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: S A N J O A Q U I N Environmental Health Department f`—vtness grov' Underground Storage Tank Program Inspection Report Facility Name: Facility Phone: Date: Lawrence Livermore National Lab-Site 300 (925)422-9777 August 13, 2019 Facility Address: CERS to: 15999 W CORRAL HOLLOW RD, TRACY, CA 95376 10154767 Inspection Contact: Title: Phone: Eric Mertesdorf Environmental Analyst (925)789-7828 Inspection Type: Program: ROUTINE INSPECTION-Operating Permit 2361 -UST FACILITY Consent For: Consent Given By: 0 Inspection 0 Photos 0 Samples Eric Mertesdorf,Environmental Analyst Service Technician Onsite: Exp.Date: Designated Operator: Exp.Date: Brian D Thornton 03/26/2020 Brian D Thornton 03/20/2020 Service Technician Manufacturer's Training: VR.05/20/21 VMI,01/09/21 OPW.03/14/20 CCR=Title 23 Califomia Code of Regulations HSC=Health and Safety Code CFR a Code of Federal Regulations V=Violation R=Repeat violation COS a Corrected on site during inspection Fite Review 101 HSC 25284;CCR Failed to obtain a permit to operate from the EHD including but not limited to unpaid permit fees =V o R o COS 2711(d) 102 HSC 25284(a)(3)(A)1(8) No written agreement between tank owner and tank operator to monitor the tank system :IV n R d COS 103 HSC 25292.2,25299.30 Failure to submit and maintain complete and current financial responsibility documents :IV ,�R o COS 104 CCR 2711 UST operating permit application for facility and tank information not submitted or current :IV c R G COS 105 CCR 2632(d)(1), Failed to have an approved UST monitoring plan :IV O R G COS 2634(d) 106 CCR 2632(d)(2), Failed to have an approved UST response plan •V R COS 2634(e) 107 CCR 2632(d),2641(h), Plot plan/site map not submitted or failed to completely show where mon tonng is performed :V R COS 2711(a) 108 CCR 2637,2638(e), Failed to notify the EMD 48 hours prior to conducting testing V o R =COS 2643(g) 109 CCR 2637(.-d),2712 Failed to test secondary containment,or failed to mainta n test records for 36 months -4V c R a COS 110 CCR 2637(x),2637(f) Failed to submit"Secondary Containment Testing Report Form'within 30 days after the test ,I V o R COS 111 CCR 2638,26410), Failed to test monitoring and leak detection equipment every 12 months , V t.R COS 2715(f) 112 HSC 25293 Failure to maintain UST records to enable the UPA to determine whether the UST-s in compl.anoe V c R COS 113 CCR 2638(c),2638(d) Failure to submit"Monitoring System Certification Form'with-n 30 days of completion of the test a V D R =COS 114 CCR 2636(0(3),2643(c) No 0.1 gph annual line integrity test for pressurized p ping.or within 30 days after repair a V o R c COS (3) 115 CCR 2715(.)(1)(6), "Designated Underground Storage Tank Operator Identification Form"not submitted within 30 days iiV o R P.COS 2715(x)(3) 116 CCR 2715 Designated operator,service tech or installer did not possess current CC certification a V o R r.COS 117 CCR 2663, 2712(b)(6) Failure to comply with tank lining,recordkeeping,and inspection requirements o V p R ,.COS 118 CCR 2715(a)(1)(A), Failure to submit the"Underground Storage Tank Statement of 1vnderstand ng and Compliance Form" o V o R COS 2715 a 2 119 HSC 25299(a)(8), Documents were falsified or misrepresented -j V o R COS 25299 b 7 120 CCR 2635(d) Failed to submit UST Certification of Installation/Modification ,+V p R COS 121 CCR 2712(0 Failed to submit a written response within 30 days of receiving an inspection report a V p R COS FA0003934 PRO231945 SC001 08r13r2019 EH0 2301 Rev 09/28/2018 Page 1 of 5 Underground Storage Tank Program OIR 1868 E Hazelton Avenue I Stockton, California 952051 T 209 468-34201 F 209 464-0138 1 www.sjcehd corn