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4111111111111k Page 1 of 4 IM1111111F San Joaquin County Environmental Health Department 1868 East Hazelton Avenue, Stockton, California 95205-6232 Telephone: (209) 468-3420 Fax. (209) 468-3433 Web: www.sa-gov.org/ehd js eq n 0 Under -Tati ROO' gr- un Facility Name: QUlK STOP MARKET #2121 Facility Phone: (209) 239-2957 Date: Ma v 25, 2017 Facility Address: 1196 W LOUISE AVE, MANTECA, CA 95336 CERS ID: 10180667 Inspection Contact: Sue Kaur Title: Manager (209) 239-2957 Inspection Type: ROUTINE INSPECTION - Operating Permit Program: 2361 - UST FACILITY Consent For: N Insoection Z Photos Consent Given By: El Samples Sue Kaur, Manager Service Technician Onsite: AnthonV Re es Exp. Date: 10/17/2018 Designated Operator: Curtis Carpenter Exp. Date: 02/05/2019 Service Technician Manufacturer's Training: VR, 02/13/19; VMl, 08/14/17 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 2" 77777- 101 HSC 25284 No permit to operate o V o R c COS 102 HSC 25284(a)(3) No written agreement between tank owner and tank operator to monitor the tank system o V Ei R o COS 103 HSC 25292.2 Current financial responsibility documents not submitted ci V o R o COS 104 CCR 2711 UST operating permit application for facility and tank information not submitted or current . V m R Ei COS 105 CCR 2632(d)(1) Failed to have an approved UST monitoring plan o V o R c COS 106 CCR 2632(d)(2) Failed to have an approved UST response plan o V ii R o COS 107 CCR 2632(d)(1)(C) Plot plan/site map not submitted or failed to completely show where monitoring is performed c V ii R o COS 108 CCR 2637(f), 2638(e) Failed to notify the EHD 48 hours prior to conducting testing o 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 o V c 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 Ei V u R o COS 113 CCR 2638(d) Failed to submit monitoring system certification test report within 30 days o V Ei 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 o V o R o COS 115 CCR 2715(a) Failed to inform the EHD of designated operator identification or change within 30 days Ei V ii R o COS 116 CCR 2715 Designated operator, service tech or installer did not possess current ICC certification c V o R ii COS 117 CCR 2663 Failed to inspect a lined or repaired steel tank within 10 years of lining and every 5 years after o V o R c COS 118 CCR 2663 Failed to submit tank lining certification within 30 days or to conduct proper tests o V o R o COS 119 HSC 25299 Documents were falsified or misrepresented u V o R o COS 120 CCR 2635(d) Failed to submit UST Certification of Installation/Modification D V o R o COS 121 CCR 2712(f) Failed to submit a written response within 30 days of receiving an inspection report Ei V o R Ei COS 122 CCR 26310) Failure to submit UST system component statement of compatibility for substance stored o V ci R o COS ft'd 201 CCR 2712(b) Failed to maintain alarm logs and/or records of follow up actions o V o R o COS 202 CCR 2712(b) Failed to maintain cathodic protection test records on site for at least 6 1/2 years o V o R o COS 203 CCR 2712(b) Failed to maintain records of monitoring, repair, lining, and upgrades on site o V o R D COS Page 1 of 4