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San Joaquin County Environmental Health Department 1868 East Hazelton Avenue, Stockton, California 95205-6232 Telephone:(209)468-3420 Fax:(209)468-3433 Web:www.sigov.org/ehd Underground Storage Tank Program Inspection Report Facility Name: Facility Phone: Date: RANCHO SAN MIGUEL MARKET" (209)858-0101 October 17, 2017 Facility Address: CERS ID: 612 S Cherokee Ln, Lodi, CA 95240 10184805 Inspection Contact: Title: Phone: Jesus Jurado Compliance Manager (209)992-1463 Inspection Type: Program: ROUTINE INSPECTION-Operating Permit 2371 -UST FACILITY-1702 COMPLIANT Consent For: I Consent Given By: 9 Inspection O Photos Z)Samples Jesus Jurado,Compliance Manager Service Technician Onsite: Exp.Date: Designated Operator: Exp.Date: Brian McPheely 11/24/2017 Karen Arnaiz 03/30/2019 Service Technician Manufacturer's Training: Veeder Root, 03/01/18;VMI, 12/07/17 CCR=California Code of Regulations HSC=Health and Safely Code CFR=Code of Federal Regulations V=Violation R=Repeat violation COS=Corrected on site during inspection File Review 101 HSC 25284 No permit to operate o V u R u COS 102 HSC 25284(a)(3) No written agreement between tank owner and tank operator to monitor the tank system in V in R o COS 103 HSC 25292.2 Current financial responsibility documents not submitted .V o R u COS 104 CCR 2711 UST operating permit application for facility and tank information not submitted or current .V .R .COS 105 CCR 2632(d)(1) Failed to have an approved UST monitoring plan .V .R ii 106 CCR 2631 Failed to have an approved UST response plan o V o R o COS 107 CCR 2632(d)(1)(C) Plot plan/site map not submitted or failed to completely show where monitoring is performed .V .R o COS 108 CCR 2637(f),2638(e) Failed to notify the EHD 48 hours prior to conducting testing o V in R n COS 109 CCR 2637 Failed to test secondary containment in V in R in COS 110 CCR 2637(e) Failed to submit secondary containment test report within 30 days in V in R in COS 111 CCR 2638(a) Failed to test monitoring and leak detection equipment annually o V o R o COS 112 HSC 25284.2 Failed to test spill containers annually to V o R e COS 113 CCR 2638(d) Failed to submit monitoring system certification test report within 30 days o V o R o COS 114 CCR 2636(f) Failed to perform 0.1 gph annual line testfor pressurized piping without fail safe or shut down in V in R o COS 115 CCR 2715(a) Failed to inform the EHD of designated operator identification or change within 30 days o V o R o COS 116 CCR 2715 Designated operator,service tech or installer did not possess current ICC certification o V in R o COS 117 CCR 2663 Failed to inspect a lined or repaired steel tank within 10 years of lining and every 5 years after in V o R o COS 118 CCR 2663 Failed to submit tank lining certification within 30 days or to conduct proper tests o V o R o COS 119 HSC 25299 Documents were falsified or misrepresented o V in R in COS 120 CCR 2635(d) Failed to submit UST Certification of Installation/Modification o V o R o COS 121 CCR 2712(f) Failed to submit a written response within 30 days of receiving an inspection report o V o R o COS 122 CCR 26310) Failure to submit UST system component statement of compatibility for substance stored V o R o COS On Site Records 201 CCR 2712(b) Failed to maintain alarm logs and/or records of follow up actions .V c R o COS 202 CCR 2712(b) Failed to maintain cathodic protection test records on site for at least 6 1/2 years o V o R o COS 203 CCR 2712(b) Failed to maintain records of monitoring,repair,lining,and upgrades on site o V o R o COS FA0014852 PRO521866 SCOW 10/17/2017 EHO 23-01 Re,09/22/16 Page 1 of 6 Underground Storage Tank Program OR