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Environmellal Health Department <br /> -COUNTY <br /> Ait • SAKPWOUIN <br /> A, <br /> T, <br /> Facility Name: Facility Phone: Date: <br /> TULARE FARMS LLLP (209) 235-3055 January 19, 2018 <br /> Facility Address: CERS ID: <br /> 2771 E FRENCH CAMP , MANTECA, CA 95336 10181191 <br /> Inspection Contact: Title: Phone: <br /> Mike Edgar Food Safety Manager (209) 235-3055 <br /> Inspection Type: J-Program. <br /> ROUTINE INSPECTION -Operating Permit 12361 - LIST FACILITY <br /> Consent For: Consent Given By: <br /> 9 Inspection 9 Photos Z Samples I Mike Edgar, Food Safety Manager <br /> Service Technician Onsite: Exp.Date: Designated Operator: Exp.Date: <br /> Zane Nimmo 06/02/2019 Felix Ramirez 02/26/2018 <br /> Service Technician Manufacturer's Training <br /> Tank Tester,03/31/19-1 Veeder Root, 11/16/18 <br /> CCR California Code of Regulations HSC Health and Safety Code CPR Code of Federal Regulations <br /> V=Violation R=Repeat violation COS=Corrected on site during inspection <br /> 101 HSC 25284 Failure to obtain a valid permit to operate from the EHD including but not limited to unpaid fees Ei V Li R o COS <br /> 102 HSC 25284(a)(3)(A)/(B) No written agreement between tank owner and tank operator to monitor the tank system o V o R Ei COS <br /> 103 HSC 25292.2,25299.30 Current financial responsibility documents not submitted m V E R [i COS <br /> 104 CCR 2711 UST operating permit application for facility and tank information not submitted or current w V m R o COS <br /> 105 CCR 2632(d)(1), Failed to have an approved UST monitoring plan Li V o R Ei COS <br /> 2634(d) <br /> 106 CCR 2632(d)(2), Failed to have an approved UST response plan o V Ei R Ei COS <br /> 2634(e) <br /> 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 Li COS <br /> 108 CCR 2637(f),2638(e) Failed to notify the EHD 48 hours prior to conducting testing Ei V E R o COS <br /> 109 CCR 2637 Failed to test secondary containment Li V o R Ei COS <br /> 110 CCR 2637(e) Failed to submit secondary containment test report within 30 days Ei V Ei R o COS <br /> 111 CCR 2638(a) Failed to test monitoring and leak detection equipment annually o V ii R o COS <br /> 112 HSC 25284.2 Failed to test spill containers annually o V o R Ei COS <br /> 113 CCR 2638(d) Failed to submit monitoring system certification test report within 30 days ci V Ei R Li COS <br /> 114 CCR 2636(f) Failed to perform 0.1 gph annual line test for pressurized piping without fail safe or shut down Li V o R [i COS <br /> 115 CCR 2715(a) Failed to submit to EHD notification of designated operator identification or change w/in 30 days Ei V ii R Ei COS <br /> 116 CCR 2715 Designated operator,service tech or installer did not possess current ICC certification Li V ii R Ei COS <br /> 117 CCR 2663(h) Failed to inspect a lined or repaired steel tank within 10 years of lining and every 5 years after o V c R Ei COS <br /> 118 CCR 2663 Failed to submit tank lining certification within 30 days or to conduct proper tests o V E R Fi COS <br /> 119 HSC 25299(a)(8), Documents were falsified or misrepresented Li V o R E COS <br /> 25299(b)(7) <br /> 120 CCR 2635(d) Failed to submit UST Certification of Installation/Modification Ei V Li R o COS <br /> 121 CCR 2712(f) Failed to submit a written response within 30 days of receiving an inspection report o V E R o COS <br /> 122 CCR 26310) Failure to submit and maintain UST system component statement of compatibility for substance stored I o V o R ci COS <br /> �4 <br /> 4% <br /> `C <br /> M, <br /> g <br /> p <br /> SW`IR <br /> ITT <br /> 201 CCR 2712(b) Failure to maintain monitoring, maintenance,and follow up action records o V o R o COS <br /> FA0003508 PR0234251 SCO01 01/19/2018 <br /> EHD 23-01 Rev.10/31/2017 Page I of 4 Underground Storage Tank Program OIR <br /> 1868 E. Hazelton Avenue I Stockton, California 952051 T 209 468-34201 F 209 464-0138 1 www.sjcehd.com <br />