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14W San Joaquin County 1qW <br />Environmental Health Department <br />1868 East Hazelton Avenue, Stockton, California 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: WWW.saqov.orCl/ehd <br />Facility Name: <br />CHEVRON STATION #1731 <br />Facility Phone: <br />(209) 477-3699 <br />Date: <br />February 06, 2017 <br />Facility Address: <br />3355 E HAMMER LN, STOCKTON, CA 95212 <br />CERS ID: <br />10182331 <br />Inspection Contact: <br />Title: <br />Phone: <br />Inspection Type: <br />ROUTINE INSPECTION - Operating Permit <br />2361 - UST FACILITY <br />Consent For: <br />Consent Given By: <br />Service Technician Onsite: Exp. Date: <br />Designated Operator: Exp. Date: <br />Service Technician Manufacturer's Training <br />CCR California Code of Regulations HSC Health and Safety Code CFR Code of Federal Regulations <br />V Violation R =Repeat violation COS= Corrected on site during inspection <br />101 <br />HSC 25284 <br />No permit to operate <br />o V Li R o COS <br />102 <br />HSC 25284(a)(3) <br />No written agreement between tank owner and tank operator to monitor the tank system <br />ii V o R c COS <br />103 <br />HSC 25292.2 <br />Current financial responsibility documents not submitted <br />Li V o R ii COS <br />104 <br />JCCR2 711 <br />UST operating permit application for facility and tank information not submitted or current <br />m V D R Ei COS <br />105 <br />1 CCR 2632(d)(1) <br />Failed to have an approved LIST monitoring plan <br />c V Li R ii COS <br />106 <br />CCR 2632(d)(2) <br />Failed to have an approved LIST response plan <br />Ei V c R o COS <br />107 <br />CCR 2632(d)(1)(C) <br />Plot plan/site map not submitted or failed to completely show where monitoring is performed <br />c V Ei R o COS <br />108 <br />CCR 2637(f), 2638(e) <br />Failed to notify the EHD 48 hours prior to conducting testing <br />Ei V ii R c COS <br />109 <br />CCR 2637 <br />Failed to test secondary containment <br />Li V o R D COS <br />110 <br />CCR 2637(e) <br />Failed to submit secondary containment test report within 30 days <br />ij V Li R Ei COS <br />111 <br />CCR 2638(a) <br />Failed to test monitoring and leak detection equipment annually <br />Fi V Li R o COS <br />112 <br />HSC 25284.2 <br />Failed to test spill containers annually <br />o V ii R o COS <br />113 <br />CCR 2638(d) <br />Failed to submit monitoring system certification test report within 30 days <br />D V ii R Ei COS <br />114 <br />CCR 2636(f) <br />Failed to perform 0.1 gph annual line test for pressurized piping without fail safe or shut down <br />Ei V o R o COS <br />115 <br />CCR 2715(a) <br />Failed to inform the EHD of designated operator identification or change within 30 days <br />c V Ei R o COS <br />116 <br />CCR 2715 <br />Designated operator, service tech or installer did not possess current ICC certification <br />Ei V ii R Ei COS <br />117 <br />CCR 2663 <br />Failed to inspect a lined or repaired steel tank within 10 years of lining and every 5 years after <br />Ei V o R o COS <br />118 <br />CCR 2663 <br />Failed to submit tank lining certification within 30 days or to conduct proper tests <br />Lj V ii R ci COS <br />119 <br />HSC 25299 <br />Documents were falsified or misrepresented <br />o V Li R o COS <br />120 <br />CCR 2635(d) <br />Failed to submit UST Certification of Installation/Modification <br />o V Li R Ei COS <br />121 <br />CCR 2712(f) <br />Failed to submit a written response within 30 days of receiving an inspection report <br />Li V o R o COS <br />122 <br />CCR 26310) <br />Failure to submit UST system component statement of compatibility for substance stored <br />Ei V c R o COS <br />201 <br />CCR 2712(b) <br />N Ell <br />Failed to maintain alarm logs and/or records of follow up actions o V o R ii 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 />Fi V o R o COS <br />203 <br />CCR 2712(b) <br />Failed to maintain records of monitoring, repair, lining, and upgrades on site <br />ii V c R Li COS <br />rA0000mw pno508352 00001 0eme/2017 <br />snouu-01 Rev. 09/22/16 Page 1of4 Underground Storage Tank Program o/n <br />