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COMPLIANCE INFO_2021
Environmental Health - Public
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2300 - Underground Storage Tank Program
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PR0231547
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COMPLIANCE INFO_2021
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Entry Properties
Last modified
12/28/2021 10:51:43 AM
Creation date
5/5/2021 2:29:51 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0231547
PE
2361
FACILITY_ID
FA0003848
FACILITY_NAME
Verizon Business: KINGCA
STREET_NUMBER
13850
Direction
N
STREET_NAME
DE VRIES
STREET_TYPE
RD
City
LODI
Zip
95242
APN
05524018
CURRENT_STATUS
01
SITE_LOCATION
13850 N DE VRIES RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\kblackwell
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EHD - Public
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SAN J O A Q U I N Environmental Health Department <br />101 <br />HSC 25284; CCR <br />Failure to obtain a permit to operate from the EHD including but not limited to unpaid permit fees <br />r V :; R .; COS <br />2711(d) <br />102 <br />CCR 2711 <br />Failure to submit a complete and accurate application for a permit to operate a UST <br />■ V ; i R -, COS <br />103 <br />CCR 2635(f), 2636(c)(2) <br />Failure to submit the UST Certification of InstallationlModification <br />c V : R ❑ COS <br />104 <br />CCR 2632(d)(1), <br />Failure to have an approved UST Monitoring Plan <br />❑ V ❑ R ii COS <br />2634(d) <br />105 <br />CCR 2632(d)(2), <br />Failure to have an approved UST Response Plan <br />; 1 V r R - COS <br />2634(e) <br />106 <br />CCR 2632(d), 2641(h) <br />Failure to submit and maintain a current facility plot plan / site map <br />V R n COS <br />107 <br />HSC 25292.2; CCR <br />Failure to submit and maintain complete and current financial responsibility documents <br />❑ V n R COS <br />2711 a)(11) <br />108 <br />CCR 2620(b); HSC <br />Failure to implement or maintain a written agreement between the UST owner and operator <br />V a R ❑ COS <br />25284(a)(3) <br />109 <br />CCR 2715(a)(1)(B), <br />Failure to submit "Designated Underground Storage Tank Operator Identification Form" within 30 days <br />= V ❑ R D COS <br />2715(a)(3) <br />110 <br />CCR 2715(a)(1)(A), <br />Failure to submit the "Underground Storage Tank Statement of Understanding and Compliance Form" <br />n V r: R u COS <br />2715(a)(2) <br />111 <br />CCR 2637, 2638(e), <br />Failed to notify the EHD 48 hours prior to conducting testing <br />- V c R c COS <br />2643(g) <br />112 <br />CCR 2638, 26410), <br />Failure to have properly qualified service technician test leak detection equipment every 12 months <br />c V R ❑ COS <br />2715(f) <br />113 <br />CCR 2637(a -d), 2712(b) <br />Failure to conduct secondary containment testing <br />- V in R COS <br />(1)(F) <br />114 <br />CCR 2636(f)(3), 2643(c) <br />Failure to perform line integrity test every 12 months or within 30 days of repair of primary pipe <br />u V o R ;: COS <br />(3 ) <br />115 <br />CCR 2638(c), 2638(d) <br />Failure to submit "Monitoring System Certification Form" within 30 days of completion of the test <br />V u R rj COS <br />116 <br />CCR 2637.1(d), <br />Failure to submit the "Spill Container Testing Report Form" within 30 days <br />❑ V ❑ R = COS <br />2637.1(a) <br />117 <br />CCR 2637(e), 2637(f) <br />Failed to submit "Secondary Containment Testing Report Form" within 30 days after the test <br />u V ❑ R r COS <br />118 <br />CCR 2637.2(d&e), <br />Failure to submit the "Overfill Prevention Equipment Inspection Report Form" within 30 days <br />V r R COS <br />2665(a&b) <br />119 <br />CCR 2663, 2712(b)(6) <br />Failure to comply with tank lining certification, testing, and inspection requirements <br />V : R ❑ COS <br />120 <br />CCR 2631, 2640.1, <br />Failure to submit and/or maintain documentation regarding compatibility for UST system components <br />_ V ❑ R COS <br />2665,2711 <br />FA0003848 PR0231547 SCO01 06/17/2021 <br />EHD 23-01 Rev. 9/1612020 Page 1 of 5 Underground Storage Tank Program OR <br />1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sigov.org/END <br />
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