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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, California 95202-3029 <br /> Telephone:(209)468-3420 Fax:(209)468-3433 Web:www.s*Qov.orq/ehd/unitiii.html <br /> UNDERGROUND STORAGE TANK (UST) PROGRAM INSPECTION REPORT <br /> Facility name: Inspection date: <br /> Grant Line Shell June 10, 2011 <br /> Facility address: UST#/ <br /> 2375 West Grant Line Road, Tracy, 95376 Product <br /> Facility contact: Title: Phone: 03G�b� 1 2 3 4 <br /> Jamie Store Mgr BA9-5293 /DSL 87 89 91 <br /> Monitoring panel: Piping system: Overfill prevention: Violations: <br /> Veeder-Root Simplicity ❑XPressurized❑Suction❑Gravity ❑MechanicalX ba aU M1-RDetect❑M2-RPrev❑M3-Both <br /> udible/visual <br /> Inspection type: gsigned op rator: IC ex .date: <br /> Q Routine Q Monitoring Certification ❑Installation ❑Other rlan tunanay 12/1�/1 <br /> Alvin Milburn 11/12/12 <br /> On site Service Technician's name: ICC exp.date: Manufacturer's training: fid() D�,A . <br /> .64 aLr► W rorw (0 a3(I VM( (mt VYL 01t?s12 0t tell 2 <br /> # Code Section HSC=CA Health&Safet Code;CCR=CA CodVIOe V=Violation; RV=Re eat Violation V v <br /> 1 HSC 25284 No permit tooperate <br /> Secondary containment:(a)test not performed; (e)test report not submitted within 30 days; (f)test <br /> 2 CCR 2637 notification not provided to the Environmental Health Department(EHD)at least 48 hours prior to <br /> conducting the test 1 20 t t <br /> 3 CCR 2711 b Current Unified Program Con olidated Forms not on file with the EHD(Facility and tank form <br /> 4 HSC 25292.2 Current financial responsibility documents not on file with the EHD- -r <br /> 5 CCR 2632(b) Monitoring Program(Monitoring&Response Plans is not current or approved Vy the EHD <br /> 6 CCR 2712(i) Monitoring Ian, response plan,and/oroperating permit and all conditions not onsite <br /> Maintenance&monitoring records not maintained 3 years,cathodic protection records for 6 Y (M1) <br /> years,written performance claims pertaining to release detection systems for 5 years, or records of <br /> repairs, linings, and upgrades for the life of the tank. Monitoring records include: (1)date and time of <br /> 7 CCR 2712(b) all monitoring or sampling; (2)monitoring equipment calibration and maintenance records; (3)results <br /> of any visual observations; (4)results of sample analysis performed a lab or in the field; (5)logs of all <br /> readings of gauges or other monitoring equipment,ground water elevations, or other test results;(6) <br /> results of inventory readings and reconciliations <br /> 8 CCR 2643(d) Daily monitoring of suction piping(pre-January1, 1984 not performed M1 <br /> 9 HSC 25292.1 UST system is not operated to prevent unauthorized release,including spills and overfills <br /> 10 CCR 2632(c)(2) Monitoring system is not present in the interstitials ace of a double walled UST M1 <br /> 11 CCR 2630(d) UST monitoring equipment is not installed or maintained to detect a leak at the earliest opportunity(mi) <br /> 12 HSC 25291(b) UST monitoring system incapable of detecting leak from primary containment into secondary (M1) <br /> containment <br /> 13 CCR 2636(f)(1) Failed to maintain a continuous monitoring system for underground piping&UDCs that activates (M1) <br /> an audible and visual alarm or stops flow of product at the dispenser when it detects a leak <br /> 14 CCR 2631 a Primary containment is not product tight <br /> 15 HSC 25291(a)(2) Secondary containment for UST system is not tight <br /> 16 CCR 2636(c)(1) All releases in secondary pipingdo not flow to a collection sum <br /> 17 CCR 2636(f)(2) Line leak detectors not installed or failed to detect a 3-gallon per hour leak at 10 psi (M1) <br /> 18 CCR 2635(b)(1) Spill container failed to contain a minimum capacity of five gallons,or failed to provide a means (M2) <br /> to keep the spill container empty <br /> 19 CCR 2635(b)2 Overfill prevention system was overridden or failed to meet overfill requirements in this section (M2) <br /> 20 CCR 2636(a) Failed to have secondary containment for piping(includes conventional suction piping) M2) <br /> 21 HSC 25291(e) Water in 20 containment not removed,analyzed&properly disposed of <br /> Unauthorized release that:(c)did not escape secondary containment and cleaned up within eight (M1) <br /> 22 CCR 2650 hours was not recorded;(e)escaped secondary containment, not cleaned up after eight hours,or a <br /> sudden loss of product was not reported to the EHD within 24 hours <br /> 23a CCR 2715(a) Failed to inform the EHD of a change of designated operator within 30 days <br /> 23b CCR 2715(b) Designated operator did not possess a current I T System Operator certification <br /> EHD inspe or: R i ed b Title: <br /> EHD 23-02-002 REV 09/13/10 Page 1 US NSPECTION REPORT <br />