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9171 9690 0935 0030 7392 43 <br />SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East Hazelton Avenue, Stockton, California 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: www.s4 ov.oq rg/ehd <br />UNDERGROUND STORAGE TANK (UST) PROGRAM INSPECTION REPORT <br />Facility <br />Kwik Serve (B&W Petroleum) <br />Facility <br />2501 Jackson Ave; Escalon <br />No permit to operate <br />Inspection Aug, 2013 <br />Date: 9 <br />Name: <br />Annual operating fees not paid <br />address: <br />HSC 25284(a)(3) <br />No written agreement between the person that the operating permit was issued to and the tank operator to <br />monitor the tanks stem <br />Facility <br />Nofal Mohsin <br />HSC 25292.2 <br />Current financial responsibility documents not on file with the Environmental Health Department (EHD) <br />Title: <br />Operator <br />X CCR 2711 <br />Phone: <br />(209)838-3971 <br />Contact: <br />CCR 2632(b) <br />Monitoring Program (Monitoring & Response Plans) is not current or approved by the EHD <br />107 <br />CCR 2632(d)(1)(C) <br />Plot plan/site map not submitted or fails to completely show where monitoring is performed <br />Inspection XRoutine XMonitoring System Certification ❑ Installation ❑ Complaint — ID#: <br />Type: <br />❑ Other: <br />(Authority HSC 25289) <br />Hassan Ahmed <br />Title: Manager <br />g <br />Consent for: Xlnspection $Sampling $Photos <br />119 <br />Granted by: <br />Permit to temporarily close UST system not obtained <br />Monitoring Vder-Root TLS -350 <br />Panel: ee <br />Piping <br />System: <br />XPressurized ❑ Suction ❑ Gravity <br />Overfill <br />Prevention: <br />XMechanical ElAudible/visual <br />USTj <br />3 __ <br />91 -octane <br />_ __ 4 _ <br />DSL <br />5 __________ <br />87 -octane <br />_ <br />1 <br />7 <br />--------- <br />Product ` <br />Designated <br />Karen Arnalz <br />ICC Exp. 5-31-2015 <br />Violations: ❑ M1 -Release Detection <br />❑ M2 -Release Prevention XM3—Both <br />Operator: <br />Date: <br />Site Service Jose Ochoa <br />1-20-2014 Trainngturer's <br />VMI: 10-3-13 <br />VR: 10-19-2013 <br />Technician: <br />Te <br />Date: <br /># Cl I C2 I M I Code Section h�V = Cacc cairornia nealm anu oarer t,oue; t.t m — t,aownua uv � n ulou�ua <br />1 = Cl1 violation, C9 = Clacc 9 violation- M = Minor violation <br />101 <br />HSC 25284 <br />No permit to operate <br />102 <br />HSC 25404.5 <br />Annual operating fees not paid <br />103 <br />HSC 25284(a)(3) <br />No written agreement between the person that the operating permit was issued to and the tank operator to <br />monitor the tanks stem <br />104 <br />HSC 25292.2 <br />Current financial responsibility documents not on file with the Environmental Health Department (EHD) <br />105 <br />X CCR 2711 <br />Current Unified Program Consolidated Forms not on file with the EHD (Facility and tank form) <br />106 <br />CCR 2632(b) <br />Monitoring Program (Monitoring & Response Plans) is not current or approved by the EHD <br />107 <br />CCR 2632(d)(1)(C) <br />Plot plan/site map not submitted or fails to completely show where monitoring is performed <br />108 <br />CCR 2637 <br />Secondary containment: (a) test not performed; (e) test report not submitted within 30 days; (f) test notification <br />not provided to the EHD at least 48 hours prior to conducting the test <br />109 <br />X CCR 2638 <br />Monitoring equipment certification: (a) not performed annually; (d) test report not submitted within 30 days; <br />(e) test notification not provided to the EHD at least 48 hours prior to conducting an installation, repair, <br />110 <br />X HSC 25291(f) <br />Annual line leak detector test not performed (M7) <br />111 <br />X HSC 25284.2 <br />Annual spill containment testing not performed <br />112 <br />CCR 2636(f)(4) <br />Annual line tightness test not performed if positive shutdown or fail safe not present (M1) <br />113 <br />CCR 2715(a) <br />Failed to inform the EHD of a change of designated operator within 30 days <br />114 <br />CCR 2715(b) <br />Designated operator does not possess a current ICC CA UST System Operator certification <br />115 <br />CCR 2660(k) <br />Repair for tank or piping not tested for tightness after completion of the repair pursuant to (M2) <br />permit conditions <br />116 <br />HSC 25292.5 <br />Enhanced leak detection (ELD) testing not performed on a system located within 1000' of public well, or <br />failures not repaired and retested <br />117 <br />CCR 2661 <br />Permit to repair UST system not obtained <br />118 <br />HSC 25286(a) <br />Operational permit not amended when UST storage and/or monitoring system changed <br />119 <br />HSC 25298(b) <br />Permit to temporarily close UST system not obtained <br />120 <br />HSC 25298(c) <br />Permit to close UST system not obtained <br />Maintenance & monitoring records not maintained 3 years, cathodic protection records for 6 '/2 years, written <br />performance claims pertaining to release detection systems for 5 years, or records of repairs, linings, and <br />201 CCR 2712(b) upgrades for the life of the tank. Monitoring records include: (1) date and time of all monitoring or sampling; <br />(2) monitoring equipment calibration and maintenance records; (3) results of any visual observations; (4) <br />results of sample analysis performed a lab or in the field; (5) logs of all readings of gauges or other monitoring <br />equipment, round water elevations, or other test results; 6 results of inventory readings and reconciliations <br />202 CCR 2712(i) Monitoring plan, response plan, and/or operating permit and all conditions not onsite <br />Unauthorized release that: (c) did not escape secondary containment and cleaned up within eight hours (M1) <br />203 CCR 2650 was not recorded; (e) escaped secondary containment, not cleaned up after eight hours, or a sudden loss of <br />product was not reported to the EHD within 24 hours <br />Inspector. Received By: Title: <br />Elena Manzo (209) 953-7699 <br />EHD 23-02 Rev 04/19/12 Page 1 UST INSPECTION REPORT <br />