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COMPLIANCE INFO_2009-2015
Environmental Health - Public
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EHD Program Facility Records by Street Name
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2300 - Underground Storage Tank Program
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PR0231820
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COMPLIANCE INFO_2009-2015
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Last modified
12/28/2023 2:39:37 PM
Creation date
6/23/2020 6:52:57 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2009-2015
RECORD_ID
PR0231820
PE
2361
FACILITY_ID
FA0003826
FACILITY_NAME
Supervalu
STREET_NUMBER
1990
Direction
N
STREET_NAME
PICCOLI
STREET_TYPE
RD
City
STOCKTON
Zip
95215
APN
10121001
CURRENT_STATUS
01
SITE_LOCATION
1990 N PICCOLI RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
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FilePath
\MIGRATIONS\UST\UST_2361_PR0231820_1990 N PICCOLI_2009-2015.tif
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EHD - Public
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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.so-gov.org/ehd <br />UNDERGROUND STORAGE TANK (UST) PROGRAM INSPECTION REPORT <br />Facility <br />United Grocers, Inc. <br />Facility <br />1990 N. Piccoli, Stockton <br />No permit to operate <br />Inspection <br />Nov 21, 2012 <br />Name; <br />Address: <br />103 <br />Date: <br />Facility <br />Jack Duke <br />104 <br />Title: <br />Maintenance Manager <br />Current financial responsibility documents not on file with the Environmental Health Department (EHD) <br />e' <br />f i-9440 x 8530 <br />contact: <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 />Inspection XRoutine XMonitoring System Certification ❑ Installation ❑ Complaint- ID#: <br />Type: <br />❑ Other: <br />(Authority HSC 25289) <br />Jack Duke <br />Maintenance Manager <br />Consent for: Xlnspection ❑Sampling XPhotos <br />Granted by: <br />Title: <br />Monitoring Veeder-Root TLS -350 <br />Panel: <br />Piping <br />System: <br />XPressurized [I Suction 11 Gravity <br />Overfill <br />Prevention: <br />XMechanical ❑Audible/visual <br />UST <br />2 <br />112 <br />--------------------- <br />Annual line tightness test not performed if positive shutdown or fail safe not present (M1) <br />113 <br />CCR 2715(a) <br />----------- <br />114 <br />CCR 2715(b) <br />Designated operator does not possess a current ICC CA UST System Operator certification <br />115 <br />--Product- <br />--DSL--------- <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 />Designated Mike Young 5295293 Date: Exp. <br />Operator: g ( ) Dat <br />6 /1/2013 <br />Violations: ❑ M1 -Release Detection <br />❑ M2 -Release Prevention ❑ M3 -Both <br />On Site Service ICC Exp <br />ChrisEdward5252301 <br />Manufacturer's <br />- Mrch 2014 Training: VMI 3149 5/14; Asa Cosby VR 11/2013 <br />Technician: Date: <br />VIOLATIONS <br /># C1 C2 M Code Section HSC = California Health and Safe Code; CCR = California Code of Regulations <br />C1 = Class 1 violation: C2 = Class 2 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 />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 />X CCR 2637 <br />Secondary containment: a) est 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 />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 />replacement, calibration, or certification <br />110 <br />HSC 25291(f) <br />Annual line leak detector test not performed (M1) <br />111 <br />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 />roduct was not reported to the EHD within 24 hours <br />Jeffrey Wong (209) 468-0335 <br />EHD 23-02 Rev 04/19/12 // Page 1 UST INSPECTION REPORT <br />
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