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SAN ]OAQUI I <br />C)U NTY <br />Environmental Health Department <br />Underground Storage Tank Program Inspection Report <br />Facility Name: <br />Facility Address: <br />Date: <br />7 -ELEVEN INC #17334 <br />4501 N PERSHING AVE, STOCKTON <br />September 20, 2019 <br />Other Violations <br />2010 1 <br />See below <br />Unlisted General violation <br />❑ V ❑ R ❑ COS <br />SUMMARY OF VIOLATIONS <br />(CLASS I, CLASS II, or MINOR - Notice to Comply) <br />Item # <br />Remarks <br />102 <br />HSC 25284(a)(3)(A)/(B) No written agreement between tank owner and tank operator to monitor the tank system. <br />The annual operating permit is not issued to the current operator and there is no written agreement between the <br />person who was issued the permit and the operator to monitor the UST system. If a permit is issued to a person <br />other than the operator of the tank, that person shall enter into a written agreement with the operator of the tank to <br />monitor the UST system. Immediately submit a copy of this written agreement to the EHD. Alternatively, log into <br />CERS, upload the written agreement, and submit for review by the EHD. <br />This is a minor violation. <br />103 <br />HSC 25292.2, 25299.30 Failure to submit and maintain complete and current financial responsibility documents. <br />Financial responsibility documents have not been submitted to the EHD. The most recent financial responsibility <br />documents in CERS are dated 12/11/18 and the one on site are dated 12/17/2018. Current financial responsibility <br />documents are required to be submitted annually. Immediately log into the California Environmental Reporting <br />System (CERS) at http://cers.calepa.ca.gov/, and upload the required documents. <br />This is a minor violation. <br />104 <br />CCR 2711 UST operating permit application for facility and tank information not submitted or current. <br />The annual operating permit is issued to the current operator and there is a written agreement between Manjet and <br />Gurpal Grewal as operator to monitor the UST system. If a permit is issued to a person other than the operator of <br />the tank, that person shall enter into a written agreement with the operator of the tank to monitor the UST system. <br />Immediately review the tank information and the submitted copy of the written agreement to the EHD. Alternatively, <br />log into CERS, and submit accurate information for review by the EHD. <br />This is a Class II violation. <br />124 <br />CCR 2637.2(d&e), 2665(a&b) "Overfill Prevention Equipment Inspection Report Form" not submitted within 30 days <br />of inspection. <br />Overfill prevention testing was performed on 7/27/18 and a test report was not submitted to EHD. A copy of the test <br />report must be submitted within 30 days of the tests. Take all necessary precautions to ensure testing and submittal <br />of test reports are performed in a timely manner. <br />This is a minor violation. <br />FA0002479 PR0231233 SCO01 09/20/2019 <br />EHD 23-01 Rev. 8/22/2019 Page 4 of 6 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 />