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0 Environmental Health Department MAHON jA" COLJNTY h W ref, ep , 4W, Facility Name: Facility Phone: Date: H&M-BV\/#98 (209)838-3971 July 31,2018 Facility Address: CERS ID: 2501 JACKSON AVE, ESCALON, CA 95320 10181511 Inspection Contact: Title: Phone: Monica Farhat Environmental (209)- Inspection Type: Program: ROUTINE INSPECTION-Operating Permit 12361 -LIST FACILITY Consent For: Tc—.n—.ent Given By: X Inspection ED Photos El Samples Monica Farhat, Environmental Service Technician Onsite: Exp.Date: Designated Operator: Exp.Date: Randy Wilkerson 04/06/2019 Karen Arnaiz 03/30/2019 Service Technician Manufacturers Training: VR, 03/19/19-, VMI, 02/28/19 CCR=California Code of Regulations HSC=Health and Safety Code CFR=Code of Federal Regulations V=Violation R=Repeat violation COS Corrected on site during inspection F '40 20 7T 101 HSC 25284 Failure to obtain a valid permit to operate from the EHD including but not limited to unpaid fees o V o R o COS 102 HSC 25284(a)(3)(A)/(B) No written agreement between tank owner and tank operator to monitor the tank system ci V o R o COS 103 HSC 25292.2,25299.30 Current financial responsibility documents not submitted o V ii R Ei COS 104 CCR 2711 UST operating permit application for facility and tank information not submitted or current a V m R o COS 105 CCR 2632(d)(1), Failed to have an approved UST monitoring plan o V o R o COS 2634(d) 106 CCR 2632(d)(2), Failed to have an approved UST response plan o V ii R o COS 2634(e) 107 CCR 2632(d)(1)(C) Plot plan/site map not submitted or failed to completely show where monitoring is performed o V c R o COS 108 CCR 2637(f),2638(e) Failed to notify the EHD 48 hours prior to conducting testing o V o R c COS 109 CCR 2637 Failed to test secondary containment o V c R c COS 110 CCR 2637(e) Failed to submit secondary containment test report within 30 days o V o R o COS Ill CCR 2638(a) Failed to test monitoring and leak detection equipment annually Ei V o R n COS 112 HSC 25284.2 Failed to test spill containers annually [i V o R o COS 113 CCR 2638(d) Failed to submit monitoring system certification test report within 30 days o V o 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 ri V Ei R o COS 115 CCR 2715(a) Failed to submit to EHD notification of designated operator identification or change w/in 30 days Ei V o R o COS 116 CCR 2715 Designated operator,service tech or installer did not possess current ICC certification o V c R o COS 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 118 CCR 2663 Failed to submit tank lining certification within 30 days or to conduct proper tests o V o R c COS 119 HSC 25299(a)(8), Documents were falsified or misrepresented Ei V o R o COS 125299(b)(7) I 120 CCR 2635(d) Failed to submit UST Certification of Installation/Modification ii V o R o COS 121 CCR 2712(f) Failed to submit a written response within 30 days of receiving an inspection report n V o R o COS 122 CCR 26310) Failure to submit and maintain UST system component statement of compatibility for substance stored c V o R o COS --N"I W 201 CCR 2712(b) Failure to maintain monitoring,maintenance,and follow up action records o V c R o COS FA0003910 PR0231488 SCO01 07/31/2018 EHD 23-01 Rev.10/31/2017 Page 1 of 5 Underground Storage Tank Program OIR 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com