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San Joaquin County Environmental Health Department 1868 East Hazelton Avenue, Stockton, Califomia 95205-6232 Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: www.s'aov.org/ehd Undelr'round Storage Tank'PrograrnInspectyron Report Facility Name: H&M - BW #98 Facility Phone: 209 838-3971 Date: August 30, 2017 Facility Address: 2501 JACKSON AVE, ESCALON, CA 95320 CERS ID: 10181511 Inspection Contact: Younes Waheeb Title: TOwner Phone: 209 838-3971 Inspection Type: ROUTINE INSPECTION - Operating Permit Program: 2361 - UST FACILITY Consent For: ® Inspection ® Photos ® Samples Consent Given By: I Mike Mohsen, Mana er Service Technician Onsite: Exp. Date: Peter Westbrook 07/06/2019 Designated Operator: Exp. Date: Karen Arnaiz 03/30/2019 Service Technician Manufacturer's Training =California Codeo egu ations HSC =Health and Safety Code CIFIR =Code oa era Regulations V = Violation R = Repeat violation COS = Corrected on site during .jefevleYfF7777,77 101 HSC 25284 No pen -nit to operate 71 V ❑ R o COS 102 HSC 25284(a)(3) No written agreement between tank owner and tank operator to monitor the tank system V ❑ R ❑ COS 103 HSC 25292.2 Current financial responsibility documents not submitted V ❑ R ❑ COS 104 CCR 2711 UST operating permit application for facility and tank information not submitted or current V ■ R ❑ COS 105 CCR 2632(d)(1) Failed to have an approved UST monitoring plan V ❑ R ❑ COS 106 CCR 2632(d)(2) Failed to have an approved UST response plan V ❑ R ❑ COS 107 CCR 2632(d)(1)(C) Plot plan/site map not submitted or failed to completely show where monitoring is performed m V ■ R ❑ COS 108 CCR 2637(f), 2638(e) Failed to notify the EHD 48 hours prior to conducting testing V ❑ R ❑ COS 109 CCR 2637 Failed to test secondary containment V ❑ R ❑ COS 110 CCR 2637(e) Failed to submit secondary containment test report within 30 days V ❑ R ❑ COS 111 CCR 2638(a) Failed to test monitoring and leak detection equipment annually V ❑ R ❑ COS 112 HSC 25284.2 Failed to test spill containers annually V ❑ R ❑ COS 113 CCR 2638(d) Failed to submit monitoring system certification test report within 30 days V ❑ R ❑ COS 114 CCR 2636(f) Failed to perform 0.1 gph annual line test for pressurized piping without fail safe or shut down V ❑ R ❑ COS 115 CCR 2715(a) Failed to inform the EHD of designated operator identification or change within 30 days V ❑ R ❑ COS 116 CCR 2715 Designated operator, service tech or installer did not possess current ICC certification 3 V ❑ R ❑ COS 117 CCR 2663 Failed to inspect a lined or repaired steel tank within 10 years of lining and every 5 years after V ❑ R ❑ COS 118 CCR 2663 Failed to submit tank lining certification within 30 days or to conduct proper tests V ❑ R ❑ COS 119 HSC 25299 Documents were falsified or misrepresented V ❑ R ❑ COS 120 CCR 2635(d) Failed to submit UST Certification of Installation/Modification V ❑ R ❑ COS 121 CCR 2712(f) Failed to submit a written response within 30 days of receiving an inspection report V ❑ R ❑ COS 122 CCR 26310) Failure to submit UST system component statement of compatibility for substance stored V ❑ R ❑ COS <y, onS!"i; ords 201 CCR 2712(b) Failed to maintain alarm logs and/or records of follow up actions V ■ R ❑ COS 202 CCR 2712(b) Failed to maintain cathodic protection test records on site for at least 6 1/2 years V ❑ R ❑ COS Page 1 of 8