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Ll San Joaquin County Environmental Health Department 1868 East Hazelton Avenue, Stockton, California 95205-6232 Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: www.sigov.org/ehd { u.nderground S#Drage Tank Programtnspectcoln Rep®irt Facility Name: COUNTRY MART GAS & FOODT(209)832-8642 Facility Phone: Date: Aril 04 2017 Facility Address: 34243 S CHRISMAN RD TRACY CA 95304 CERS ID: 10181085 Inspection Contact: Taran'it Sandhu Title: Owner Phone: 209 832-8642 Inspection Type: ROUTINE INSPECTION - Operating Permit Program: 2361 - UST FACILITY Consent For. Consent Given By: ® Inspection ❑x Photos x❑ Sample Taranjit Sandhu Owner Service Technician Onsite: Exp. Date:Designated Felix Ramirez 11/22/2018 Operator: Exp. Date: Felix Ramirez 02/26/2018 Service Technician Manufacturer's Training: VR 07/06/18; VMI 11/06/17; TT 05/31/17 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 -7777�171 ale Renew 101 HSC 25284 No permit to operate o V o R o 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 o V o R o COS 105 CCR 2632(d)(1) Failed to have an approved UST monitoring plan ❑ V c R o COS 106 CCR 2632(d)(2) Failed to have an approved UST response plan ❑ V ❑ 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 o R o COS 108 CCR 2637(f), 2638(e) Failed to notify the EHD 48 hours prior to conducting testing ❑ V c R o 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 c V a R o COS 111 CCR 2638(a) Failed to test monitoring and leak detection equipment annually o V ❑ R o 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 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 o R ❑ COS 115 CCR 2715(a) Failed to inform the EHD of designated operator identification or change within 30 days ❑ V o R o COS 116 CCR 2715 Designated operator, service tech or installer did not possess current ICC certification ❑ V ❑ 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 o R o COS 118 CCR 2663 Failed to submit tank lining certification within 30 days or to conduct proper tests c V ❑ R o COS 119 HSC 25299 Documents were falsified or misrepresented ❑ V o R o COS 120 CCR 2635(d) Failed to submit UST Certification of Installation/Modification ❑ V ❑ R o COS 121 CCR 2712(1) Failed to submit a written response within 30 days of receiving an inspection report ❑ V o R o COS 122 CCR 26310) Failure to submit UST system component statement of compatibility for substance stored c V o R o COS ©nStWilke orcls 201 CCR 2712(b) Failed to maintain alarm logs and/or records of follow up actions ❑ V c 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 ❑ R o COS 203 CCR 2712(b) Failed to maintain records of monitoring, repair, lining, and upgrades on site ❑ V c R ❑ COS Page 1 of 4