitted <br />a V <br />a R <br />o COS <br />104 <br />CCR 2711 <br />UST operating permit application for facility and tank information not submitted or current <br />w V <br />o R <br />a COS <br />108 OCR 2632(d)(1) <br />Failed to have an approved UST monitoring plan <br />a V <br />a R <br />a COS <br />106 CCR 2632(d)(2) <br />Failed to have an approved UST response plan <br />n V <br />o R <br />0 COS <br />107 CCR 2632(d)(1)(C) <br />Plot plan/site map not submitted or failed to completely show when; monitoring is performed <br />M V <br />a R <br />P COS <br />108 OCR 2637(f), 205(e) <br />Failed to notify the EWD 4S hours prior to conducting testing <br />a V <br />u R <br />o COS <br />109 CCR 2637 <br />Failed to test secondary containment <br />n V <br />a R <br />0 COS <br />110 CCR 2637(e) <br />Failed to submit secondary containment test report within 30 days <br />a V <br />a R <br />a COS <br />Ill OCR 2638(a) <br />Failed to test monitoring and leak detection equipment annually <br />a V <br />t3 R. <br />o COS <br />112 1-160 25284.2 <br />Failed to test spill containers annually <br />c V <br />o R <br />a COS <br />113 CCR 2638(d) <br />Failed to submit monitoring system certification test report within 30 days <br />a V <br />o R <br />a COS <br />1114 CCR 2636(f) <br />Failed to perform 0.1 gph annual line test for pressurized piping without fail safe or shut down <br />a v <br />o R <br />a COS <br />115 OCR 2715(a) <br />Failed to inform the EHD of designated operator identification or change within 3o days <br />c V <br />o R <br />a COS <br />116 CCR 2715 <br />Designated operator, service tech or installer did not possess current [CC certification <br />a V <br />a R <br />0 COS <br />117 CCR 2663 <br />Polled to Inspect a lined or repaired steel tank within 10 years of lining and every 5 years after <br />a V <br />a R <br />o COS <br />118 CCR 2663 <br />Failed to submit tank lining certification within 30 days or to conduct proper tests <br />o V <br />a R <br />a COS <br />1119 HSC 25299 <br />Documents were falsified or misrepresented <br />0 V <br />0 R <br />0 COS <br />120 CCR 2635(d) <br />Failed to submit UST Certification of lnstallatlonNodlfication <br />o V <br />a R <br />o COS <br />121. CCR 2712(1 <br />Failed to submit a,written response within 30 days of receiving an Inspection report <br />o V <br />13 R <br />o COS <br />122 CCR 2631 (D <br />Failure to submit UST system component statement of compatibility for substance stored <br />a V <br />a R <br />o COS <br />201 CCR 2712(4) <br />Failed to maintain alarm logo and/or records of follow up actions <br />a V <br />o R <br />o COS <br />202 OCR 2712(b) <br />Failed to maintain cathodic protection test records on site for at least 61/2 years <br />o V <br />!3 R <br />c) COS <br />203 OCR 2712(b) <br />Faded to maintain records of monitwing, repair, lining, and upgrades on site <br />c V <br />o R <br />ri COS <br />EHD2341 Rev. 09122118 <br />Page 1 of 4 <br />FA0005044 PR0508352 SC001 02M6/2017 <br />underground Storage Tank Program OIR <br />