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S A N J 0 A Q I I I Irl Environmental Health Department <br /> CCUNT <br /> Underground Storage Tank Program Inspection Report <br /> Facility Name: Facility Address: Date: <br /> RANCHO SAN MIGUEL MARKET* 1427 S AIRPORT WAY, STOCKTON June 06, 2023 <br /> Single-Walled Non-Pressurized Piping <br /> 404 CCR 2643(e),2661(f) Failure to conduct 0.1 gph test on single-walled gravity piping biennially or post repair(pre-1984) ❑V ❑R ❑COS <br /> Other Violations <br /> 2010 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 HSC 25292.2; CCR 2711(a)(11)Failure to submit and maintain complete and current financial responsibility <br /> documents. <br /> OBSERVATION: Financial responsibility documents have not been submitted to the EHD. The most recent <br /> financial responsibility documents in CERS expired 3/7/23. <br /> REGULATION GUIDANCE: Current financial responsibility documents are required to be submitted annually. <br /> CORRECTIVE ACTION: Immediately log into the California Environmental Reporting System (CERS)at <br /> http://cers.calepa.ca.gov/, and upload the required documents. <br /> This is a repeat violation, Class ll. <br /> 113 CCR 2637(a-d), 2712(b)(1)(F)Failure to conduct secondary containment testing. <br /> OBSERVATION: Secondary containment testing was previously performed in August 2019 and was completed on <br /> 9/2/22, one month past due. <br /> REGULATION GUIDANCE: Secondary containment testing is required to be performed once every 36 months. <br /> CORRECTIVE ACTION: Take all necessary precautions to ensure testing is performed in a timely manner. <br /> Secondary containment testing will next be due in or before August 2025. <br /> This is a Class II violation. <br /> 117 CCR 2637(e), 2637(f)Failed to submit"Secondary Containment Testing Report Form"within 30 days after the test. <br /> OBSERVATION: Secondary containment testing was performed on 11/24/22. The report submitted for this testing <br /> did not include piping certifications for the technician performing the testing.An amended test report has not been <br /> submitted to the EHD or the California Environmental Reporting System (CERS). Since the test results do not were <br /> not fully filled out and do not contain the required information,they have not been accepted by the EHD. <br /> REGULATION GUIDANCE:A copy of the'Secondary Containment Testing Report Form'must be submitted within <br /> 30 days of the test. <br /> CORRECTIVE ACTION: Immediately provide a copy of the completed, amended test results for the 11/24/22 <br /> secondary containment testing to the EHD, or reschedule this testing to be performed by a properly certified tester. <br /> This is a minor violation. <br /> FA0014921 PR0521942 SCO01 06/06/2023 <br /> EHD 23-01 Rev.12/06/2021 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.sjgov.org/EHD <br />