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c r� j OQQU I ,environmental Health Department == N T Underground Storage Tank Program Inspection Report Facility Name: Facility Phone: Date: TRACY76 209 481-7445 May 22, 2019 Facility Address: CERS ID: 2420 W GRANT LINE RD, Tracy, CA 95377 10456027 Inspection Contact: Title: Phone: Praveen Parashar I Manager (209) 830-1139 Inspection Type: Program: ROUTINE INSPECTION - Operating Permit 12361 - UST FACILITY Consent For: I Consent Given By: 0 Inspection 0 Photos 0 Samples I Praveen Parashar, Manager Service Technician Onsite: Exp.Date: Designated Operator: Exp.Date: Edward Stearns 11/19/2020 TonV Fontana 05/01/2020 Service Technician Manufacturer's Training VMI, 06/20/20, Veeder Root, 08/31/19; SB, 11/29/19 CCR=Title 23 California code of Regulations HSC=Health and Safety Code CFR= ode of Federal Regulations V=Violation R=Repeat violation COS=Corrected on site during 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 o R o COS 102 HSC 25284(a)(3)(A)/(B) No written agreement between tank owner and tank operator to monitor the tank system o V o R o COS 103 HSC 25292.2,25299.30 Failure to submit and maintain complete and current financial responsibility documents c V o R o COS 104 CCR 2711 UST operating permit application for facility and tank information not submitted or current o V o R c COS 105 CCR 2632(d)(1), Failed to have an approved UST monitoring plan ■V ■R ■COS 2634(d) 106 CCR 2632(d)(2), Failed to have an approved UST response plan o V o 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 Ei V o R o COS 108 CCR 2637,2638(e), Failed to notify the EHD 48 hours prior to conducting testing o V o R o COS 2643(g) 109 CCR 2637(a-d),2712 Failed to test secondary containment,or failed to maintain test records for 36 months o V o R o COS 110 CCR 2637(e),2637(f) Failed to submit"Secondary Containment Testing Report Form"within 30 days after the test ■V o R ❑COS 111 CCR 2638(a)&(b), Failed to test monitoring and leak detection equipment annually o V o R o COS 26410) 112 HSC 25293 Failure to maintain UST records to enable the UPA to determine whether the UST is in compliance o V o R o COS 113 CCR 2638(c),2638(d) Failure to submit"Monitoring System Certification Form"within 30 days of completion of the test ■V ■R 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 L V o R o COS (3) 115 CCR 2715(a)(1)(B), "Designated Underground Storage Tank Operator Identification Form"not submitted within 30 days o V o R o COS 2715(a)(3) 116 CCR 2715 Designated operator,service tech or installer did not possess current ICC certification o V o R o COS 117 CCR 2663, 2712(b)(6) Failure to comply with tank lining, recordkeeping, and inspection requirements cV o R o COS 118 CCR 2715(a)(1)(A), Failure to submit the"Underground Storage Tank Statement of Understanding and Compliance Form" o V o R o COS 2715(a)(2) 119 HSC 25299(a)(8), Documents were falsified or misrepresented o V o R o COS 25299(b)(7) 120 CCR 2635(d) Failed to submit UST Certification of Installation/Modification oV o R o COS 121 CCR 2712(f) Failed to submit a written response within 30 days of receiving an inspection report ■V o R o COS FA0003963 PR0231580 SCO01 05/22/2019 EHD 23-01 Rev.09/28/2018 Page 1 of 8 Underground Storage Tank Program OIR 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com