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. S A N J O A Q U I N Environmental Health Department is — - — — COUNTY 14MENDED Underground Storage Tank Program Inspection Report Facility Name : Facility Phone: Date : ARMY COURT ( 775 ) 335 -0126 June 10 , 2019 Facility Address : CERS ID: 1624 ARMY CT, STOCKTON , CA 95206 10181409 Inspection Contact: Title: Phone: Barbara Mcdermott TGeneral Manager (209 ) 993 - 3212 Inspection Type: Program : ROUTINE INSPECTION - Operating Permit 12361 - UST FACILITY Consent For: Consent Given By : Z Inspection Z Photos Z Samples Barbara Mcdermott, General Manager Service Technician Onsite: Exp, Date : Designated Operator: Exp. Date : David Winkler 03/31 /2020 David Winkler 03/31 /2020 Service Technician Manufacturer's Training TT , 03/31 /20 , OPW , 03/ 14/20 ; VR , 02/28/20 R = Title 23 California Code of Regulations HSC = Heath and Safety Code CFR = Code of Federal Regulations V = Violation R = Repeat violation COS = Corrected on site during inspection 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 n R o 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 o R ❑ COS 103 HSC 25292 . 21 25299 . 30 Failure to submit and maintain complete and current financial responsibility documents ■ V n R o COS 104 CCR 2711 UST operating permit application for facility and tank information not submitted or current ■ V n R ❑ COS 105 CCR 2632 (d) ( 1 ) , Failed to have an approved UST monitoring plan ■ V n R n COS 2634(d) 106 CCR 2632 (d ) (2) , Failed to have an approved UST response plan ■ V n R o COS 2634(e) 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 n V n R n COS 2643(g) 109 CCR 2637(a-d ) , 2712 Failed to test secondary containment, or failed to maintain test records for 36 months n V n R o COS 110 CCR 2637(e) , 2637 (f) Failed to submit "Secondary Containment Testing Report Form" within 30 days after the test n V ❑ R ❑ COS 111 CCR 2638 , 26410) , Failed to test monitoring and leak detection equipment every 12 months ■ V ❑ R ❑ COS 2715(f) 112 HSC 25293 Failure to maintain UST records to enable the UPA to determine whether the UST is in compliance ❑ V o R n COS 113 CCR 2638 (c) , 2638 (d ) Failure to submit " Monitoring System Certification Form" within 30 days of completion of the test n V n R o COS 114 CCR 2636(0 (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 n V ❑ R ❑ COS 2715 (a) (3) 116 CCR 2715 Designated operator, service tech or installer did not possess current ICC certification n V o R n 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 n R n COS 2715(a) (2) 119 HSC 25299(a) (8) , Documents were falsified or misrepresented n V n R n COS 25299(b) (7) 120 CCR 2635(d) Failed to submit UST Certification of Installation/Modification n V o R n COS 121 CCR 2712 (f) Failed to submit a written response within 30 days of receiving an inspection report ❑ V ❑ R ❑ COS FA0003777 PR0231014 SC001 06/10/2019 EHD 23-01 Rev. 09/28/2018 Page 1 of 7 Underground Storage Tank Program OIR 1868 E . Hazelton Avenue Stockton , California 95205 1 T 209 468 -3420 F 209 464 -0138 1 www , sjcehd . com