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AMENDED 0 Environmental Health Department SAGOAQUIN --'CQUNTY ---- ri Yi i I 211 U W6� W, �ARP pli Facility Name: Facility Phone: Date: ELDORADO FOOD MART (209)451-4632 August 14,2018 Facility Address: CERS ID: 1901 S ELDORADO ST, STOCKTON, CA 95206 10180839 Inspection Contact: Title: Phone: Avinash Singh Onwer (20n)262-0422 Inspection Type: Program: ROUTINE INSPECTION-Operating Permit 12361 -LIST FACILITY Consent For: F—c.n—.ent Given By: 21 Inspection El Photos Z Samples Susana Ferreira, Cashier Service Technician Onsite: Exp.Date: Designated Operator: Exp.Date: David Wrinkler 01/31/2020 Randall Kirby 01/23/2019 Service Technician Manufacturer's Training: Tank Tester, 03/31/20,-VMI, 11/10/19;Veeder Root, 02/08/20 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 Jti R6 W RE 4�45 101 HSC 25284 Failure to obtain a valid permit to operate from the EHD including but not limited to unpaid fees ii V o R c COS 102 HSC 25284(a)(3)(A)/(B) No written agreement between tank owner and tank operator to monitor the tank system o V o R o COS 103 HSC 25292.2,25299.30 Current financial responsibility documents not submitted o V o R o COS 104 CCR 2711 UST operating permit application for facility and tank information not submitted or current o V o R o COS 105 CCR 2632(d)(1), Failed to have an approved UST monitoring plan m V m R o COS 12634(d) I 106 CCR 2632(d)(2), Failed to have an approved UST response plan m V m R o COS �2634(e) I 107 CCR 2632(d)(1)(C) Plot plan/site map not submitted or failed to completely show where monitoring is performed n V o R o COS 108 CCR 2637(f),2638(e) Failed to notify the EHD 48 hours prior to conducting testing ci V o R u COS 109 CCR 2637 Failed to test secondary containment o V c3 R o COS 110 CCR 2637(e) Failed to submit secondary containment test report within 30 days o V o R o COS 111 CCR 2638(a) Failed to test monitoring and leak detection equipment annually m V o R ii COS 112 HSC 25284.2 Failed to test spill containers annually o V u R n COS 113 CCR 2638(d) Failed to submit monitoring system certification test report within 30 days m V o R o COS 114 CCR 2636(f) Failed to perform 0.1 gph annual line test for pressurized piping without fail safe or shut down c V o R Ei COS 115 CCR 2715(a) Failed to submit to EHD notification of designated operator identification or change w/in 30 days c V o R o COS 116 CCR 2715 Designated operator,service tech or installer did not possess current ICC certification c V o R o 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 o R u COS 118 CCR 2663 Failed to submit tank lining certification within 30 days or to conduct proper tests ci V Ei R o COS 119 HSC 25299(a)(8), Documents were falsified or misrepresented o V [i R o COS 125299(b)(7) 120 CCR 2635(d) Failed to submit UST Certification of Installation/Modification ci V o R Ei COS 121 CCR 2712(f) Failed to submit a written response within 30 days of receiving an inspection report o V n R o COS 122 CCR 26310) Failure to submit and maintain UST system component statement of compatibility for substance stored c V o R ii COS I- 5� 201 CCR 2712(b) Failure to maintain monitoring,maintenance,and follow up action records DV oR oCOS FA0001946 PR0231092 SC001 08/1412018 EHD 23-01 Rev.10/31/2017 Page 1 of 5 Underground Storage Tank Program OIR 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 F 209 464-0138 1 www.sjcehd.com