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-e 1'1-1. 0 0 <br /> Environmental Health Department <br /> SANJOAQUIN <br /> COUNTYUnrgroud <br /> - <br /> C— <br /> -'sto h <br /> Pt� <br /> i"gra pec <br /> O <br /> Facility Name: Facility Phone: Date: <br /> TESORO(SHELL)68150(WRR 6133) (209)727-0823 August 28, 2018 <br /> Facility Address: CERS ID: <br /> 13975 E HWY 88 , LOCKEFORD, CA 95237 10180519 <br /> Inspection Contact: Title: Phone: <br /> Stephen Coulter Environmental Contact (951) 538-6895 <br /> Inspection Type: Program: <br /> ROUTINE INSPECTION-Operating Permit 12351 - LIST FACILITY-2481 COMPLIANT <br /> Consent For: Consent Given By: <br /> N Inspection 0 Photos Z Samples Leonard Robles, Store Manager <br /> Service Technician Onsite: Exp.Date: Designated Operator: Exp.Date: <br /> Kristopher Bell 07122/2020 Oscar Garzon 05/20/2020 <br /> Service Technician Manufacturer's Training: <br /> Veeder Root, 04/19/19-,VMI, 11/11/18 <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 /> V <br /> - <br /> IL <br /> -w P"'t, w <br /> 101 HSC 25284 Failure to obtain a valid permit to operate from the EHD including but not limited to unpaid fees o V E R c COS <br /> 102 HSC 25284(a)(3)(A)/(B) No written agreement between tank owner and tank operator to monitor the tank system o V c R 12 COS <br /> 103 HSC 25292.2,25299.30 Current financial responsibility documents not submitted o V c R o COS <br /> 104 CCR 2711 UST operating permit application for facility and tank information not submitted or current o V ii R o COS <br /> 105 j CCR 2632(d)(1), Failed to have an approved UST monitoring plan ci V [i R o COS <br /> 2634(d) <br /> 106 CCR 2632(d)(2), Failed to have an approved UST response plan Li V o R o COS <br /> 2634(e) <br /> 107 CCR 2632(d)(1)(C) Plot plan/site map not submitted or failed to completely show where monitoring is performed m V m R n COS <br /> 108 CCR 2637(f),2638(e) Failed to notify the EHD 48 hours prior to conducting testing c V o R o COS <br /> 109 CCR 2637 Failed to test secondary containment o V Ei R o COS <br /> 110 CCR 2637(e) Failed to submit secondary containment test report within 30 days o V c R c COS <br /> 111 CCR 2638(a) Failed to test monitoring and leak detection equipment annually o V c R i:i COS <br /> 112 HSC 25284.2 Failed to test spill containers annually o V ii R c COS <br /> 113 j CCR 2638(d) Failed to submit monitoring system certification test report within 30 days Ei V ci R o 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 o COS <br /> 115 CCR 2715(a) Failed to submit to EHD notification of designated operator identification or change w/in 30 days c V o R Ei COS <br /> 116 CCR 2715 Designated operator,service tech or installer did not possess current ICC certification o V u R o COS <br /> 117 CCR 2663(h) Failed to inspect a lined or repaired steel tank within 10 years of lining and every 5 years after o V o R o COS <br /> 118 CCR 2663 Failed to submit tank lining certification within 30 days or to conduct proper tests ci V ci R o COS <br /> 119 HSC 25299(a)(8), Documents were falsified or misrepresented o V o R c COS <br /> 25299(b)(7) <br /> 120 CCR 2635(d) Failed to submit UST Certification of Installation/Modification c V o R u COS <br /> 121 CCR 2712(f) Failed to submit a written response within 30 days of receiving an inspection report o V o R o COS <br /> 122 CCR 26310) Failure to submit and maintain UST system component statement of compatibility for substance stored o V o R o COS <br /> p <br /> 4 <br /> AMA <br /> 77� <br /> 201 CCR 2712(b) Failure to maintain monitoring,maintenance,and follow up action records o V Ei R o COS <br /> FA0000055 PR0231622 SCO01 08/28/2018 <br /> EHD 23-01 Rev.10/31/2017 Page 1 of 4 Underground Storage Tank Program OIR <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 F 209 464-0138 1 www.sjcehd.com <br />