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San Joaquin County Environmental Health Department 1868 East Hazelton Avenue, Stockton, California95205-6232 Telephone. (209) 468-3420 Fax: (209) 468-3433 Web.vvv,/W.sjgov.oM/ehd Underground Storage Tank Program Inspection Report Facility Name: Facd ty Phone: Date: 2 0 u a L I- LP 5 J-W-HAary Facility Address: CERS ID: 277-1, !EE" FR;`.-"NH CA0AP RD, Inspection Contact: Title: --Fph?ne.: a Inspection Type: Program: LHY Consent For: Consent Given By: ,a �01 Inspection 1,4 Photos I'K Samples i) Ea� .Ig . a na:'r Service Technician Onsite: Exp.Date: Designated Operator: Exp.Date: nwrp- C) 4, Service Technician Manufacturer's Training CCR California Code of RegulYtions FISC=Realth an sox"Code UFR Z%de-of I'Mera l Regulations V=Violation R=Repeat violation COS=Corrected on site during inspection File Review 101 HSC 25284 No permit to operate ❑V o R D COS 102 HSC 25284(a)(3) No written agreement between tank owner and tank operator to monitor the tank system ❑V o R Ei COS 103 HSC 25292.2 Current financial responsibility documents not submitted Ei V E R o COS 104 CCR 2711 UST Operating Permit Application for Facility and Tank information not submitted or current Ei V Ei R o COS 105 HSC 25286(c) Current BOE number not submitted o V Ei R Ei COS 106 CCR 2632 Monitoring and response plans not current or approved by the EHD Ei V o R Ei COS 107 CCR 2632(d)(1)(C) Plot plan/site map not submitted or failed to completely show where monitoring is performed o V Ei R o COS 108 CCR 2637(0,2638(e) Failed to notify the EHD 48 hours prior to conducting testing o V u R Ei COS 109 CCR 2637 Failed to test secondary containment o V D R Ei COS 110 CCR 2637(e) Failed to submit secondary containment test report within 30 days E V D R o COS 111 CCR 2638(a) Failed to test monitoring and leak detection equipment annually o V Ei R Ei COS 112 HSC 25284.2 Failed to test spill containers annually ui V o R Li COS — 113 CCR 2638(d) Failed to submit monitoring system certification test report within 30 days o V Ei R o COS 114 CCR 2636(o Failed to perform 0.1 gph annual line test for pressurized piping without fail safe or shut down o V Ei R o COS 115 CCR 2715(a) Failed to inform the EHD of a change of designated operator within 30 days o V o R o COS — 116 CCR 2715 Designated operator,service tech or installer did not possess current ICC certification ii V ii R Ei COS r1l 7 HSC 25292.5 Failed to conduct ELD testing on a system located within 1 000'of a public well o V c R o COS 118 0 V o R o COS 18 HSC 25292.5 Failed to repair and retest system due to failed ELD test — E:i V E:i R D COS 1119 19 CCR 2644.1(a)(5) Failed to submit ELD test results within 60 days 5 years after Ei V o R u COS 120 CCR 2663 Failed to inspect a lined or repaired steel tank within 10 years of lining and every — 121 CCR 2663 Failed to submit tank lining certification within 30 days or to conduct proper tests ❑V 0 R o COS [122 HSC 25299 Documents were falsified or misrepresented o V E3 Ei R Ei COS 123 CCR 2661 Permit to repair UST system not obtained — o V ❑R o COS 124 CCR 2635(4) Failed to submit UST Certification of Installation/Modification o V Ei R u COS 125 CCR 27120 Failed to submit a written response within 30 days of receiving an inspection report — Ei V o R Ej COS Received. by Inspector '9 9 TDate- 1) ` 1 0 1/1 (initial}: L.ENA NAANZ0. Se��'oi R'r-'HS Page 1 o