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SAN.J AQUIN <br />.C()U NTS,,..,... <br />Environmental Health Department <br />ddd <br />FA0004061 PR0231622 SC001 06/20/2018 <br />EHD 23-01 Rev._09/26l2018 Pagel of 4 Underground Storage: Tank Program OR <br />Facility Name: <br />UPS - Stockton <br />Facility Phone: <br />209 463-5059 <br />Date: <br />M?iy 20 2019 <br />Facility Address: <br />1532 N BroiadwayAvei Stockton CA 95205 <br />CERS ID: <br />10156057 <br />Inspection Contact: <br />Jennifer Tri os <br />Title: <br />'District.Environmental Co <br />Phone: <br />510 453-2090 <br />Inspection Type:Program: <br />ROUTE INSPECTION -.'operatingPermit <br />IN <br />2361 FUST FACILITY <br />Consent For: <br />® ins ection © Photos <br />Consent Glven.By: <br />CJ Sam les Jennifer TO plos, District Environlrtental Coordin <br />Service Technician Onsite <br />David C. Pereira <br />Exp. Dater <br />05121/2020 <br />Designated Operator: <br />David Pereira <br />Exp, Date: <br />04/25/2020 <br />.Seniice Techrilclan Manufacturer's Training <br />VMI, 06/15/19 VR 01/22/20 OPW 07/24/20 <br />"?!(;R =Tille 23 California Code -of Regulations HS = ea an Safely+Uoder CPR Code of Federal Regulations <br />V = Violation R.= Repeat violetion COS = Corrected on site during inspection <br />:,vy,o•n j v ck's�. ...%'`"' �ollri0� ii� �' <br />LLLm�3 <br />�°; .ttq.' <br />l'. r, <br />101 <br />HSC 25284 <br />Failed to obtain a permit to operate from -the END including but not limited to unpaid permitfee's <br />a V <br />o <br />R� <br />o COS <br />1024 <br />NSC 25284(a)(3)(A)i <br />(B) <br />No written agreement between tank owner and tank operator to monitor the tank system <br />o V <br />a. <br />R' <br />o COS <br />103 <br />HSC 25292:21 25299:30 <br />Failure to. submit and maintain complete and current financial responsibility documents <br />u <br />a <br />R <br />.o COS <br />104 <br />CCR 2711 <br />UST operating permit application for facility and tank Information not submitted occurrent <br />a V <br />o <br />R <br />b COS <br />105 <br />CCR 2632(d)(1), <br />2634(d) <br />Failed to. have,an.approved .UST monitoring, plan' <br />■ V <br />a <br />R <br />a COS <br />106 <br />CCR 2632(d)(2), <br />2634(e <br />Failed to have an approved UST response plan <br />a V <br />a <br />R, <br />008 <br />147 <br />CCR 2632(dj(1)(C) <br />Plot plantsite map not submitted or failed to completely show where monitoring is performed <br />a V <br />o.R <br />Cl COS <br />108 <br />CCR 2637, 2638(e), <br />2643(g) <br />Failed to notify the EHD 48 hours prior to conducting testing <br />n V <br />n <br />R <br />a COS <br />109 <br />CCR.2637(a-d), 2712 <br />Failed to test secondary containment, or fasted to maintain test records for 36 months <br />b V <br />.a <br />R <br />a COS <br />110 <br />CCR 2637(e), 2637(0 <br />Failed to submit "Secondary' Containment Testing Report Fom1" within 30 days after the test <br />o V <br />❑ <br />R <br />Q COS <br />111 <br />CCR 2638(a) & (b), <br />26410) <br />Failed -to test monitoring -and leek.detection equipment annually <br />p V <br />o <br />R <br />.❑ COS <br />112 <br />HSC 25293 <br />Failure to maintain UST records to enable the UPAto:determine whether the UST is In. compliance <br />A. <br />❑ V <br />o <br />R <br />0 COS <br />113 <br />CCR 2638(c), 2636(d) <br />Failure to submit "Monitoring System Certification Form." within.30 days of completion, of the Aest <br />a V <br />o <br />R <br />a COS <br />1.14 <br />CCR 26360(3), <br />2643 c 3 <br />No 0A gph annual line integrity test for pressurized piping, orwithln 30 days after repair <br />a V <br />o <br />R. <br />l3 COS <br />115 <br />C011.2715(a)(1)(B), <br />2715(a) 3 <br />"Designated Underground Storage Tank Operator Identification Form" not submitted within 30 days <br />❑ V <br />a <br />R. <br />o COS <br />116 <br />CCR 2715 <br />Designated operator, service tech.or installer did not possess current ICC certification <br />aV <br />.o <br />R <br />o COS <br />117 <br />CCR 2663, 2712(b)(0) <br />Failure to comply with tank lining, recordkeeping, and inspection requirements <br />D V <br />a <br />R <br />n COS <br />118 <br />CCR 2715(a)(1)(A), <br />2716 a 2) <br />Failure to submit the "Underground Storage Tank Statement of Understanding and Compiiance'.Form" <br />a V <br />a <br />R <br />a COS <br />119 <br />HSC 25299(a)(8), <br />25299(b)(7) <br />Documents were falsified or misrepresented <br />❑ V <br />a <br />R <br />o COS <br />120 <br />CCR 2635(d) <br />Failed to submit UST Certification of Installation/Modification <br />o V <br />o <br />R. <br />a COS <br />121 <br />CCR 2712(f) <br />Falled.to submit a written response_ within 30 days of receiving an inspection report <br />o V <br />lo <br />R <br />o COS <br />1868 E. Hazelton Avenue j Stockton, California 95205 1 T 209 468-3420 I F 209 464-0138 www,$)Cehd.cam <br />