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AMPNOF <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.sjgov.org/ehd <br /> Facility Name: Facility Phone: Date: <br /> SMK CHEVRON 209 333-1740 June 07 2016 <br /> Facility Address: CERS ID: <br /> 25651 N HWY 99 ACAMPO CA 95220 10181469 <br /> Inspection Contact: Title: Phone: <br /> Nita Sill owner 209 333-0305 <br /> Inspection Type: Program: <br /> ROUTINE INSPECTION -Operating Permit 12361 -UST FACILITY <br /> Consent For: I Consent Given By: <br /> 0 Inspection E9 Photos 0 Samples I Nita Sin h owner <br /> Service Technician Onsite,. Exp.Date: Designated Operator: Exp.Date: <br /> David Winkler 03/01/2020 Alex Jabbari 10/03/2016 <br /> Service Technician Manufacturer's Training <br /> Veeder Root 02/03/18; VMI 11/12/17 <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 /> IMM <br /> ° +'+ p1r„4�` S' ec <br /> fes, k de Rev ew ^, <br /> .�xa,s Tyr- s � t .a *^ st a� aa Ott" <br /> 101 HSC 25284 No permit to operate o V ❑R ❑COS <br /> 102 HSC 25284(a)(3) No written agreement between tank owner and tank operator to monitor the tank system ❑V ❑R ❑COS <br /> 103 HSC 25292.2 Current financial responsibility documents not submitted ❑V ❑R ❑COS <br /> 104 CCR 2711 UST Operating Permit Application for Facility and Tank information not submitted or current ❑V ❑R ❑COS <br /> 105 CCR 2632 Monitoring and response plans not current or approved by the EHD ❑V ❑R ❑COS <br /> 106 CCR 2632(d)(1)(C) Plot plan/site map not submitted or failed to completely show where monitoring is performed ❑V ❑R ❑COS <br /> 107 CCR 2637(f),2638(e) Failed to notify the EHD 48 hours prior to conducting testing ❑V ❑R ❑COS <br /> 108 CCR 2637 Failed to test secondary containment ❑V ❑R ❑COS <br /> 109 CCR 2637(e) Failed to submit secondary containment test report within 30 days ❑V ❑R ❑COS <br /> 110 CCR 2638(a) Failed to test monitoring and leak detection equipment annually ❑V ❑R ❑COS <br /> 111 HSC 25284.2 Failed to test spill containers annually ❑V ❑R ❑COS <br /> 112 CCR 2638(d) Failed to submit monitoring system certification test report within 30 days ❑V ❑R ❑COS <br /> 113 CCR 26360 Failed to perform 0.1 gph annual line test for pressurized piping without fail safe or shut down ❑V ❑R ❑COS <br /> 114 CCR 2715(a) Failed to inform the EHD of designated operator identification or change within 30 days ❑V ❑R ❑COS <br /> 115 CCR 2715 Designated operator,service tech or installer did not possess current ICC certification o V ❑R ❑COS <br /> 116 CCR 2663 Failed to inspect a lined or repaired steel tank within 10 years of lining and every 5 years after ❑V ❑R ❑COS <br /> 117 CCR 2663 Failed to submit tank lining certification within 30 days or to conduct proper tests o V ❑R ❑COS <br /> 118 HSC 25299 Documents were falsified or misrepresented o V ❑R ❑COS <br /> 119 CCR 2635(d) Failed to submit UST Certification of Installation/Modification ❑V ❑R ❑COS <br /> 120 CCR 2712(f) Failed to submit a written response within 30 days of receiving an inspection report ❑V ❑R ❑COS <br /> 201 CCR 2712(b) Failed to maintain alarm logs and/or records of follow up actions ❑V ❑R ❑COS <br /> 202 CCR 2712(b) Failed to maintain cathodic protection test records on site for at least 6 1/2 years ❑V ❑R ❑COS <br /> 203 CCR 2712(b) Failed to maintain records of monitoring,repair,lining,and upgrades on site ❑V ❑R ❑COS <br /> 204 CCR 2712(i) Current monitoring plan approved by the EHD not found on site ❑V ❑R ❑COS <br /> 205 CCR 2712 Failure to comply with UST operating permit conditions ❑V ❑R o COS <br /> Page 1 of 4 <br /> 9171 9690 0935 0118 0890 31 <br />