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SAN 's] DAQ II II Environmental Health Department <br /> C0L.IJT`o' <br /> Underground Storage Tank Program Inspection Report <br /> Facility Name: Facility Address: Date: <br /> WATERLOO FOODMART 4315 E WATERLOO RD, STOCKTON March 17, 2020 <br /> Other Violations <br /> 2010 See below Unlisted General violation ❑V ❑R ❑COS <br /> SUMMARY OF VIOLATIONS <br /> (CLASS I,CLASS II,or MINOR-Notice to Comply) <br /> Item# Remarks <br /> 114 CCR 2636(f)(3),2643(c)(3)No 0.1 gph annual line integrity test for pressurized piping, or within 30 days after repair. <br /> OBSERVATION: Line tightness testing on the 87 product line was performed on 7/12/2019 and a test report was <br /> submitted on 9/27/2019, 1 month late. <br /> REGULATION GUIDANCE:A copy of the test report must be submitted within 30 days of the tests. <br /> CORRECTIVE ACTION: Take all necessary precautions to ensure testing and submittal of test reports are <br /> performed in a timely manner. <br /> This is a minor violation. <br /> FA0003831 PR0231760 SCO01 03/17/2020 <br /> EHD 23-01 Rev.9/20/2019 Page 4 of 6 Underground Storage Tank Program OIR <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />