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7 C-7 San Joaquin County Environmental Health Department 1868 East Hazelton Avenue, Stockton, California 95205-6232 Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: vrm.sioov.org/ehd Underground Storage Tank Program Inspection Report Facility Name: 7 -ELEVEN INC #32190 Facility Phone: 209 939-0679 Date: Aril 13 2016 Facility Address: 4943 S HWY 99 Stockton CA 95215 CERS ID: 10166017 Inspection Contact:Title: Nim Badial Mana er Phone: 209 939-0679 Inspection Type: ROUTINE INSPECTION - Operating Permit Program: 2361 - UST FACILITY Consent For: Consent Given By: M Ins ection 9 Photos O Samples I Nim Badial Manager Service Technician Onsite Exp. Date: Nicolas Poblano 06/30/2017 Designated Operator: Exp. Date: Laura Gomez 04/14/2017 Service Technician Manufacturer's Training VMI 09/09/17 VR 05/27/17 Sia 715-=Z al Code of Regulations HSC =Health and Safety Code CFR =Code of Federal Regulations R V = Violation R - Repeat violation COS = Corrected on site during inspection File Review 101 HSC 25284 No permit to operate ❑ V ❑ R o COS 102 HSC 25284(a)(3) No written agreement between tank owner and tank operator to monitor the tank system ❑ V ❑ R ❑ COS 103 HSC 25292.2 Current financial responsibility documents not submitted ❑ V o R ❑ COS 104 CCR 2711 UST Operating Permit Application for Facility and Tank information not submitted or current ❑ V ❑ R ❑ COS 105 HSC 25286(c) Current BOE number not submitted ❑ V ❑ R ❑ COS 106 CCR 2632 Monitoring and response plans not current or approved by the EHD ■ 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 ❑ R ❑ COS 108 CCR 2637((), 2638(e) Failed to notify the EHD 48 hours prior to conducting testing ❑ V ❑ R ❑ COS 109 CCR 2637 Failed to test secondary containment ■ V o R in 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 in V ❑ R ❑ COS 113 CCR 2638(d) Failed to submit monitoring system certification lest report within 30 days in 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 in V in R o COS 115 CCR 2715(a) Failed to inform the EHD of a change of designated operator within 30 days ❑ V ❑ R ❑ COS 116 CCR 2715 Designated operator, service tech or installer did not possess current ICC certification n V ❑ R ❑ COS 117 HSC 25292.5 Failed to conduct ELD testing on a system located within 1000' of a public well in V ❑ R ❑ COS 118 HSC 25292.5 Failed to repair and retest system due to failed ELD lest ❑ V ❑ R n COS 119 CCR 2644.1(a)(5) Failed to submit ELD lest results within 60 days n V ❑ R in COS 120 CCR 2663 Failed to inspect a lined or repaired steel tank within 10 years of lining and every 5 years after ❑ V ❑ R ❑ COS 121 CCR 2663 Failed to submit tank lining certification within 30 days or to conduct proper tests ❑ V ❑ R n COS 122 HSC 25299 Documents were falsified or misrepresented ❑ V o R ❑ COS 123 CCR 2661 Permit to repair UST system not obtained ❑ V ❑ R ❑ COS 124 CCR 2635(d) Failed to submit UST Certification of Installation/Modification ❑ V ❑ R ❑ COS 125 CCR 2712(f) Failed to submit a written response within 30 days of receiving an inspection report ❑ V ❑ R ❑ COS 126 HSC 25404(e)(4) Failed to report program data electronically I ❑ V in R o COS Page 1 of 6