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AJ O A U I l i Environmental Health Department <br /> OUITY <br /> Underground Storage Tank Program Inspection Report <br /> Facility Name: Facility Address: Date: <br /> MANTECA GAS & FOOD* 1229 E LOUISE AVE, MANTECA August 19, 2019 <br /> Other Violations <br /> 2010 1 See below Unlisted General violation V ❑R ❑COS <br /> SUMMARY OF VIOLATIONS <br /> (CLASS I,CLASS II,or MINOR-Notice to Comply) <br /> Item# Remarks <br /> 107 CCR 2632(d), 2641(h), 2711(a) Plot plan/site map not submitted or failed to completely show where monitoring is <br /> performed. <br /> An approved copy of the plot plan/site map were not available for inspection. A copy of these plans shall be <br /> accessible on site at all times. Immediately locate and retain a copy on site. <br /> This is a minor violation. <br /> 113 CCR 2638(c), 2638(d) Failure to submit"Monitoring System Certification Form"within 30 days of completion of the <br /> test. <br /> A monitoring system certification, and leak detector testing were performed on 8/30/18. The test results were <br /> required to be submitted by 9/30/18 . The test report was submitted to the EHD or the California Environmental <br /> Reporting System (CERS) on 11/6/18, 37days late. A copy of the test report must be submitted within 30 days of <br /> the test Take all necessary precautions to ensure testing and submittal of test reports are performed in a timely <br /> manner. <br /> This is a minor violation. <br /> 118 CCR 2715(a)(1)(A), 2715(a)(2) Failure to submit the "Underground Storage Tank Statement of Understanding and <br /> Compliance Form". <br /> The Underground Storage Tank Statement of Understanding and Compliance Form was not found on site/CERS. <br /> This form must be uploaded to the California Environmental Reporting System (CERS). Immediately log into the <br /> California Environmental Reporting System (CERS) at http://cers.calepa.ca.gov and upload the Underground Storage <br /> Tank Statement of Understanding and Compliance Form for this facility. <br /> This is a minor violation. <br /> 121 CCR 2712(f) Failed to submit a written response within 30 days of receiving an inspection report. <br /> An inspection was last done on 8/30/18 and an inspection report was issued identifying information to be submitted <br /> to bring this site into compliance. This information was required to be submitted by 9/30/18. This information has not <br /> been received. An operator that receives an inspection report shall have 30 days to submit a written response that <br /> includes a statement documenting corrective actions taken or proposing corrective actions which will be taken. <br /> Ensure that a written response documenting corrective actions taken or proposed is submitted within 30 days of <br /> receiving an inspection report. <br /> This is a Class II violation. <br /> FA0018327 PRO527041 SCO01 08/19/2019 <br /> EHD 23-01 Rev.09/28/2018 Page 4 of 5 Underground Storage Tank Program OIR <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />