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SAN" J D�l+ �� I 11411" Environmental Health Department COUNTY— Underground �l O U N T Y-- Underground Storage Tank Program Inspection Report Facility Name: Facility Address: Date: RANCHO SAN MIGUEL MARKET* 610 S Cherokee Ln Lodi Joctober 16 2019 Single-Walled Non-Pressurized Piping 401 CCR 2636(a)(3), Suction piping not properly sloped or incorrectly located check valve ❑V ❑R ❑COS 2641(b) 402 CCR 2643(d) Failure to conduct monitoring/maintain records for single-walled conventional suction(pre-1984) ❑V ❑R ❑COS 403 CCR 2643(d),2661(f) Failure to conduct 0.1 gph test for single-walled conventional suction systems(pre-Jan 1984) ❑V ❑R ❑COS 404 CCR 2643(e),2661(f) 0.1-gph line test for single-walled gravity piping not performed biennialy or post repair(pre-1984) ❑V ❑R ❑COS Other Violations 2010 See below Unlisted General violation ❑V ❑R ❑COS SUMMARY OF VIOLATIONS (CLASS I,CLASS II,or MINOR-Notice to Comply) 71 Item# Remarks 106 CCR 2632(d)(2), 2634(e)Failed to have an approved UST response plan. The response plan is not current not approved by the EHD. -The response plan found on site was dated 10/7/2019 while the response plan found on CERS was dated 5/8/2018. The response plan must be uploaded to the California Environmental Reporting System (CERS). Immediately log into CERS, upload the completed form, and submit for review by the EHD. This is a minor violation. 118 CCR 2715(a)(1)(A), 2715(a)(2) Failure to submit the"Underground Storage Tank Statement of Understanding and Compliance Form". The Underground Storage Tank Statement of Understanding and Compliance Form was not found in CERS. This form must be uploaded to the California Environmental Reporting System (CERS). Immediately log into the California Environmental Reporting System (CERS)at http://cers.calepa.ca.gov and upload the Underground Storage Tank Statement of Understanding and Compliance Form for this facility. This is a minor violation. 201 CCR 2712(b)(1-2)Failure to maintain monitoring, maintenance, and follow up action records. The following maintenance and monitoring records for the last three years were not found on site: -2016 Monitoring System Certification -2018 Monitoring System Certification -Overfill Prevention Equipment Test results(10/16/2018)(corrected on site) These records shall be maintained on site for at least three years. Monitoring records include: (1)date and time of all monitoring or sampling; (2)monitoring equipment calibration and maintenance records; (3)results of any visual observations; (4)results of sample analysis performed a lab or in the field; (5)logs of all readings of gauges or other monitoring equipment, ground water elevations, or other test results; (6)results of inventory readings and reconciliations. Immediately locate and maintain all missing maintenance and monitoring records for the last three years on site and submit copies to the EHD. This is a minor violation. FA0014852 PRO521866 SCO01 10/16/2019 EHD 23-01 Rev.08/27/2019 Page 4 of 6 Underground Storage Tank Program OIR 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com