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"=C SANJOAQUIN #, —COUNTY --Greatness grows he Environmental Health Department &,Z- s/t1_ID14�0� Underground Storage Tank Program Inspection Report Facility Name: Facility Phone: Date: Verizon Business: MANTECA (916) 439-6042 April 19, 2023 Facility Address; CERS ID: 2551 E LOUISE AVE, MANTECA, CA 95336 10181481 Inspection Contact: Tide: Phone: Zackary Feingold Environmental Contact (909) 879-2712 Inspection Type: Program: ROUTINE INSPECTION -Operating Permit 12361 - UST FACILITY Consent For: Consent Given By: © Inspection ® Photos ❑ Samples Zackary Feingold, Environmental Contact Service Technician Onsite: Exp. Date: Designated Operator: Exp. Date: Kraig Kinder 01/22/2024 Kraig Kinder 11110/2024 Service Technician Manufacturer's Training: OPW, 06112123; Pco TSM, 03/15/25 CCR = Tille 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 alta during Inspection File Review 101 HSC 25284; CCR Failure to obtain a permit to operate from the EHD including but not limited to unpaid permit fees o V o R i COS 2711(d) 102 CCR 2711 Failure to submit a complete and accurate application for a permit to operate a UST o V o R in COS 103 CCR 2635((), 2636(,)(2) Failure to submit the UST Certification of Installation/Modification a V o R o COS 104 CCR 2632(d)(1), Failure to submit a complete and accurate UST Monitoring Plan in V ❑ R in COS ,2634[d) 105 CCR 2632(d)(2), Failure to submit a complete and accurate UST Response Plan 3 V o R o COS 2634(e) 106 CCR 2632(d), 2641(h) Failure to submit and maintain a current factity plot plan r site map V ; R iiCOS 107 HSC 25292.2; CCR Failure to submit and mainta-n complete and current financial respons!bllity documents n V n R n COS 2711 (a)(1 1 108 CCR 2620(b); HSG Failure to Implement or maintain a written agreement between the UST owner and operator o V o R o COS 25294(a)(3) 109 CCR 2715(a)(1)(9), 2715 a 3 Failure to submit "Designated Underground Storage Tank Operator Identification Form, within 30 days V u R ij COS 110 CCR 2715(a)(1)(A), Failure to submit the -Underground Storage Tank Statement of Understanding and Compliance Form" U V i, R COS 2715 a 2 111 CCR 2637, 2638(e), Fated to notify the EHD 48 hours prior to conducting testing V R - COS 2643 112 CCR 2638, 26410), Fal.ure to have properly qualified service technician test leak detection equ.pment every 12 months V r R = COS 2715 113 CCR 2637(a{i), 2712(b) Failure to conduct secondary containment testing u V u R _ COS 1 F 114 CCR 2636(0(3), 2643(,) Fa -lure to perform line integrity test every 12 months or within 30 days of repair of primary pipe o V r R , COS 3 115 CCR 2638(,), 2638(d) Failure to subm t "Monitoring System Certification Form" within 30 days of completion of the test D V n R n COS 116 CCR 2637.1(d), Failure to submit the "Spill Container Testing Report Form' within 30 days = V r3 R .zi COS 2637.1(e) 117 CCR 2637(e), 2637(f) Failed to submit "Secondary Containment Testing Report Form" within 30 days after the test a V a R u COS 116 CCR 2637 2(d&e), Failure to submit the "Overfl;I Prevention Equipment Inspection Report Form" within 30 days c V c R COS 2665 a8b 119 CCR 2663, 2712(b)(6) Failure to comply with tank lining certification, testing, .nspection, and record requirements a V to R o COS 120 CCR 2631, 2640.1, Failure to submit and/or maintain documentation regarding compatibility for UST system components o V o R o COS 2665,2711 FA0003849 PRO231659 SC001 04118!2023 EHD 23-01 Rev. 12f aO21 Page 1 of 6 underground Storage Tank Program OIR 1868 E. Hazelton Avenue I Stockton, California 96205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/EHD