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F SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 1868 East Hazelton Avenue, Stockton, California 95205-6232 Telephone: (209)468-3420 Fax: (209)468-3433 Web:www.sicehd.cam; Facility Facility Inspection Name: ;\� ` c® Phone: C)Cj _5q`i 'tj 1I Date: 3 Facility CERS � `R ID: Address: ` , r Z o C c Inspection Title: Phone: PS Contact: Inspection \ Program: 1 Type: Consent,,Given For: Consent Alasl5ection b-P otos ❑ Sampling Given By: ami �C.w fi Service Tech Exp. Designated Exp- Onsite: ®r"C_ Date: r�` Operator. L Date: Service Technician w Manufacturer's Training: \ ' 1 1 CCR=California Code of Regulations HSC=Heath and Safety Code CFR--Code of Federal Regulations ��pp V=Violation R=Repeat COS=Corrected on site during inspection NO- WINVAa W'184 x�_ K..Yrt w k '-:,^�'rd � Dm.x+Lxrhv .t 101 HSC 25284 No permit to operate(V650) ° ° ° 102 HSC 25284(a)(3) No written agreement between tank owner and tank operator to monitor the tank system(V735) ❑ ❑ ❑ 103 HSC 25292.2 Current financial responsibility documents not submitted(V720) ° ° ° 104 CCR 2711 UST operating permit application for facility and tank information not submitted or current(V651) ❑ ❑ o 105 CCR 2632(d)(1) Failed to have an approved UST monitoring plan(V852) ° ° ° 106 CCR 2632(d)(2) Failed to have an approved UST response plan(V853) ° ° ° 107 CCR 2632(d)(1)(C) Plot plan/site map not submitted or failed to completely show where mopitoring is performed(V655) ❑ ❑ ❑ 108 CCR 2637(f), Failed to notify the EHD 48 hours prior to conducting testing(V671) ❑ ° ° 2638(e) 109 CCR 2637 Failed to test secondary containment(V660) ° ° ° 110 CCR 2637(e) Failed to submit secondary containment test report within 30 days(V662) ❑ ° ° 111 CCR 2638(a) Failed to test monitoring and leak detection equipment annually(V659) ° ° ° 112 HSC 25284,2 Failed to test spill containers annually(V661) ° ° ° 113 CCR 2638(d) Failed to submit monitoring system certification test report within 30 days(V823) Cl ° ° 114 CCR 2636(f) Failed to perform 0.1 gph annual line test for pressurized piping without fail safe or shut down(V663) ❑ ❑ ❑ 115 CCR 2715(a) Failed to inform the EHD of designated operator identification or change within 30 days(V658) ❑ ❑ ❑ 116 CCR 2715 Designated operator,service tech or installer did not possess current ICC certification(V848) ❑ ❑ ❑ 117 CCR 2663 Failed to inspect a lined or repaired steel tank within 10 years of lining and every 5 years after(V666) ❑ ❑ ❑ 118 CCR 2663 Failed to submit tank lining certification within 30 days or to conduct proper tests(V667) ❑ ❑ ° 119 HSC 25299 Documents were falsified or misrepresented(V657) 120 CCR 2635(d) Failed to submit UST Certification of Installation/Modification(V840) 121 CCR 2712(0 Failed to submit a written response within 30 days of receiving an inspection report(V804) ❑ ❑ ❑ 122 CCR 26310) Failure to submit UST system component statement of compatibility for substance stored(V721) ❑ ❑ ❑ 201 CCR 2712(b) Failed to maintain alarm logs and/or records of follow up actions(V725) ° ° ° 202 CCR 2712(b) Failed to maintain cathodic protection test records on site for at least 6 1/2 years(V733) ❑ ❑ ❑ 203 CCR 2712(b) Failed to maintain records of monitoring,repair,lining,and upgrades on site(V732) ❑ ° ° 204 CCR 2712(i) Current monitoring plan approved by the EHD not found on site(V734) ° ° ° 205 CCR 2712(1) Failure to have an approved UST response plan available onsite(V654) ❑ 206 CCR 2712 Failure to comply with UST operating permit conditions(V738) ° 207 HSC 25294 Failed to record unauthorized release from primary containment(V737) ° ° ° ReceivedInspector: Inspector W" y "s By(initial): C Phone: /ES'' `f 5 UST INSPECTION REPORT EHD 23-01 REV 07/28/16 Page 1