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San Joaquin County Environmental Health Department 1868 East Hazelton Avenue, Stockton, California95205-6232 Telephone. (209) 468-3420 Fax: (209) 468-3433 Web.www.siqov.o!]g/ehd Underground Storage Tank Program Inspection Report Facility Name: Facility Phone: DAate: J 7 298 It.'4_` h,,Z2`5, 2 6 S ,viafNH MA]"'I' INC Facility Address: CERS ID: 7"� I CA95207 101812 5`� Inspection Contact: Title: Phone: Inspection Type: Program: ROU4H'Q11E 2,.]�,,6 1 G 1" ii",1 Y Consent For: Consent Given By: Inspection Photos Sam les Baijmider Smi, Cash�er Service Technician Onsite: Exp.Date: Designated Operator: Exp.Date: Service Technician Manufacturer's Training VR, CCR=California 7ffode—oTRegulations HSC=1-1591th and Safety Code CFR=Code ofFe2eral Regulations V=Violation R=Repeat violation COS=Corrected on site during inspection File Review 101 HSC 25284 No permit to operate o V Ei R E:i COS 102 HSC 25284(a)(3) No written agreement between tank owner and tank operator to monitor the tank system Ei V o R o COS 103 HSC 25292.2 Current financial responsibility documents not submitted ❑V Ei R o COS 104 CCR 2711 UST Operating Permit Application for Facility and Tank information not submitted or current ❑V o R o COS 105 HSC 25286(c) Current BOE number not submitted ❑V o R D COS 106 CCR 2632 Monitoring and response plans not current or approved by the EHD V m R o COS 107 CCR 2632(d)(1)(C) Plot plan/site map not submitted or failed to completely show where monitoring is performed o V u R o COS 108 CCR 2637(0,2638(e) Failed to notify the EHD 48 hours prior to conducting testing o V o R o COS 109 CCR 2637 Failed to test secondary containment o V o R o COS 110 OCR 2637(e) Failed to submit secondary containment test report within 30 days o V o R o COS 111 CCR 2638(a) Failed to test monitoring and leak detection equipment annually o V o R o COS 112 HSC 25284.2 Failed to test spill containers annually ❑V o R o COS 113 CCR 2638(4) Failed to submit monitoring system certification test report within 30 days o V Li R o COS 114 CCR 2636(f) Failed to perform 0.1 gph annual line test for pressurized piping without fail safe or shut down D V Ei R o COS 115 CCR 2715(a) Failed to inform the EHD of change of designated operator within 30 days o V D R o COS 116 CCR 2715 Designated operator,service tech or installer did not possess current ICC certification o V o R o COS 117 HSC 25292.5 Failed to conduct ELD testing on a system located within 1000'of a public well o V o R Ei COS 118 HSC 25292.5 Failed to repair and retest system due to failed ELD test o V Ei R Ej COS 119 CCR 2644.1(a)(5) Failed to submit ELD test results within 60 days o V o R Ei COS 120 CCR 2663 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 121 CCR 2663 Failed to submit tank lining certification within 30 days or to conduct proper tests o V o R Ei COS 122 HSC 25299 Documents were falsified or misrepresented o V o R Ei COS 123 CCR 2661 Permit to repair UST system not obtained Ei V o R o COS 124 CCR 2635(d) Failed to submit LIST Certification of Installation/Modification o V o R Ei COS 125 CCR 2712(0 Failed to submit a written response within 30 days of receiving an inspection report m V o R o COS 126 HSC 25404(e)(4) Failed to report program data electronically o V o R Ei COS Page 1 of 5