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I San Joaquin County <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, California 95205-6232 <br /> Telephone:(209)468-3420 Fax:(209)468-3433 Web:www.sjgov.org/ehd <br /> =4IM <br /> . " ilk de :gouncSor�a' e oIec >ioRep <br /> n•r- eao�r ._.sL.:=•r.�,:�.�a3-, -tip.. is A . . �:,.sx.r,�•< -'f-.,4�. ¢-�� ��--+rira.Fa <br /> Facility Name: Facility Phone: Date: <br /> FOOD 4 LESS FUEL CENTER* 1(209)992-7620 February 18, 2015 <br /> Facility Address: EPA ID: CERS ID: <br /> i 3408 MANTHEY RD, STOCKTON, CA 95206 10184365 ' <br /> I Facility Contact: Contact Phone: Contact during inspection,if <br /> MANTHEY ROAD (209)972-9200 different from facility contact <br /> Inspection type: Program: <br /> ROUTINE INSPECTION-Operating Permit 2361 -UST FACILITY <br /> I CCR=California Code of Regulations HSC=Health and Safety Code CFR=Code or Federal Regulations <br /> y V.=Violation R=Repeat violallon COS=Corrected on site during Inspection <br /> 'aa���'""''c; tc '` �^� s "'' ,eJ+pt�y C,r ''p.3t'13�,�:;""��r;es`'!'� Y 118 R@VIeWx'�``•�-'�x '�yxtxi,. c.k uC es z h q x <br /> 101 HSC 25284 No permit to operate ❑V n R o COS <br /> 102 HSC 25284(a)(3) No written agreement between tank owner and tank operator to monitor the tank system a V o R ❑COS <br /> 103 HSG 25292.2 Current financial responsibility documents not submitted a V ❑R n COS <br /> I: <br /> 104 CCR 2711 UST Operating Permit Application for Facility and Tank information not submitted or current a V a R ❑COS <br /> i 105 HSC 25286(c) Current BOE number not submitted u V n R o COS <br /> j 106 CCR 2632 Monitoring and response plans not current or approved by the EHD n V ❑R o COS <br /> i <br /> 107 CCR 2632(d)(1)(0) Plot plan/site map not submitted or failed to completely show where monitoring is performed n V D R ❑COS <br /> i 108 CCR 2637(f),2638(e) Failed to notify the EHD 48 hours prior to conducting testing n V o R ❑COS <br /> 109 CCR 2637 Failed to test secondary containment a V ❑R o COS <br /> 110 CCR 2637(e) Failed to submit secondary containment test report within 30 days a V o R a COS <br /> z <br /> i 111 CCR 2638(a) Failed to test monitoring and leak detection equipment annually n V ❑R D COS F <br /> 112 HSC 25284.2 Failed to test spill containers annually n V o R n COS L <br /> 113 CCR 2638(d) Failed to submit monitoring system certification test report within 30 days D V a R ❑COS <br /> j 114 CCR 26360 Failed to perform 0.1 gph annual line test for pressurized piping without fail safe or shut down ❑V ❑R ❑COS 4 <br /> i 115 CCR 2715(a) Failed to inform the EHD of a change of designated operator within 30 days o V ❑R o COS t. <br /> 116 CCR 2715 Designated operator,service tech or installer did not possess current ICC certification a V DR o COS f <br /> f r; <br /> 117 HSC 25292.5 Failed to conduct ELD testing on a system located within 1000'of a public well a V n R o COS <br /> I 118 HSC 25292.5 Failed to repair and retest system due to failed ELD test ❑V ❑R ❑COS <br /> 119 CCR 2644.1(a)(5) Failed to submit ELD test results within 60 days ❑V ❑R ❑COS <br /> 120 CCR 2663 Failed to inspect a lined or repaired steel tank within 10 years of lining and every 5 years after n V ❑R ❑COS b <br /> c <br /> 121 CCR 2653 Failed to submit tank lining certification within 30 days or to conduct proper tests a V ❑R a COS <br /> 122 HSC 25299 Documents were falsified or misrepresented n V ❑R a COS <br /> i <br /> 123 CCR 2661 Permit to repair UST system not obtained D V o R ❑COS <br /> y 124 CCR 2635(d) Failed to submit UST Certification of installationlModification a V ❑R o COS <br /> 125 CCR 2712(f) Failed to submit a written response within 30 days of receiving an inspection report ❑V o R o COS <br /> 126 HSC 25404(e)(4) Failed to report program data electronically r V a R o COS <br /> << +�ie a c: �..�. .gam:-�'+; n "M"�.. �" 11 - - Jt C d,e7kM r7i •, ?z{ 4 hA �,�qyjJ a <br /> . p Y;• ,�N'ww��:`. �-•.� •,.��,[�yc� t�lti .S�}eelZeQOr�c�$ �F_,y „r ti ,e�`�„x.�.T.wr�t.x``4r. ,�,t"; S:�rc�r1� -�'r�Ai?�l•��-'•'�;;''r. <br /> 201 CCR 2712(b) Failed to maintain alarm logs and/or records of follow up actions ❑V c R ❑COS <br /> zReceive y(initial): Inspector: Phone: Date: <br /> i <br /> MICHELLE HENRY, Senior REHS (209)468-3454 02/18/2015 <br /> Pagel 4 <br /> i <br /> ✓ <br />