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0 0 San Joaquin County Environmental Health Department 1868 East Hazelton Avenue, Stockton, California 95205-6232 Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: www.s0-qov.o[g/ehd MEEMN INEM INNIS= Facility Name: Facility Phone: Date: QUIK STOP MARKET #2121 (209) 239-2957 June 02, 2016 Facility Address: CERS ID: W , MANTECA, CA 95336 10180667 Inspection Contact: Sue Kaur Title: Franchisee Phone: (209) 239-2957 Inspection Type: ROUTINE INSPECTION - Operating Permit Program: 2361 - UST FACILITY Consent For: 9 Inspection 9 Photos 0 Sam les I Consent Given By: I Sue Kaur, Franchisee Service Technician Onsite: Exp. Date: Jessie Wadkins 04/05/2017 Designated Operator: Exp. Date: Curtis Carpenter 03/16/2M Service Technician Manufacturer's Training VR, 04/26/17; VIVII, 02/09/1& 17 CCR = California Code of Regulations H5G = Health and Safety Code CFR = Code of Federal Regulations V = Violation R = Repeat violation COS = Corrected on site during inspection 0 1 HSC 25284 77 ElffiffilEMENNE No permit to operate EMEM o V Ei R ci COS 102 HSC 25284(a)(3) (a)(3) No written agreement between tank owner and tank operator to monitor the tank system Ei V Ei R ii COS 1073 HSC 25292.2 Current financial responsibility documents not submitted Ei 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 ❑ COS 105 HSC 25286(c) Current BOE number not submitted c V o R ❑ COS 106 CCR 2632 Monitoring and response plans not current or approved by the EHD M V o R o COS 107 CCR 2632(d)(1)(C) Plot plan/site map not submitted or failed to completely show where monitoring is performed o V ii R o COS 108 CCR 2637(f), 2638(e) Failed to notify the EHD 48 hours prior to conducting testing ci V o R o COS 109 CCR 2637 Failed to test secondary containment o V o R o COS 110 CCR 2637(e) Failed to submit secondary containment test report within 30 days Ei V Ei R Ei COS Ill 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 u V Ei R n COS 113 CCR 2638(d) Failed to submit monitoring system certification test report within 30 days c 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 [D V Ei R Ei COS 115 CCR 2715(a) Failed to inform the EHD of a change of designated operator within 30 days o V o R o 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 o COS 118 HSC 25292.5 Failed to repair and retest system due to failed ELD test o V o R D COS 119 CCR 2644.1(a)(5) Failed to submit ELD test results within 60 days o V o R o COS 120 CCR 2663 Failed to inspect a lined or repaired steel tank within 10 years of lining and every 5 years after o V Ei 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 FISC 25299 Documents were falsified or misrepresented o V D R o COS 123 CCR 2661 Permit to repair UST system not obtained ii V o R o COS 124 CCR 2635(d) Failed to submit UST Certification of Installation/Modification Ei V ii R o COS 125 CCR 2712(f) Failed to submit a written response within 30 days of receiving an inspection report o V o R o COS "12 6 HSC 25404(e)(4) Failed to report program data electronically o V o R I COS Page 1 of 5