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11 <br />SANJOAQUIN <br />-,-COLJ NTY---, <br />Pe LL <br />FEB 0 5 2018 <br />7 <br />nvironmental Health Department <br />7- <br />FA0007938 PRO508090 SC001 02102/2018 <br />EHD 23-01 Rev. 10/31/2017 Page 1 of 4 Undeqround Storage Tork Program OIR <br />CEV 03117 209 530-0370 <br />Fbrua 02 2013 <br />755 TRACY BLV® Ti�ACY A 95376 <br />Inspection Contact- 'ntle. <br />101323'13 <br />Phone: <br />Andrea Evans Site an er 209 530-0370 <br />Inspection Tyjw, 1Pro gram. <br />ROUTINE INSPECTION OperatinPe It <br />i, = 112361 -UST FACILI <br />Consent For: IConsent Given By: <br />InS action utas ® les Andrea Evans SiteMana er <br />Designated Operator: <br />Exp. Date; <br />' <br />Eli'ah Pender raft <br />10/14/2019 <br />VeederRoot 11/22/19VMI 07/01/18 <br />uring ins 'on <br />101 HSC 25284 Failure to obtain a valid permit to operate from the EHD including but no! limited io fees <br />unpaid <br />o V o o COS <br />102 <br />HSC 25284(a}(3}(�}/ <br />a wdtien agree nt between tank owner and tank operator to monitor the tank system <br />o V o R o COS <br />103 <br />HSC 25292.2, 25299.30 <br />Current financial responsibility documents not submitted <br />o V o R o COS <br />104 <br />CCR 2711 <br />UST operating p® 't application for facility and tank Information not submitted or <br />current <br />o V o R ®COS <br />105 <br />CCR 2632(d)(1), <br />Failed to have an approved UST monitoring plan <br />— <br />26 d) <br />o V o R o COS <br />106 <br />CCR 2632(d)(2), <br />Failed to have an approved UST response plan <br />— <br />2634(e) <br />o V o R a COS <br />107 <br />CCR 2632(d)(1)(C) <br />Plot plan/site map not submitted or failed to completely show where monitoring is <br />performed <br />o V a R o COS <br />108 <br />CCR 2637(f), 2638(e) <br />Fa tied to notify the EHD 48 hours prior to conducting testing <br />- <br />o o oCOS <br />109 <br />CCR 2637 <br />Failed to test secondary containment <br />o o oCOS <br />110 <br />CCR 2637(e) <br />Failed to submit secondary containment test report within 30 days <br />o V u R nCOS <br />111 <br />CCR 2638(a) <br />Failed to testmonitoring and leak detection equipment annually <br />— <br />0 V. OR o COS <br />112 <br />HSC 25284.2 <br />Failed to test spill containers annually <br />o aR o COS <br />3 <br />CCR 2638(o) <br />Failed to submit monitoring system certification test report within 30 days <br />o V o'R o COS <br />114 <br />CCR 2636(1) <br />Failed to perform 0.1 gph annual line test for pressurized piping without fail safe down <br />- <br />or shut <br />o V in R o <br />115 <br />CCR 2715(a) <br />Failed to submit to EHD notification of designated operator Identification or change Win �days <br />o V oR oCOS <br />116 <br />CCR 2715 <br />Designated operator, service tech or Installer did not possess current ICC certification <br />o V o R o COS <br />117 <br />CCR 2663(h) <br />Failed to inspect a lined or repaired steel tank within 10 years of fining and every 5 <br />years after <br />0 V ri, R OCOS <br />118 <br />CCR 2663 <br />Failed to submit tank lining certification within 30 days or to conduct proper to <br />- <br />n o o COS <br />119 <br />HSC 25299(a)(8), <br />Documents were falsified or misrepresented <br />— <br />25299(b)V) <br />o V o R a COS <br />120 <br />CCR 2635(d) <br />Failed to submit UST Certification of InstallationflAodification <br />o V o R o <br />121 <br />CCR 2712(1) <br />Failed to submit a written response within 30 days of receiving an inspection report <br />o V o R n COS <br />1 22 CCR 2631 Q) Failure to submit and maintain UST system component statement of compatibility for substance stored <br />— a V o R oCOS <br />FA0007938 PRO508090 SC001 02102/2018 <br />EHD 23-01 Rev. 10/31/2017 Page 1 of 4 Undeqround Storage Tork Program OIR <br />