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06/03/2015 10:15 8387674 EMILS EG F Pp <br /> San Joaquin County <br /> Environmental Health Department JUN 0 3 2015 <br /> 1868 East Hazelton Avenue, Stockton, Caiifomia 95205-6232 <br /> Telephone:(209)468-3420 Fax:(209)468-3433 Web:www.sJ ov.ordietdVIRONMENTAL <br /> under round Storage;;?snit Program,lrtyspectio' Replan <br /> Facility Name: Facility Phones. Date: <br /> EMILS LIQUOR& SPORTS SHOP` 209 838.7674 May 06 2015 <br /> Facility Address: CERS to: <br /> 1405 CALIFORNIA ST ESCALON CA 95320 110180567 <br /> Impaction Contact Title: Phone: <br /> Pam Fielder Office Manager <br /> Inspection Type: , <br /> ROUTINE INSPECTION -Operating Permit 2361 - UST FACILITY <br /> Consent For: Consent Given By: <br /> Inspection Photos Samplinq I Pam Fielder Office Manager <br /> Service Technician Onsita Exp.Pate: Designated Operator: Exp.Data: <br /> Zane Nimmo 0605/2015 1 Karen Arnaiz 05f31l2015 <br /> Service Technician Manufacturnes Training <br /> VR: 09!26/15 VMI: 02l0211T TT: 02/28/16 <br /> CCR•Cainamle o equlasons HS = ea a ode FR-rod eW ere u ffons <br /> V=Vmolallon R=Repeat Ykhatian C08=C rreetedon aIle during inapedion <br /> Ile)7@Y16w <br /> 101 HSC 25284 No permit to operate o V OR c COS <br /> 7 g2 HSC 25284(a)(3) NO written agreement between tank owner and tank operator tv monitor the tank system o V OR o COS <br /> 103 HSC 25292.2 Current financial responsibility documents nut submitted •V o R o COS <br /> 114 CCR 2711 UST Operating Permit Application for Facility and Tank Information not submitted or current o V OR a COS <br /> 105 HSC 25286(c) Current BOE number not submitted mV DR o COS <br /> 106 OCR 2632 Monitoring and response plans not c urnnt or approved by the EHD ■V OR o COS <br /> 107 CCR 2632(d)(1)(C) Plot plaNsde map not submitted or failed to completely show where monitoring is performed Iry o R a COS <br /> 108 CCR 2637(f),2538(e) Failed to notty the EHD 48 hours prior to conducting testing OV OR o COS <br /> 109 CCR 1&37 Failed to test secondary containment o V OR o COS <br /> 110 CCR 2637(e) Failed to submit secondary containment test report within 30 days a V a R a COS <br /> 111 CCR 2838(a) Failed to test monitoring and leak detection equipment annually o V OR o COS <br /> 112 HSC 252642 Failed to test Will containers annually o V OR a COS <br /> 113 CCR 2638(d) Failed to submit monitoring system certification test report within 30 days OV OR a COS <br /> 114 CCR 26WP Failed to perform 0-1 gph annual line lest for pressurhaid piping without fait safe or shut down a V OR o COS <br /> 115 1 CCR 2715(s) Failed to inform the EHD of a Change of designated operator within 30 days n V OR p COS <br /> 116 1 CCR 2715 Designated operator,service tach or Installer did not possess current ICC certification 0 V o R DOGS. <br /> 117 HSC 25292.5 Failed to conduct ELD testing on a system located within 1000'of a public well o V OR 0 009 <br /> 116 HSG 25292.6 Failed to repair and retest system due to failed ELD test o V OR o COS <br /> 119 CCR 2844.1(0)(5) Failed to submit ELD test results within 60 days o V o R o CCS <br /> 120 CCR 2863 Failed to inspect a lined or repaired steel tank within 10 years of lining and every 5 years after o V OR o COS <br /> 121 CCR 2663 Failed to submit tank lining certification within 30 days or to conduct proper tests o V o R o COS <br /> 122 HSC 25299 Documents were falsified or misrepresented 0 V o R o COS <br /> 123 CCR 2661 Permit to repair UST system not obtained a V o R c ODS <br /> 124 CCR 2635(d) Failed to submit UST Certification of Installation/Modification a V c R c COS <br /> Received by tnapoeeor: Phone: Data: <br /> (initial): ELENA MANZO, REHS (209)953-7699 05/06/2015 <br /> Page 1 of 5 <br />