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Ci" e E . I. (i OA o . I SAN JOAQUIN Environmental elt 'De artment COUNTY I . Underground Storage Tank Program Inspection Report Facility Name: Facility Phone: Date : ARCO 05450 (209 ) 462- 1617 July 15 , 2019 Facility Address : CERS ID: 1617 W FREMONT ST , STOCKTON , CA 95203 10181235 Inspection Contact: Title: Phone: Stacy Shipp Manager (209 ) 462- 1617 Inspection Type: Program : ROUTINE INSPECTION - Operating Permit 2361 - UST FACILITY Consent For: Consent Given By: 0 Inspection N Photos 0 Sam les Stacy Shipp , Manager Service Technician Onsite: Exp, Date: Designated Operator: Exp. Date : David Rouse 06/28/2020 Khalil AkKhalidi 11 /28/2020 Service Technician Manufacturer's Training VMI , 09/07/20 ; VR , 07/20/20 ; OPW( SB) , 03/08/21 CCR = Title 23 California Code of Regulations HSC = Health and Safety Code CFR = Code of Federal Regulations V = Violation R = Repeat violation COS = Corrected on site during inspectio File Review 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 2711 d) 102 HSC 25284(a) (3) (A)/(B) No written agreement between tank owner and tank operator to monitor the tank system ❑ V ❑ R ❑ COS 103 HSC 25292 .2 , 25299 . 30 Failure to submit and maintain complete and current financial responsibility documents ❑ V ❑ R ❑ COS 104 CCR 2711 UST operating permit application for facility and tank information not submitted or current ❑ V ❑ R ❑ COS 105 CCR 2632(d) (1 ) , 2634(d Failed to have an approved UST monitoring plan ❑ V ❑ R ❑ COS 106 CCR 2632(d) (2) , 2634(e Failed to have an approved UST response plan ❑ V ❑ R ❑ COS 107 CCR 2632 (d) , 2641 (h) , Plot plan/site map not submitted or failed to completely show where monitoring is performed ❑ V ❑ R ❑ COS 2711 a 108 CCR 2637 , 2638(e) , Failed to notify the EHD 48 hours prior to conducting testing ❑ V ❑ R ❑ COS 2643 ( 109 CCR 2637(a-d) , 2712 Failed to test secondary containment, or failed to maintain test records for 36 months ❑ V ❑ R ❑ COS 110 CCR 2637(e) , 2637(f) Failed to submit "Secondary Containment Testing Report Form" within 30 days after the test ❑ V ❑ R ❑ COS 111 CCR 2638 , 26410) , Failed to test monitoring and leak detection equipment every 12 months ❑ V ❑ R ❑ COS 2715 112 HSC 25293 Failure to maintain UST records to enable the UPA to determine whether the UST is in compliance ❑ V ❑ R ❑ COS 113 CCR 2638(c) , 2638(d) Failure to submit "Monitoring System Certification Form" within 30 days of completion of the test ❑ V ❑ R ❑ COS 114 CCR 2636(f) (3) , 2643 (c) No 0 . 1 gph annual line integrity test for pressurized piping , or within 30 days after repair ❑ V ❑ R ❑ COS 3 115 CCR 2715(a) (1 ) (B) , " Designated Underground Storage Tank Operator Identification Form" not submitted within 30 days ❑ V ❑ R ❑ COS 2715 a 3 116 CCR 2715 Designated operator, service tech or installer did not possess current ICC certification ❑ V ❑ R ❑ COS 117 CCR 2663 , 2712(b) (6) Failure to comply with tank lining , recordkeeping , and inspection requirements ❑ V ❑ R ❑ COS 118 CCR 2715(a) ( 1 ) (A) , Failure to submit the " Underground Storage Tank Statement of Understanding and Compliance Form " ❑ V ❑ R ❑ COS 2715 a 2 119 HSC 25299(a) (8) , Documents were falsified or misrepresented ❑ V ❑ R ❑ COS 25299 b (7 120 CCR 2635(d) Failed to submit UST Certification of Installation/Modification ❑ V ❑ R ❑ COS 121 CCR 2712(f) Failed to submit a written response within 30 days of receiving an inspection report ❑ V ❑ R ❑ COS 122 CCR 2631 , 2640 . 1 , Failure to submit and/or maintain documentation regarding compatibility for UST system components ❑ V ❑ R ❑ COS 2665 , 2711 FA0003606 PR0231923 SCO01 07/15/2019 EHD 23-01 Rev, 09/28/2018 Page 1 of 4 Underground Storage Tank Program OIR 1868 E . Hazelton Avenue I Stockton , California 95205 1 T 209 468 -3420 F 209 464-0138 1 www . sjcehd. com