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0 0 <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton,California 95205-6232 <br /> Telephone:(209)468-3420 Fax;(209)468-3433 Web:www.sjgov.or'ci/ehd <br /> UNDERGROUND STORAGE TANK(UST)PROGRAM INSPECTION REPORT <br /> Facility lity inspection <br /> Name. Pilot Flying Faci <br /> J #617 TAddress: 15237 N. Thornton Rd. Lodi, CA -Date: May 15, 2014 <br /> Facility Title: <br /> c,,a,-, Jose Jimenez Store Director 339-4066 <br /> inspection . <br /> Type: X Routine ;'Monitoring System Certification installation Complaint-to* Other. <br /> (Authority HSC 25289) <br /> Consent for XInspection XSamping XPhotos Granted by:Jcise Jimenez Title: Store Director <br /> Monitoring ping !;Grout. overfill Audiblelvisual <br /> Panel: Veeder-Root TLS-350 System X Pressurized Suction , X Mechanical <br /> ystern: Prevention: <br /> UST1 2 3 5---1-------------- ------ --------------- <br /> Product 87-octane 87-octane 87-octa91-oc'an- <br /> Designated x <br /> Operator. Lance York P' 9-1-14 Violations: 1 M1-Release Detection M2-Release Prevention :..;W-Both <br /> Date: <br /> On Site ServiceManufacturer's <br /> Technician: Edwin Careas 'cc Exp-5-17-15 vr 10-27-14, vmi 8-6-14, swrcb 3-21-16 <br /> Date: Training: <br /> VIOLATIONS <br /> HSC=California Health and SafeM Code Section ly Code;CCR=Gagornia Code of Regulations <br /> Cl=Class 1 violation:C2 <br /> File Review <br /> 101 HSC 25284 No permit to operate <br /> 102 HSC 25404,5 Annual operating fees not paid <br /> 103 HSC 25284(a)(3) No written agreement between the person that the operating permit was issued to and the tank operator to <br /> monitor the tank system <br /> 104 HSC 25292.2 Current financial responsibility documents not on file with the Environmental Health Department(EHD) <br /> 105 CCR 2711 Current Unified Program Consolidated Forms not on file with the EHD(Facility and tank form) <br /> 106 CCR 2632(b) Monitoring Program(Monitoring&Response Plans)is not current or approved by the EHD <br /> 107 CCR 2632(d)(1)(C) Plot plardsite map not submitted or fails to completely show where monitoring is performed <br /> 108 CCR 2637 Secondary containment:(a)test not performed;(e)test report not submitted within 30 days;(f)test notification <br /> not provided to the EHD at least 48 hours prior to conducting the test <br /> Monitoring equipment certification:(a)not performed annually;(d)test report not submitted within 30 days; <br /> 109 CCR 2638 (e)test notification not provided to the EHD at least 48 hours prior to conducting an installation,repair, <br /> calibration,or certification <br /> 110 HSC 25291(0 Annual line teak detector test not performed (Mil <br /> ill HSC 25284.2 Annual spill containment testing not performed <br /> 112 CCR 26360(4) Annual line tightness test not performed If positive shutdown or fail safe not present (MI) <br /> 113 CCR 2715(a) Faded to inform the EHD of a change of designated operator within 30 days <br /> 114 CCR 2715(b) Designated operator does not possess a current ICC CA UST System Operator certification <br /> 115 CCR 2660(k) Repair for tank or piping not tested for tightness after completion of the repair pursuant to (1111112) <br /> permit conditions <br /> 116 HSC 25292.5 Enhanced leak detection(ELD)testing not performed on a system located within 1000'of public well,or <br /> failures not repaired and retested <br /> 117 CCR 2661 Pen-nit to repair UST system not obtained <br /> 118 HSC 25286(a) Operational permit not amended when UST storage and/or monitoring system changed <br /> 119 HSC 25298(b) Permit to temporarily close UST system not obtained <br /> 120 HSC 25298(c) Permit to dose UST system not obtained <br /> On Sft Records <br /> Maintenance&monitoring records not maintained 3 years,cathodic protection records for 6'/years,written <br /> performance claims pertaining to release detection systems for 5 years,or records of repairs,linings.and <br /> 201 CCR 2712(b) upgrades for the life of ft tank. Monitoring records include:(1)date and time of all monitoring or sampling; <br /> (2)monitoring equipment calibration and maintenance records;(3)results of any visual observations:(4) <br /> results of sample analysis performed a lab or in the fleld;(5)logs of all readings of gauges or other monitoring <br /> Nuipment,ground water elevations,or other test results-,(6)results of inventory readings and reconciliations_ <br /> 202 CCR 2712(1) Monitoring plan,response plan,and/or operating permit and all conditions not onsite <br /> Unauthorized release that:(c)did not escape secondary containment and cleaned up within eight hours (m) <br /> CCR 2650 was not recorded;(e)escaped secondary containment,not cleaned up after eight hours,or a sudden loss of <br /> product was not reported to the EHD within 24 hours <br /> Received By: Title: <br /> Arls el 1 (209) 468-3453/W''6j <br /> 1 <br /> EHO 23-02 Rev(14/19/12 Pat UJ INSPECTION REPORT <br />