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1"W San Joaquin County Environmental Health Department 1868 East Hazelton Avenue, Stockton, California 95205-6232 Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: www.sjgov.org/ehd Facility Name: Facility Address: ESCALON MINI MART 1 1097 YOSEMITE A Item # I Remarks Date: January 08. 2015 HSC 25292.2 Current financial responsibility documents not submitted. Complete and/or accurate financial responsibility documents have not been submitted to the EHD. Current financial responsibility documents are required to be submitted annually. The submitted financial responsibility lacked witness's name and a signature date. Immediately log into the California Environmental Reporting System (CERS) at http://cers.calepa.ca.gov/, upload the required documents. This is a repeat violation, Class II. CORRECTED. This is a Class II violation. 109 CCR 2637 Failed to test secondary containment. The most recent secondary containment testing results from December 19-20, 2012, indicated a failure at UDC 3/4 and UDC 5/6. All secondary containment for the UST system must be tight. A permit was obtained from the EHD on March 15, 2013 (SR0066337) to repair the aforementioned components. According to an email communication from Franzen -Hill Corporation, dated April 17, 2013, a successful secondary containment test was conducted for the UDC 5/6 on March 25, 2013. No testing notification was provided to the EHD for testing conducted on March 25, 2013 and therefore its results were not accepted. Immediately have a properly licensed, trained, and certified contractor repair or replace the failed components in UDC 3/4 and UDC 5/6 under permit and inspection from the EHD. This is a repeat violation, Class II. This is a Class it violation. 110 CCR 2637(e) Failed to submit secondary containment test report within 30 days. According to Franzen -Hill Corporation, a secondary containment testing was performed on March 25, 2013 and a test report was not submitted to the EHD. A copy of the test report must be submitted within 30 days of the test. Immediately submit a copy of this test report to the EHD. This is a repeat violation, Class II. This is a Class II violation. 125 CCR 2712(f) Failed to submit a written response within 30 days of receiving an inspection report. An inspection was last done on January 9, 2014 and an inspection report was issued identifying information to be submitted to bring this site into compliance. This information was required to be submitted by February 9, 2014. This information has not been received resulting in a non-compliant status for this facility. A partial return to compliance documentation was received on November 7, 2014. An operator that receives an inspection report shall have 30 days to submit a written response that includes a statement documenting corrective actions taken or proposing corrective actions which will be taken. Ensure that a written response documenting corrective actions taken or proposed is submitted within 30 days of receiving an inspection report. This is a repeat violation, Class II. This is a Class II violation. Received by Inspector: Phone: Date: (initial): ELENA MANZO, REHS (209) 953-7699 01/08/2015 Page 4 of 7