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SAN JoaQ I N Environmental Health Department N .; Underground Storage Tank Program Inspection Report Facility Phone: Date: Facility Mame: Aril 28, 2022 PERSHING GAS FOR LESS (408)535-0000 P CERS ID: Facility Address: 10181565 4445 N PERSHING AVE, STOCKTON, CA 95207 Title: Phone: Inspection Contact: (209)477-8004 Daljit Singh Owner Inspection Type: Program: ROUTINE INSPECTION-Operating Permit 2361 -UST FACILITY Consent For: Consent Given By: (X. Ins ection ❑x Photos ❑Samples Daljit Singh,Owner Service Technician Onsite: Exp.Date: Designated Operator: Exp.Date: Dave Winkler 01/30/2024 Dave Winkler 02/17/2024 Service Technician Manufacturer's Training: VR. 02/07124,VMI, 11/08123, SB, 11/30/22 CCR=Title 23 California Code of Regulations HSC=Health and Safety Code CFR=Code of Federal Regulations EHD=EnvironmerTil Health Department V=Violation R=Repeat violation COS=Corrected on site during inspection File Review 101 HSC 25284;CCR Failure to obtain a permit to operate from the EHD including but not limited to unpaid permit fees a V c R COS 2711(d) 102 CCR 2711 Failure to submit a complete and accurate application for a permit to operate a UST ❑V c R ❑COS 103 CCR 2635(f),2636(c)(2) Failure to submit the UST Certification of Installation/Modification ❑V e R e COS 104 CCR 2632(d)(1), Failure to have an approved UST Monitoring Plan u V ❑R u COS 2634(d 105 CCR 2632(d)(2), Failure to have an approved UST Response Plan n V r_R c.COS F 2634(e) r 106 CCR 2632(d),2641(h) Failure to submit and maintain a current facility plot plan I site map in V ■R r:COS 107 HSC 25292.2;CCR Failure to submit and maintain complete and current financial responsibility documents ■V in R •COS 2711(a)(11) 108 CCR 2620(b)-.HSC Failure to implement or maintain a written agreement between the UST owner and operator V R COS 125284(a)(3) 109 CCR 2715(a)l1)(B), Failure to submit"Designated Underground Storage Tank Operator Identification Form'within 30 days in V ■R ■COS t 12715(a)(3) t k. 110 CCR 2715(a)(1)(A). Failure to submit the"Underground Storage Tank Statement of Understanding and Compliance Form" n V e R c COS 2715 a 2 111 CCR 2637,2638(e), Failed to notify the EHD 48 hours prior to conducting testing ❑V e R u COS - 643(g) 112 CCR 2638,26410), Failure to have properly qualified service technician test leak detection equipment every 12 months n V r,R ri COS 2715(f) 113 CCR 2637(a-d),2712(b) Failure to conduct secondary containment testing ❑V e R c COS (1)(F) 114 CCR 2636(f)(3),2643(c) Failure to perform line integrity test every 12 months or within 30 days of repair of primary pipe eV c R e COS (3) 115 CCR 2638(c),2638(d) Failure to submit"Monitoring System Certification Form'within 30 days of completion of the test ■V ❑R e_,COS 116 CCR 2637.1(d), Failure to submit the"Spill Container Testing Report Form"within 30 days 2637.1 ❑V q R ❑COS e 117 CCR 2637(e),2637(f) Failed to submit"Secondary Containment Testing Report Form"within 30 days after the test u V u R ❑COS 118 CCR 2637.2(d&e), Failure to submit the"Overfill Prevention Equipment Inspection Report Form"within 30 days ❑V ❑R n COS 2665(a&b) 119 CCR 2663, 2712(b)(6) Failure to comply with tank lining certification,testing,and inspection requirements ❑V u R u COS 120 CCR 2631,2640.1. Failure to submit andfor maintain documentation regarding compatibility for UST system components ❑V ❑R ❑COS 2665.2711 EHD 23.01 Rev.t 211]812021 FAD003994 PR0231785 SCO01 04/2812022 Page 1 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.sjgov.org/EHD s. � i .. .. op Aa L.