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0 <br />SAN JOAQUIN COUNTY 6 <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East Hazelton Avenue, Stockton, California 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: www.si og v.org/ehd <br />Facility <br />Name: Quik Stop Market #3144 <br />Facility <br />Address: 7272 West Ln, Stockton <br />No permit to operate <br />Inspection <br />Date: Aug 1, 2014 <br />Facility <br />Contact: Roger Batra <br />HSC 25404.5 <br />Title: <br />Dir of Environ. Affairs <br />103 <br />(5bfb) 445-2285 <br />Inspection XRoutine XMonitoring System Certification ❑ Installation ❑ Complaint- ID#: <br />Type: <br />E Other: <br />(Authority HSC 25289) <br />J <br />HSC 25292.2 <br />Consent for: X Inspection E Sampling $Photos Granted by: <br />Title: <br />MonitoringPiping <br />Panel: <br />System: XPressurized ] Suction E Gravity <br />Overfill <br />Prevention: <br />XMechanical E Audible/visual <br />UST <br />12 <br />Monitoring Program (Monitoring & Response Plans) is not current or approved by the EHD <br />3 <br />CCR 2632(d)(1)(C) <br />Plot plan/site map not submitted or fails to completely show where monitoring is performed <br />108 <br />CCR 2637 <br />Secondary containment: (a) test not performed; (e) test report not submitted within 30 days; (f) test notification <br />not provided to the EHD at least 48 hours prior to conducting the test <br />----- <br />Product <br />-------------- <br />87 octane <br />-----octane -- <br />----------------- <br />91 -octane <br />119 <br />----- - - - - <br />- - - - - - - <br />- - - <br />- - - - <br />- - - - - - <br />-------------- <br />DesignatedICC <br />Operator: �{ <br />Exp. g <br />Date: ! J <br />Violations: E M1 -Release Detection <br />E M2 -Release Prevention E M3 - Both <br />On Site Service <br />ICC Exp. 5 Manufacturer's Vmf3- <br />J <br />Technician:-�'�l�gj S <br />Date: j4 Training: <br /># I Cl I C2 I M I Code Section <br />IOLATIONS <br />= California Health and Safety Code; CCR = California Code of <br />r1 = riace 1 ,W.finn- r9 = ghee 9 "Wnti— M = ItAin vinh <br />101 <br />HSC 25284 <br />No permit to operate <br />102 <br />HSC 25404.5 <br />Annual operating fees not paid <br />103 <br />HSC 25284(a)(3) <br />No written agreement between the person that the operating permit was issued to and the tank operator to <br />monitor the tanks stem <br />104 <br />HSC 25292.2 <br />Current financial responsibility documents not on file with the Environmental Health Department (EHD) <br />105 <br />CCR 2711 <br />Current Unified Program Consolidated Forms not on file with the EHD (Facility and tank form) <br />106 <br />CCR 2632(b) <br />Monitoring Program (Monitoring & Response Plans) is not current or approved by the EHD <br />107 <br />CCR 2632(d)(1)(C) <br />Plot plan/site map not submitted or fails to completely show where monitoring is performed <br />108 <br />CCR 2637 <br />Secondary containment: (a) test not performed; (e) test report not submitted within 30 days; (f) test notification <br />not provided to the EHD at least 48 hours prior to conducting the test <br />109 <br />CCR 2638 <br />Monitoring equipment certification: (a) not performed annually; (d) test report not submitted within 30 days; <br />(e) test notification not provided to the EHD at least 48 hours prior to conducting an installation, repair, <br />110 <br />HSC 25291(f) <br />Annual line leak detector test not performed (M1) <br />111 <br />HSC 25284.2 <br />Annual spill containment testing not performed <br />112 <br />CCR 2636(f)(4) <br />Annual line tightness test not performed if positive shutdown or fail safe not present (M1) <br />113 <br />CCR 2715(a) <br />Failed to inform the EHD of a change of designated operator within 30 days <br />114 <br />CCR 2715(b) <br />Designated operator does not possess a current ICC CA UST System Operator certification <br />115 <br />CCR 2660(k) <br />Repair for tank or piping not tested for tightness after completion of the repair pursuant to (M2) <br />permit conditions <br />116 <br />HSC 25292.5 <br />Enhanced leak detection (ELD) testing not performed on a system located within 1000' of public well, or <br />failures not repaired and retested <br />117 <br />CCR 2661 <br />Permit to repair UST system not obtained <br />118 <br />HSC 25286(a) <br />Operational permit not amended when UST storage and/or monitoring system changed <br />119 <br />HSC 25298(b) <br />Permit to temporarily close UST system not obtained <br />120 <br />HSC 25298(c) <br />I Permit to close UST system not obtained <br />Maintenance & monitoring records not maintained 3 years, cathodic protection records for 6 % years, written <br />performance claims pertaining to release detection systems for 5 years, or records of repairs, linings, and <br />201 CCR 2712(b) upgrades for the life of the tank. Monitoring records include: (1) date and time of all monitoring or sampling; <br />(2) monitoring equipment calibration and maintenance records; (3) results of any visual observations; (4) <br />results of sample analysis performed a lab or in the field; (5) logs of all readings of gauges or other monitoring <br />equipment, round water elevations, or other test results; 6 results of inventory readings and reconciliations <br />202 CCR 2712(i) Monitoring plan, response plan, and/or operating permit and all conditions not onsite <br />Unauthorized release that: (c) did not escape secondary containment and cleaned up within eight hours III <br />203 CCR 2650 was not recorded; (e) escaped secondary containment, not cleaned up after eight hours, or a sudden loss of <br />product was not reported to the EHD within 24 hours <br />Inspector Received By:� Title: <br />Jeffrey Wong (209) 468-0335 <br />EHD 23-02 Rev 04/19/12 Page 1 UST INSPECTION REPORT <br />