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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.sigov.oW/ehd <br />UNDERGROUND STORAGE TANK (UST) PROGRAM INSPECTION REPORT <br />Facility <br />United Grocers, Inc. <br />Fa cility <br />, 1990 N. Piccoli, Stockton <br />Address: <br />Inspection <br />'Date: Nov 21, 2012 <br />—Name: <br />Facility <br />Contact: Jack Duke <br />Title: Maintenance Manager <br />Ie9440 x 8530 <br />Inspection <br />Type: <br />X Routine X Monitoring System Certification 0 Installation 0 Complaint — ID* 0 Other. <br />(Authority HSC 25289) <br />Consent for X Inspection o Sampling XPhotos Granted by: Jack Duke Title: Maintenance Manager <br />Monitoring -Root TLS -350 <br />Panel: Veeder <br />Piping X Pressurized ❑0 Suction ❑0 Gravity <br />system. <br />Overfill X Mechanical ❑11 Audible/visual <br />Prevention: <br />UST <br />Product <br />2 <br />DSL <br />Designatedc <br />Operator Mike Young (5295293) <br />p <br />'Dacte' 6/1 /2 0 13 <br />Violations: 0 M1 -Release Detection DM2-Release Prevention DM3—Both <br />On Site Service ICC Exp Manufacturer's <br />Technician: ChrisEdward5252301 Date: 'Mrch 2014 Training: VMI 3149 5/14; Asa Cosby VR 11/2013 <br />VIOLATIONS <br />I Cl I <br />C21 <br />M I <br />Code Section <br />HSC = California Health and Safety Code; CCR = California Code of Regulations <br />C1 = Class I violation; C2 = Class 2,Adafion; M = Minor violation <br />Fllelkevlaw� <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 tank system <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 w <br />Secondary containment: a) est not "rmed,. Ketest report not submitted within 30 days; (9jest notification <br />not ovi ed to the test 11 <br />a eair4b' I co Ic <br />hours prior tS cd <br />109 <br />CCR 2638 <br />Monitoring equipment certification: (a) not performed annually; (d) test report not submitted within 30 days; <br />(a) 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 (Ml) <br />ill <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 (MI) <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 cuffent 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 HSG 2_5Z98(c). <br />.,Permit to dose UST system not obtaineo._, <br />201 <br />CCR 2712(b) <br />Maintenance & monitoring records not maintained 3 years, cathodic protection records for 6'/ years, written <br />performance claims pertaining to release detection systems for 5 years, or records of repairs, linings, and <br />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, ground water elevations, or other test results; (6) results of inventory readings and reconciliations <br />202 <br />CCR 2712(1) <br />Monitoring plan, response plan, and/or operating permit and all conditions not onsite <br />203 <br />CCR <br />CCR 2650 <br />unauthorized release that (c) did not escape secondary containment and cleaned up within eight hours (Ml) <br />was not recorded; (a) escaped secondarycontainment, not cleaned up after eight hours, or a sudden loss of <br />product was not reported to the EHD within 24 hours <br />EHD 23-02 Rev 04119112 <br />Page 1 <br />UST INSPECTION REPORT <br />