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Environmental Health Department <br />CP22 - AST Non-Qualified Inspection Report <br />Date: <br />March 20, 2025 <br /> Facility Address: <br /> 4469 S ESCALON BELLOTA RD, FARMINGTON <br /> Facility Name: <br /> FARMINGTON CIRCLE K <br />SUMMARY OF VIOLATIONS <br />(CLASS I, CLASS II, or MINOR - Notice to Comply) <br />RemarksItem # <br />2023". <br />REGULATION GUIDANCE: 112.7(e), Conduct inspections and tests required by this part in accordance with written <br />procedures that you or the certifying engineer develop for the facility. You must keep these written procedures and a <br />record of the inspections and tests, signed by the appropriate supervisor or inspector, with the SPCC Plan for a period <br />of three years. Records of inspections and tests kept under usual and customary business practices will suffice for <br />purposes of this paragraph. 112.8(c)(6) Test or inspect each aboveground container for integrity on a regular schedule <br />and whenever you make material repairs. <br />CORRECTIVE ACTION: Inspections and tests must be conducted in accordance with the written procedures <br />developed in the Spill Prevention, Control, and Countermeasure (SPCC) Plan. Records of these inspections and tests <br />must be signed by the appropriate supervisor or inspector and kept on-site with the SPCC Plan for three years. <br />Immediately locate a copy of all inspection and testing records for the last three years, maintain them on-site, and <br />submit copies to the EHD. <br />This is a repeat violation (Class 2) Violation. <br />Code of Fed Regulations 112.20(e) 4010044 - Substantial Harm Criteria certification maintained at the facility as <br />required. <br />OBSERVATION: The facility failed to complete the Substantial Harm Criteria certification form. <br />- At time of inspection the Substantial Harm Criteria Certification form was not completed. <br />REGULATION GUIDANCE: (e) If the owner or operator of a facility determines pursuant to paragraph (a)(2) of this <br />section that the facility could not, because of its location, reasonably be expected to cause substantial harm to the <br />environment by discharging oil into or on the navigable waters or adjoining shorelines, the owner or operator shall <br />complete and maintain at the facility the certification form contained in appendix C to this part and, in the event an <br />alternative formula that is comparable to one contained in appendix C to this part is used to evaluate the criterion in <br />paragraph (f)(1)(ii)(B) or (f)(1)(ii)(C) of this section, the owner or operator shall attach documentation to the certification <br />form that demonstrates the reliability and analytical soundness of the comparable formula and shall notify the Regional <br />Administrator in writing that an alternative formula was used. <br />CORRECTIVE ACTION: Jason Sharp completed the Substantial Harm Criteria certification form during inspection, no <br />further action needed. <br />This was corrected on site. <br />This is (Minor) Violation. <br /> 78 <br />Overall Inspection Comments: <br />An inspection checklist was provided to the facility operator on the day of inspection March 20, 2025. <br />A complete report was finished on March 20, 2025 and replaces the initial checklist. <br />Complete and submit a copy of the Return to Compliance Certification form to the EHD with a statement <br />FA0019881 PR0540158 SC001 03/20/2025 <br />EHD Rev. 12/06/2021 CP22 - AST Non-Qualified OIRPage 7 of 8 <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjgov.org/EHD