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! • SAN J OAQ U I N Environmental Health Department �-uuNTY— Greor Underground Storage Tank Program Inspection Report Facility Name: Facility Phone: Date: LATHROP GAS&FOOD INC (209)982-5005 December 11, 2017 Facility Address: CERS ID: 140 E LATHROP RD, LATHROP, CA 95330 10182153 Inspection Contact: Title: Phone: Jessie Singh I Store Owner (209)612-6396 Inspection Type: Program: ROUTINE INSPECTION-Operating Permit 12361 -UST FACILITY Consent For: Consent Given By: 9 Inspection ® Photos ❑x Samples Jessie Singh, Store owner Service Technician Onsite: Exp.Date: Designated Operator: Exp.Date: Felix Ramirez 02126/2017 Alex Jabbari 10103/2018 Service Technician Manufacturer's Training: tank tester, 05131!20;VMI, 11107/19;Veeder Root, 07/06/18 CCR=California Code of Regulations HSC=Heaith and Safety Code CFR=Code of Federal Regulations V=Violation R=Repeat violation COS=Corrected on site during inspection File Review 101 HSC 25284 Failure to obtain a valid permit to operate from the EHD including but not limited to unpaid fees n V o R o COS 102 HSC 25284(a)(3)(A)I(B) No written agreement between tank owner and tank operator to monitor the tank system o V rr R rr COS 103 HSC 25292.2,25299.30 Current financial responsibility documents not submitted ❑V ❑R r COS 104 CCR 2711 UST operating permit application for facility and tank information not submitted or current r V r R ❑CCS 105 CCR 2632(d)(1), Failed to have an approved UST monitoring plan ■V ■R n COS 2634(d) 106 CCR 2632(d)(2), Failed to have an approved UST response plan ■V s R ❑COS 2634(e) 107 CCR 2632(d)(1)(C) Plot plan/site map not submitted or failed to completely show where monitoring is performed ■V ■R ❑COS 108 CCR 2637(f),2638(e) Failed to notify the EHD 48 hours prior to conducting testing o V a R ❑COS 109 CCR 2637 Failed to test secondary containment n V ❑R r COS 110 CCR 2637(e) Failed to submit secondary containment test reportwithin 30 days ■V ❑R 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 o V ❑R ❑CCS 113 CCR 2638(d) Failed to submit monitoring system certification test report within 30 days ■V ■R o COS 114 CCR 2636(f) Failed to perform 0.1 gph annual line test for pressurized piping without fail safe ar shut down ❑V o R o COS 115 CCR 2715(a) Failed to submit to EHD notification of designated operator identification or change wlin 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(h) 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 ❑R o COS 119 HSC 25299(a)(8), Documents were falsified or misrepresented ❑V ❑R ❑COS 25299(b)(7) 120 CCR 2635(d) Failed to submit UST Certification of Installation/Modification a V r R r COS 121 CCR 2712(f) Failed to submit a written response within 30 days of receiving an inspection report n V o R Q COS 122 CCR 2631 Q) Failure to submit and maintain UST system component statement of compatibility for substance stored ❑V ❑R ❑COS On Site Records 201 CCR 2712(b) Failure to maintain monitoring,maintenance,and follow up action records ❑V ❑R a COS FA0006943 PRO505687 SC001 12111f2017 EHD 23-01 Rev.09122!15 Page 1 of 6 Underground Storage Tank Program OIR 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com