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San Joaquin County �M Mp�p Environmental Health Department 1868 East Hazelton Avenue, Stockton, California 95205-6232 �7 Telephone: (209)468-3420 Fax:(209)468-3433 Web:www.siqov.org/ehd ehd �a" � dergcound > ag �nk ir+�grarn inspection Reporti �. " = , . r �i . I Facility Name: Facility Phone: Date: QUICK N EASY MART 209 451-4418 February 09, 2017 Facility Address: CERS ID: 2057 S EL DORADO ST, STOCKTON, CA 95206 10181361 Inspection Contact: Title: Phone: Kat Ce'a Cashier 209 451-4418 Inspection Type: Program: ROUTINE INSPECTION -Operating Permit 2361 - UST FACILITY Consent For: I Consent Given By: Z Inspection 0 Photos ❑ Sam les I Kat Ceja, Cashier Service Technician Onsite: Exp.Date: Designated Operator: Exp.Date: Jason Hasse 06/25/2018 Ed Sterns 02/26/2018 Service Technician Manufacturer's Training VR, 12/19/17; VMI, 07/11/18 CCR=California Codeo egu ations HSC=Health and Safety Code CFR=Code of a era Regulations V=Violation R=Repeat violation COS=Corrected on site during B ?I -0- 10 t° Revile�ly - ti9I i m�. . .o-4 � -20 101 HSC 25284 No permit to operate V ❑R ❑COS 102 HSC 25284(a)(3) No written agreement between tank owner and tank operator to monitor the tank system V ❑R ❑COS 103 HSC 25292.2 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 Li V ❑R ❑COS 105 CCR 2632(d)(1) Failed to have an approved UST monitoring plan ■V ❑R ❑COS 106 CCR 2632(d)(2) Failed to have an approved UST response plan ❑V ❑R ❑COS 107 CCR 2632(d)(1)(C) Plot plan/site map not submitted or failed to completely show where monitoring is performed oV ❑R ❑COS 108 CCR 2637(f),2638(e) Failed to notify the EHD 48 hours prior to conducting testing ii 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 Ei V ❑R ❑COS 115 CCR 2715(a) Failed to inform the EHD of designated operator identification or change within 30 days oV ❑R ❑COS 116 CCR 2715 Designated operator,service tech or installer did not possess current ICC certification oV ❑R ❑COS 117 CCR 2663 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 Documents were falsified or misrepresented V ❑R ❑COS 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 UST system component statement of compatibility for substance stored V ❑R ❑COS $siNrr4�t� N o-Js x a ' — �r r 201 CCR 2712(b) Failed to maintain alarm logs and/or records of follow up actions 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 203 CCR 2712(b) Failed to maintain records of monitoring, repair,lining,and upgrades on site DV ❑R ❑COS Page 1 of 5