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SAN 10AQU I N Environmental Health Department _ COUNTY Underground Storage Tank Program Inspection Report Facility Name: Facility Phone: Date: FOOD 4 LESS FUEL CENTER' (209)992-7620 December 13, 2017 Facility Address: CERS ID: 3408 MANTHEY RD, STOCKTON, CA 95206 10184365 Inspection Contact: Title: Phone: Jesus Jurado —7Compliance Manager (209)992-7620 Inspection Type: Program: ROUTINE INSPECTION-Operating Permit 12361 -UST FACILITY Consent For: Consent Given By: Z Inspection Cx Photos 19 Samples Jesus Jurado, Compliance Manager Service Technician Onsite: Exp.Date: Designated Operator: Exp.Date: Kristopher Bell 08/24/2019 Karen Arnaiz 03/30/2019 Service Technician Manufacturer's Training: VMI, 11/11/18-, Veeder Root, 04/12/19 CCR=California Code of Regulations HSC=Health 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 ❑V ❑R ❑COS 102 HSC 25284(a)(3)(A)/(B) No written agreement between tank owner and tank operator to monitor the tank system ❑V ❑R ❑COS 103 HSC 25292.2,25299.30 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 ■V ■R ■COS 105 CCR 2632(d)(1), Failed to have an approved UST monitoring plan ■V ■R ■COS 2634(d) 106 CCR 2632(d)(2), Failed to have an approved UST response plan ❑V ❑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 e V e R c COS 108 CCR 2637(f),2638(e) Failed to notify the EHD 48 hours prior to conducting testing e V e R e COS 109 CCR 2637 Failed to test secondary containment ❑V e R ❑COS 110 CCR 2637(e) Failed to submit secondary containment test report within 30 days ❑V c R e COS 111 CCR 2638(a) Failed to test monitoring and leak detection equipment annually e V c R ❑COS 112 HSC 25284.2 Failed to test spill containers annually e V e R e COS 113 CCR 2638(d) Failed to submit monitoring system certification test report within 30 days c 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 c V c R c COS 115 CCR 2715(a) Failed to submit to EHD notification of designated operator identification or change w/in 30 days V ❑R e COS 116 CCR 2715 Designated operator,service tech or installer did not possess current ICC certification ❑V ❑R e 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 n V n R in 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 e V e R c COS 121 CCR 2712(f) Failed to submit a written response within 30 days of receiving an inspection report e V ❑R e COS 122 CCR 26310) Failure to submit and maintain UST system component statement of compatibility for substance stored e V c R e COS On Site Records 201 CCR 2712(b) Failure to maintain monitoring,maintenance,and follow up action records ❑V c R c,COS FA0013484 PR0517521 SCO01 12/13/2017 EHD 23-01 Rev.10/31/2017 Page 1 of 6 Underground Storage Tank Program OIR 1868 E. Hazelton Avenue I Stockton, California 952051 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com