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RECEIVED <br /> SAN 10AQUIN 11I 1 3 '6vironmental Health Department <br /> ENVIRONMEN 71AL HEALTH AMENDED <br /> O F F'i't R -I- n n F NT 9/16/2020 <br /> Underground Storage Tank Program Inspection Report <br /> Facility Name: Facility Phone : Date : <br /> LODI MUNI SERVICE CENTER (209 ) 367-4800 September 16, 2020 <br /> Facility Address : CERS ID: <br /> 1331 S HAM LN , LODI , CA 95242 10181549 <br /> inspection Contact: Title: Phone: <br /> Randy Laney Fleet Superintendent ( ) <br /> inspection Type: Program: <br /> ROUTINE INSPECTION - Operating Permit 2361 - UST FACILITY <br /> Consent For: Consent Given By: <br /> ❑x Inspection ❑x Photos 0 Samples Randy Laney, Fleet Superintendent <br /> Service Technician Onsite: Exp, Date: Designated Operator: Exp. Date: <br /> Edward Sterns 11 /09/2020 Andrew Bagley 08/ 12/2022 <br /> Service Technician Manufacturer's Training: <br /> VMI , 06/18/21 ; VR , 08/01 /21 ; FF , TBD ; TT, 09/30/20 <br /> CCR = Title 23 Caitfomla Code or Regulations HSC = Health and Safety Code CFR = Code of Federal Regulations <br /> V = Violation R = Repeat violation COS = Corrected on site dudng Inspection <br /> File Review <br /> 101 HSC 25284; CCR Failed to obtain a permit to operate from the EHD Including but not limited to unpaid permit fees ❑ V ❑ R ❑ COS <br /> 2711 (d) <br /> 102 HSC 25284(a)(3)(A)/(B) No written agreement between tank owner and tank operator to monitor the tank system ❑ V ❑ R ❑ COS <br /> 103 HSC 25292 .2 , 25299 .30 Failure to submit and maintain complete and current financial responsibility documents ❑ V ❑ R ❑ COS <br /> 104 CCR 2711 UST operating permit application for facility and tank information not submitted or current ■ V D R ❑ COS <br /> 105 CCR 2632(d)( 1 ), Failed to have an approved UST monitoring plan ❑ V DR ❑ COS <br /> 2634(d) <br /> 106 CCR 2632(d)(2) , Failed to have an approved UST response plan ❑ V ❑ R ❑ COS <br /> 2634(e) <br /> 107 CCR 2632(d) , 2641 (h), Plot plan/site map not submitted or failed to completely show where monitoring Is performed ❑ V ❑ R ❑ COS <br /> 2711 a) <br /> 108 CCR 2637 , 2638(e), Failed to notify the EHD 48 hours prior to conducting testing ❑ V ❑ R ❑ COS <br /> 2643 (g ) <br /> 109 CCR 2637(a-d ) , 2712 Failed to test secondary containment, or failed to maintain lest records for 36 months ❑ V ❑ R ❑ COS <br /> 110 CCR 2637(e), 2637(f) Failed to submit "Secondary Containment Testing Report Form" within 30 days after the test ❑ V ❑ R ❑ COS <br /> 111 CCR 2638 , 26410), Failed to test monitoring and leak detection equipment every 12 months ❑ V ❑ R ❑ COS <br /> 2715(f) <br /> 112 HSC 25293 Failure to maintain UST records to enable the UPA to determine whether the UST is in compliance ❑ V ❑ R ❑ COS <br /> 113 CCR 2638(c) , 2638(d) Failure to submit "Monitoring System Certification Form" within 30 days of completion of the test ❑ V ❑ R ❑ COS <br /> 114 CCR 2636(9(3) , 2643(c) No 0. 1 gph annual line integrity test for pressurized piping , or within 30 days after repair ❑ V ❑ R ❑ COS <br /> (3) <br /> 115 CCR 2715(a )(1 )(B), "Designated Underground Storage Tank Operator Identification Form" not submitted within 30 days ❑ V ❑ R ❑ COS <br /> 2715 a (3 <br /> 116 CCR 2715 Designated operator, service tech or installer did not possess current ICC Certification ❑ V ❑ R ❑ COS <br /> 117 CCR 2663, 2712(b) (6) Failure to comply with tank lining , recordkeeping, and Inspection requirements ❑ V ❑ R ❑ COS <br /> 118 CCR 2715(a)(1 ) (A), Failure to submit the "Underground Storage Tank Statement of Understanding and Compliance Form" ❑ V ❑ R ❑ COS <br /> 2715 (a)(2) <br /> 119 HSC 25299(a)(8), Documents were falsified or misrepresented ❑ V ❑ R ❑ COS <br /> 25299(b)(7) <br /> 120 CCR 2635(d) Failed to submit UST Certification of Installation/Modification ❑ V ❑ R ❑ COS <br /> 121 CCR 2712(f) Failure to implement corrections and submit written response within 30 days of receiving the report ❑ V ❑ R ❑ COS <br /> I <br /> FA0003961 PR0231332 SCO01 09/1612020 <br /> I <br /> EHD 23-01 Rev. 9/16/2020 Page 1 of 5 Underground Storage Tank Program OIR <br /> 1868 E . Hazelton Avenue I Stockton , California 95205 1 T 209 468-3420 F 209 464-0138 1 www .sjgov. org/EHD <br />