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SAN J O A Q U I N Environmental Health Department COIJNTY- Underground Storage Tank Program Inspection Report Facility Name: Facility Phone: Date: LAKEWOOD CHEVRON (209)333-6303 March 13. 2019 Facility Address: CERS ID: 236 N HAM LN, LODI, CA 95240 10181333 Inspection Contact: Title: Phone: Shawn Sodhi Manager (209)712-7359 Inspection Type: Program: ROUTINE INSPECTION-Operating Permit 12361 -UST FACILITY Consent For: Consent Given By: 0 Inspection ❑x Photos ❑x Samples Shawn Sodhi, Manager Service Technician Onsite: Exp.Date: Designated Operator: Exp.Date: David Winkler 01/31/2020 Alex Jabbari 10/01/2020 Service Technician Manufacturer's Training: Veeder Root, 02/08/20;VMI, 11/10/19; SB,03/14/20 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 inspection File Review 101 HSC 25284 Failed to obtain a permit to operate from the EHD including but not limited to unpaid permit fees o V D R D COS 102 HSC 25284(a)(3)(A)/(B) No written agreement between tank owner and tank operator to monitor the tank system D V DR D COS 103 HSC 25292.2,25299.30 Failure to submit and maintain complete and current financial responsibility documents D V o R D COS 104 CCR 2711 UST operating permit application for facility and tank information not submitted or current ■V D R D COS 105 CCR 2632(d)(1), Failed to have an approved UST monitoring plan o V D R D COS 12634(d) 106 CCR 2632(d)(2), Failed to have an approved UST response plan D V D R o COS 2634(e) 107 CCR 2632(d)(1)(C) Plot plan/site map not submitted or failed to completely show where monitoring is performed o V DR D COS 108 CCR 2637,2638(e), Failed to notify the EHD 48 hours prior to conducting testing OV DR o COS 2643(g) 109 CCR 2637(a-d),2712 Failed to test secondary containment,or failed to maintain test records for 36 months D V DR D COS 110 CCR 2637(e),2637(f) Failed to submit"Secondary Containment Testing Report Form"within 30 days after the test D V DR D COS 111 CCR 2638(a)&(b), Failed to test monitoring and leak detection equipment annually D V DR D COS 26410) 112 HSC 25293 Failure to maintain UST records to enable the UPA to determine whether the UST is in compliance D V DR D COS 113 CCR 2638(c),2638(d) Failure to submit"Monitoring System Certification Form"within 30 days of completion of the test D V DR o 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 D V ❑R D COS (3) 115 CCR 2715(a)(1)(B), "Designated Underground Storage Tank Operator Identification Form"not submitted within 30 days D V D R o COS 2715(a)(3) 116 CCR 2715 Designated operator,service tech or installer did not possess current ICC certification D V DR c COS 117 CCR 2663, 2712(b)(6) Failure to comply with tank lining,recordkeeping,and inspection requirements D V DR D COS 118 CCR 2715(a)(1)(A), Failure to submit the"Underground Storage Tank Statement of Understanding and Compliance Form" o V DR D COS 2715(a)(2) 119 HSC 25299(a)(8), Documents were falsified or misrepresented D V DR D COS 25299(b)(7) 120 CCR 2635(d) Failed to submit UST Certification of Installation/Modification D V DR o COS 121 CCR 2712(f) Failed to submit a written response within 30 days of receiving an inspection report D V DR u COS 122 CCR 2631,2640.1, Failure to submit and/or maintain documentation regarding compatibility for UST system components o V DR D COS 2665,2711 FA0003711 PR0231333 SC001 03/13/2019 EHD 23-01 Rev.09/28/2018 Page 1 of 4 Underground Storage Tank Program OIR 1868 E. Hazelton Avenue I Stockton, California 952051 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com