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0 i Page 1 of 4 San Joaquin County Environmental Health Department 1868 East Hazelton Avenue, Stockton, California 95205-6232 Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: www.siaov.org/ehd Underground Storage Tank Program Inspection Report Facility Name: RANCHO SAN MIGUEL MARKET* Facility Phone: 209 852-8010 Ext.15 Date: June 16 2016 Facility Address: 1427 S AIRPORT WAY STOCKTON CA95205 CERS ID: 10184829 Inspection Contact: Jesus Jurado Title: Compliance Manager Phone: 209 992-1463 Inspection Type: Program: ROUTINE INSPECTION - Operating Permit 2371 - UST FACILITY- 1702 COMPLIANT Consent For: 0 Ins ection O Photos I Consent Given By: ❑x Samples I Jesus Jurado Comliance Manager Service Technician Onsite Michael Bris Exp. Date: 06/11/2017 Designated Operator: Karen Arnaiz Exp. Date: 05/05/2017 Service Technician Manufacturer's Training Veeder Root, 05/11/17; VMI Tester, 06/09/17 CCR = Califomia Code of Regulations HSC = Health and Safety Code CFR = Code of Federal Regulations V = Violation R = Repeat violation COS = Conected on site during inspection File Review I° 101 HSC 25284 No permit to operate c V o R o COS 102 HSC 25284(a)(3) No written agreement between tank owner and tank operator to monitor the tank system n V ❑ R in COS 103 HSC 25292.2 Current financial responsibility documents not submitted ❑ V ❑ R ❑ COS 104 CCR 2711 UST Operating Permit Application for Facility and Tank information not submitted or current in V n R n COS 105 CCR 2632 Monitoring and response plans not current or approved by the EHD ■ V ❑ R ❑ COS 106 CCR 2632(d)(1)(C) Plot planlsite map not submitted or failed to completely show where monitoring is performed n V ❑ R ❑ COS 107 CCR 2637(f), 2638(e) Failed to notify the EHD 48 hours prior to conducting testing ❑ V ❑ R ❑ COS 108 CCR 2637 Failed to test secondary containment ❑ V ❑ R ❑ COS 109 CCR 2637(e) Failed to submit secondary containment test report within 30 days ❑ V ❑ R ❑ COS 110 CCR 2638(a) Failed to test monitoring and leak detection equipment annually ❑ V ❑ R ❑ COS 111 HSC 25284.2 Failed to test spill containers annually ❑ V ❑ R ❑ COS 112 CCR 2638(d) Failed to submit monitoring system certification test report within 30 days ❑ V ❑ R ❑ COS 113 CCR 2636(f) Failed to perform 0.1 gph annual line test for pressurized piping without fail safe or shut down n V o R in COS 114 CCR 2715(a) Failed to inform the EHD of designated operator identification or change within 30 days ❑ V in R ❑ COS 115 CCR 2715 Designated operator, service tech or installer did not possess current ICC certification ❑ V ❑ R ❑ COS 116 CCR 2663 Failed to inspect a lined or repaired steel tank within 10 years of lining and every 5 years after ❑ V ❑ R ❑ COS 117 CCR 2663 Failed to submit lank lining certification within 30 days or to conduct proper tests in V ❑ R ❑ COS 118 HSC 25299 Documents were falsified or misrepresented ❑ V in R ❑ COS 119 CCR 2635(d) Failed to submit UST Certification of Installation/Modification ❑ V ❑ R ❑ COS 120 CCR 2712(f) Failed to submit a written response within 30 days of receiving an inspection report ❑ V ❑ R ❑ COS 201 CCR 2712(b) On Site Records Failed to maintain alarm logs and/or records of follow up actions ❑ V ❑ R ❑ COS 202 CCR 2712(b) Failed to maintain cathodic protection test records on site for at least 6 1/2 years ❑ V ❑ R in COS 203 CCR 2712(b) Failed to maintain records of monitoring, repair, lining, and upgrades on site ❑ V ❑ R ❑ COS 204 CCR 2712() Current monitoring plan approved by the EHD not found on site ❑ V ❑ R ❑ COS 205 CCR 2712 Failure to comply with UST operating permit conditions ❑ V n R n COS Page 1 of 4