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SANJ O A Q U I N Environmental Health Department <br /> COUNTY <br /> Underground Storage Tank Program Inspection Report <br /> Facility Name: Facility Address: Date: <br /> MY MINI MART 1756 N WILSON WAY, STOCKTON June 06, 2019 <br /> SUMMARY OF VIOLATIONS <br /> (CLASS I,CLASS Il, or MINOR-Notice to Comply) <br /> Item# Remarks <br /> 209 CCR 2716(a-e) Failure to conduct the designated UST operator visual inspection at least once every 30 days. <br /> The DO failed to check and note all required items on the visual inspection reports. <br /> The following was observed on the designated operator's monthly inspection reports: <br /> -Section II I of the report was left blank. <br /> -The"NA" in sections VII through XI were not explained. <br /> -Section VI of the report was missing date, name and signature of the owner/operator. <br /> -Tank and line tightness test information was left blank. <br /> During the visual inspection, the designated operator shall check all required testing and maintenance for the UST <br /> system have been completed and shall check all required items on the report. Ensure that designed operators <br /> performing visual inspections at this facility are including all of the required information on the reports. <br /> This is a minor violation. <br /> 309 CCR 2636(f)(1) Monitoring in sump/ UDC failed to activate an audible and visual alarm or stop the flow product. <br /> The Bravo Float and Chain in UDC 1/2 failed to stop the flow of product when tested to ensure continuous monitoring <br /> of the tank system. All monitoring equipment shall be maintained to activate an audible and visual alarm or stop the <br /> flow of product at the dispenser when it detects a leak. The failed Bravo Float and Chain was cleaned, adjusted and <br /> retested during the inspection and verified functionality. <br /> This was corrected on site. <br /> This is a minor violation. <br /> Overall Inspection Comments: <br /> Complete and submit a copy of the Return to Compliance Certification form to the EHD with a statement <br /> documenting the corrective actions that have been or will be taken for each violation, and any supporting <br /> paperwork, by July 5, 2019. <br /> Starting September 1, 2018, all in-office CERS help will be provided at EHD hourly rate ($152). To schedule an <br /> appointment, please call (209) 468-3420. <br /> Documents provided: Return to Compliance Certification form, schedule of free CUPA classes <br /> AFTER THE COMPLIANCE DATE, EHD WILL BILL FOR ALL TIME AND ACTIVITIES ASSOCIATED WITH BRINGING THIS <br /> FACILITY BACK INTO COMPLIANCE. <br /> THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br /> Received by: Date: June 06, 2019 Inspector: Inspector Phone: <br /> Printed Name and Title: SHEWIT WOLDEAREGAY, EHS Trainee (209)468-0216 <br /> Allyssa Delsied, Manager <br /> FA0001858 PR0231300 SCO01 06/06/2019 <br /> EHD 23-01 Rev.09/28/2018 Page 5 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 />