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111111111111k A& WW San Joaquin County Environmental Health Department 1868 East Hazelton Avenue, Stockton, California 95205-6232 Telephone: (209)468-3420 Fax:(209)468-3433 Web:www.sl4ov.org/ehd 4 Underground Storage Tank Rragram,Inspection' Reportif Facility Name: Facility Phone: Date: ESCALON MINI MART (209)838-1546 December 13, 2017 Facility Address: CERS ID: 1097 YOSEMITE AVE, ESCALON, CA 95320 10180561 Inspection Contact: Title: Phone: BALWINDER SINGH Owner (209)838-1546 Inspection Type: Program: ROUTINE INSPECTION-Operating Permit 12361 -UST FACILITY Consent For: Consent Given By: Z Inspection ❑x Photos ❑x Sample BALWINDER SINGH, Owner Service Technician Onsite: Exp.Date: Designated Operator: Exp.Date: Felix Ramirez 02/26/2018 Felix Ramirez 02/26/2018 Service Technician Manufacturer's Training: VMI, 11/07/19;Tank Tester,05/31/20; Incon Level 5, 11/22/18 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 ■V ■R ❑COS 108 CCR 2637(f),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 ❑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 ❑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 ❑COS 115 CCR 2715(a) Failed to submit to EHD notification of designated operator identification or change w/in 30 days ■V ■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 ❑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 ❑V ❑R ❑COS 121 CCR 2712(f) Failed to submit a written response within 30 days of receiving an inspection report ■V ■R ❑COS 122 CCR 2631 Q) Failure to submit and maintain UST system component statement of compatibility for substance stored ❑V ❑R ❑COS r. w Al 4 ! �n.Site�2eCOrdS 201 CCR 2712(b) Failure to maintain monitoring,maintenance,and follow up action records ■V ■R ❑COS 202 CCR 2712(b) Failed to maintain cathodic protection test records on site for at least 6 1/2 years ❑V ❑R ❑COS FA0000279 PR0231497 SC001 12/13/2017 EHD 23-01 Rev.09/22/16 Page 1 of 6 Underground Storage Tank Program OIR