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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.s6gov.org/ehd Underground Storage Tank Program Inspection Report Facility Name: RANCHO SAN MIGUEL MARKET' Facility Phone: (209) 852-8010 Ext.15 Date: June 22, 2017 Facility Address: 1427 S AIRPORT WAY, STOCKTON, CA 95205 CERS ID: 10184829 Inspection Contact:Title: Jose Quezada Compliance Assistant Phone: (209) 939-9790 Inspection Type: ROUTINE INSPECTION - Operating Permit Program: 2371 - UST FACILITY- 1702 COMPLIANT Consent For: Inspection 0 Photos O Samples 0Ins I Consent Given By: Tommy Lumagui, Store Director Service Technician Onsite: Exp. Date: Kristopher Bell 08/24/2018 Designated Operator: Exp. Date: Karen Arnaiz 03/30/2019 Service Technician Manufacturer's Training Veeder Root, 04/12/19; VMI, 11/11/18 GUR = Galutornia Codeo egu a ions HSC = Health and Safety Code CFR = Codeo a era Regulations V = Violation R = Repeat violation COS = Corrected on site during inspection File Review 101 HSC 25284 No permit to operate ❑ V ❑ R ❑ COS 102 HSC 25284(a)(3) No written agreement between tank owner and tank operator to monitor the tank system ❑ V ❑ R in COS 103 HSC 25292.2 Current financial responsibility documents not submitted ❑ V ❑ R o 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 ❑ COS 106 CCR 2632(d)(2) Failed to have an approved UST response plan in V ❑ R ❑ COS 107 CCR 2632(d)(1)(C) Plot plan/site map not submitted or failed to completely show where monitoring is performed ■ V in R ❑ COS 108 CCR 2637(f), 2638(e) Failed to notify the EHD 48 hours prior to conducting testing ❑ V u R ❑ COS 109 CCR 2637 Failed to test secondary containment ❑ V ❑ R ❑ COS 110 CCR 2637(e) Failed to submit secondary containment test report within 30 days ❑ V ❑ R ❑ COS 111 CCR 2638(a) Failed to test monitoring and leak detection equipment annually ❑ V ❑ R ❑ COS 112 HSC 25284.2 Failed to test spill containers annually ❑ V ❑ R u COS 113 CCR 2638(d) Failed to submit monitoring system certification test report within 30 days ❑ V ❑ R ❑ COS 114 CCR 2636(f) Failed to perform 0.1 gph annual line test for pressurized piping without fail safe or shut down ❑ V ❑ R in COS 115 CCR 2715(a) Failed to inform the EHD of designated operator identification or change within 30 days ❑ V in R ❑ COS 116 CCR 2715 Designated operator, service tech or installer did not possess current ICC certification ❑ V ❑ R ❑ COS 117 CCR 2663 Failed to inspect a lined or repaired steel tank within 10 years of lining and every 5 years after ❑ V ❑ R ❑ COS 118 CCR 2663 Failed to submit tank lining certification within 30 days or to conduct proper tests ❑ V u R o COS 119 HSC 25299 Documents were falsified or misrepresented ❑ V ❑ R ❑ COS 120 CCR 2635(d) Failed to submit UST Certification of Installation/Modification ❑ V ❑ R in COS 121 CCR 2712(f) Failed to submit a written response within 30 days of receiving an inspection report ❑ V ❑ R u COS 122 CCR 2631 Q) Failure to submit UST system component statement of compatibility for substance stored ❑ V ❑ R ❑ COS On Site Records 201 CCR 2712(b) 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 in V ❑ R ❑ COS 203 CCR 2712(b) Failed to maintain records of monitoring, repair, lining, and upgrades on site ❑ V ❑ R ❑ COS FAD014921 PRO521942 SCO01 06122/2017 EHD 23-01 Rev. 09/22/16 Page 1 of 4 Underground Storage Tank Program OIR