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� � Environmental Health Department OAN I N� G(eoo)ess grows stere. ff CP22 - UST FULL Inspection Report Facility Name: Facility Phone: Date: EI Dorado Food Mart 209 451-4632 August 14 2024 Facility Address: CERS ID: 1901 S ELDORADO ST STOCKTON CA 95206 10180839 Inspection Contact: Title: Phone: 510 557-4508 Inspection Type: Program: Routine 2361 - UST FACILITY Consent For: Consent Given By: ❑x Inspection ❑x Photos ❑x Samples Susana Ferreira Manager Service Technician Onsite: Exp.Date: Designated Operator: Exp.Date: Dave Winkler 1/30/2025 Amy Winkler 7/5/2025 Service Technician Manufacturer's Training: VMI, 11/13/2025;VR, 1/28/2026; OPW, 3/11/2026 OUT=Violation R=Repeat violation COS=Corrected on site during inspection 1 CA Health and Safety 2030021 -Facility has a valid Permit to Operate from the CUPA ❑OUT ❑R ❑COS Code 25284;CCR 2711(d) 2 CA Code of Regulations 2010010-Complete and accurate UST Operating Permit Application has been submitted. ❑OUT ❑R ❑COS 2711 3 CA Code of Regulations 2010013-Facility has submitted a complete and accurate UST Monitoring Plan. ❑OUT ❑R ❑COS 2632(d)(1),2634(d) 4 CA Code of Regulations 2010014-Facility has submitted a complete and accurate UST Response Plan. ❑OUT ❑R ❑COS 2632(d)(2),2634(e) 5 CA Code of Regulations 2030041-A current facility plot plan is maintained and has been submitted ❑OUT ❑R ❑COS 2632(d),2641(h) 6 CA Health and Safety 2010006-Owner/Operator has not made false statements,certifications,or representations on ❑OUT ❑R ❑COS Code 25299(a)(8), documents 25299(b)(7) 7 CA Code of Regulations 2010003-Owner/Operator submitted DO form and/or informed the CUPA of any change(s)within ■OUT ■R ❑COS 2715(a)(1)(B),2715(a) 30 days(TCR 10) (3) 8 CA Code of Regulations 2010016-"Underground Storage Tank Statement of Understanding and Compliance Form" ❑OUT ❑R ❑COS 2715(a)(1)(A),2715(a) submitted(TCR 10) (2) 9 CA Code of Regulations 2030002-Leak detection equipment tested by qualified service technician every 12 months(TCR ❑OUT ❑R ❑COS 2638,26410),2715(f) 9d) 10 CA Code of Regulations 2030074-Annual Monitoring System Certification Form to the CUPA within 30 days of completion of ■OUT ■R ❑COS 2638(c),2638(d) the test 11 CA Code of Regulations 2030048-Sec containment testing conducted per requirements&records kept for 36 mths(TCR ❑OUT ❑R ❑COS 2637(a-d),2712(b)(1) 9d) (F) 12 CA Code of Regulations 2010009-Secondary containment test results submitted to the CUPA within 30 days after the test. ❑OUT ❑R ❑COS 2637(e),2637(f) 13 CA Code of Regulations 2010017-Spill bucket testing results submitted to the UPA within 30 days of testing ❑OUT ❑R ❑COS 2637.1(d),2637.1(e) 14 CA Code of Regulations 2010018-Overfill prevention equipment inspection report form submitted to the UPA within 30 days ❑OUT ❑R ❑COS 2637.2(d&e), 2665(a&b) 15 CA Code of Regulations 2030042-Line integrity test completed on DW press piping every 12 mths if no fail safe/+ ❑OUT ❑R ❑COS 2636(f)(3),2643(c)(3) shutdown(TCR 9d) 16 CA Code of Regulations 2030050-0.1 gph piping test conducted on SW suction systems every 36 mths and after piping ❑OUT ❑R ❑COS 2643(d),2661(f) repair(TCR 9d) FA0001946 PR0231092 SCO01 08/14/2024 EHD Rev.12/06/2021 Page 1 of 5 CP22-UST FULL OIR 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/EHD