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• 0 Page 1 of 6 San Joaquin County Environmental Health Department 1868 East Hazelton Avenue, Stockton, California 95205-6232 Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: www.s'gov.org/ehd Underground Storage Tank Program Inspection Report Facility Name: QUIK STOP MARKET #2121 Facility Phone: 209 239-2957 Date: June 02 2016 Facility Address: W MANTECA CA 95336 CERS ID: 10180667 Inspection Contact: Sue Kaur Title: Franchisee Phone: 209 239-2957 Inspection Type: ROUTINE INSPECTION - Operating Permit Program: 2361 - UST FACILITY Consent For: Consent Given By: O Insvection I@ Photos 21 Sam les I Sue Kaur, Franchisee Service Technician Onsite: Jessie Wadkins Exp. Date: 04/05/2017 Designated Operator: Curtis Carpenter Exp. Date: 03/16/2016 Service Technician Manufacturer's Training VR 6/17; Veo. 02/09/16 = a/2 ty a CP ode Federal Regulations gu a ons HSC = Health and Safe V =Violation R =Repeat violation COS = Corrected on site during inspection File Review 101 HSC 25284 No permit to operate u V u R u COS 102 HSC 25284(a)(3) No written agreement between tank owner and tank operator to monitor the tank system o V o R o 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 ❑ V ❑ R ❑ COS 105HSC 25286(c) Current BOE number not submitted r- V iiR n COS 106 1 CCR 2632 Monitoring and response plans not current or approved by the EHD ■ V ❑ R ❑ COS 107 CCR 2632(d)(1)(C) Plot plan/site map not submitted or failed to completely show where monitoring is performed n V ❑ R n COS 108 CCR 2637(f), 2638(e) Failed to notify the EHD 48 hours prior to conducting testing ❑ V ❑ R ❑ COS 109 CCR 2637 Failed to test secondary containment ❑ V ❑ R o COS 110 CCR 2637(e) Failed to submit secondary containment test report within 30 days ❑ V o R o COS 111 CCR 2638(a) Failed to test monitoring and leak detection equipment annually o V o R o COS 112 HSC 25284.2 Failed to test spill containers annually o V o R ❑ COS 113 CCR 2638(d) Failed to submit monitoring system certification test report within 30 days o 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 ❑ V ❑ R ❑ COS 115 CCR 2715(a) Failed to inform the EHD of a change of designated operator within 30 days ❑ V ❑ R ❑ COS 116 CCR 2715 Designated operator, service tech or Installer did not possess current ICC certification o V o R o COS 117 HSC 25292.5 Failed to conduct ELD testing on a system located within 1000' of a public well o V o R u COS 118 HSC 25292.5 Failed to repair and retest system due to failed ELD test ❑ V n R n COS 119 CCR 2644.1(a)(5) Failed to submit ELD test results within 60 days ❑ V ❑ R ❑ COS 120 CCR 2663 Failed to inspect a lined or repaired steel tank within 10 years of lining and every 5 years after ❑ V ❑ R o COS 121 CCR 2663 Failed to submit tank lining certification within 30 days or to conduct proper tests o V o R o COS 122 HSC 25299 Documents were falsified or misrepresented o V o R o COS 123 CCR 2661 Permit to repair UST system not obtained o V o R o COS 124 CCR 2635(d) Failed to submit UST Certification of Installation/Modification o V ❑ R o COS 125 CCR 2712(f) Failed to submit a written response within 30 days of receiving an inspection report o V ❑ R ❑ COS 126 HSC 25404(e)(4) Failed to report program data electronically o V ❑ R o COS Page 1 of 6