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SAO.)JUTAWIN --COUNTY if rY^rnQtt 7r^W{ (1nrc3 Environmental Health Department FA000 Underground Storage Tank Program Inspection Report Facility Name: Facility Phone: Date: H&S Energy Products, LLC #3035 (209) 8584998 January 19, 2023 Facility Address: CERS ID: 192 Lathrop Rd, Lathrop, CA 95330 10169823 Inspection Contact: Gl�rrs rrer Title: Env►�o�,fal Co�t�� Phone: o- -83-377 Inspection Type: Program: ROUTINE INSPECTION - Operating Permit 2361 - UST FACILITY Consent For: •i;;Ins ection Photos ❑ Samples Consent Given By, „ Jy%•ki+ swr — 10roij i f S rvic�ejTechnician O ite: rTQ K' ZS Exp. ate: �$�J2'2D' D Jgnatecl Opera 1t7 �� rLA Exp. ate: J� /?G Service Techn ian Manu ct`}jer's t -chi I 11oL3 01 V,4 Traini : i..3 2•.x,20 to . J� — 02�1Z(70 ZLf CCR = Title 23 California Code of Regulations HSC = Health and Safety Code CFR = Code of Federal Regulations EHD = Environmental Health Department V = Violation R = Repeat violation COS = Corrected on site during inspection File Review HSC 25284; CCR Failure to obtain a permit to operate from the EHD including but not limited to unpaid permit fees oV oR oCOS 2711(d) F103 CCR 2711 Failure to submit a complete and accurate application for a permit to operate a UST oV oR oCOS CCR 2635(f), 2636(c)(2) Failure to submit the UST Certification of Installation/Modification o V n R o COS 104 CCR 2632(d)(1), Failure to submit a complete and accurate UST Monitoring Plan o V o R o COS 2634(d) 105 CCR 2632(d)(2), Failure to submit a complete and accurate UST Response Plan o V o R o COS 2634(e) 106 CCR 2632(d), 2641(h) Failure to submit and maintain a current facility plot plan / site map o V n R o COS 107 HSC 25292.2; CCR Failure to submit and maintain complete and current financial responsibility documents o V o R o COS 2711(a)(11) 108 CCR 2620(b); HSC Failure to implement or maintain a written agreement between the UST owner and operator o V o R o COS 25284(a)(3) 109 CCR 2715(a)(1)(B), Failure to submit "Designated Underground Storage Tank Operator Identification Form" within 30 days o V o R o COS 2715(a)(3) 110 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) 111 CCR 2637, 2638(e), Failed to notify the EHD 48 hours prior to conducting testing o V o R o COS 2643(g) 112 CCR 2638, 26410), Failure to have properly qualified service technician test leak detection equipment every 12 months o V o R o COS 2715(f) 113 CCR 2637(a -d), 2712(b) Failure to conduct secondary containment testing o V o R o COS (1)(F) 114 CCR 2636(f)(3), 2643(c) Failure to perform line integrity test every 12 months or within 30 days of repair of primary pipe o V o R o COS (3) 115 CCR 2638(c), 2638(d) Failure to submit "Monitoring System Certification Form" within 30 days of completion of the test o V o R o COS 116 CCR 2637.1(d), Failure to submit the "Spill Container Testing Report Form" within 30 days o V o R o COS 2637.1(e) 117 CCR 2637(e), 2637(f) Failed to submit "Secondary Containment Testing Report Form" within 30 days after the test o V o R o COS 118 CCR 2637.2(d&e), Failure to submit the "Overfill Prevention Equipment Inspection Report Form" within 30 days o V o R o COS 2665(a&b) 119 CCR 2663, 2712(b)(6) Failure to comply with tank lining certification, testing, inspection, and record requirements o V o R o COS 120 CCR 2631, 2640. 1, 2665, 2711 Failure to submit and/or maintain documentation regarding compatibility for UST system components o V o R o COS 7059 PR0505867 SC001 01/19/2023 EHD 23-01 Rev. 12/06/2021 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.sjgov.org/EHD