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Q• Aqu N S A N�10 A Q U IN Environmental Health Department <br /> 0 <br /> COUNTY <br /> Greatness grows here. <br /> AC/FORA <br /> Underground Storage Tank Program Inspection Report <br /> Facility Name: Facility Phone: Date: <br /> QUIK STOP MARKET#124 1(209) 823-7628 1 June 12, 2025 <br /> Facility Address: CERS ID: <br /> 505 N MAIN ST, MANTECA, CA 95336 10182107 <br /> Inspection Contact: Title: Phone: <br /> Marty Hilfinger Environmental Contact (508)270-4444 <br /> Inspection Type: Program: <br /> Re-Inspection 2361 - UST FACILITY <br /> Consent For: Consent Given By: <br /> ■ Inspection ❑ Photos ❑ Samples Sat Singh, Manager <br /> Service Technician Onsite: Exp.Date: Designated Operator: Exp.Date: <br /> Sean Davies 5/7/2026 <br /> Service Technician Manufacturer's Training: <br /> VMI, 12/12/2024; , ; , <br /> OUT=Violation R=Repeat Violation COS=Corrected on site during inspection <br /> 1 CA Health and Safety 2030021 -Facility has a valid Permit to Operate from the CUPA ❑OUT ❑ R ❑COS <br /> Code 25284; CCR 2711 <br /> (d) <br /> 2 CA Code of Regulations 2010010-Complete and accurate UST Operating Permit Application has been ❑OUT ❑ R ❑COS <br /> 2711 submitted. <br /> 3 CA Code of Regulations 2010013-Facility has submitted a complete and accurate UST Monitoring Plan. ❑OUT ❑ R ❑COS <br /> 2632(d)(1), 2634(d) <br /> 4 CA Code of Regulations 2010014-Facility has submitted a complete and accurate UST Response Plan. ❑OUT ❑ R ❑COS <br /> 2632(d)(2), 2634(e) <br /> 5 CA Code of Regulations 2030041 -A current facility plot plan is maintained and has been submitted ❑OUT ❑ R ❑COS <br /> 2632(d), 2641(h) <br /> 6 CA Health and Safety 2010006-Owner/Operator has not made false statements, certifications, or ❑OUT ❑ R ❑COS <br /> Code 25299(a)(8), 25299 representations on documents <br /> (b)(7) <br /> 7 CA Code of Regulations 2010003-Owner/Operator submitted DO form and/or informed the CUPA of any ❑OUT ❑ R ❑COS <br /> 2715(a)(1)(B), 2715(a)(3) change(s)within 30 days(TCR 10) <br /> 8 CA Code of Regulations 2010016-"Underground Storage Tank Statement of Understanding and ❑OUT ❑ R ❑COS <br /> 2715(a)(1)(A), 2715(a)(2) Compliance Form"submitted (TCR 10) <br /> 9 CA Code of Regulations 2030002-Leak detection equipment tested by qualified service technician every ❑OUT ❑ R ❑COS <br /> 2638, 26410), 2715(f) 12 months (TCR 9d) <br /> 10 CA Code of Regulations 2030074-Annual Monitoring System Certification Form to the CUPA within 30 ❑OUT ❑ R ❑COS <br /> 2638(c), 2638(d) days of completion of the test <br /> 11 CA Code of Regulations 2030048-Sec containment testing conducted per requirements&records kept for ❑OUT ❑ R ❑COS <br /> 2637(a-d), 2712(b)(1)(F) 36 mths(TCR 9d) <br /> 12 CA Code of Regulations 2010009-Secondary containment test results submitted to the CUPA within 30 ❑OUT ❑ R ❑COS <br /> 2637(e), 2637(f) days after the test. <br /> 13 CA Code of Regulations 2010017-Spill bucket testing results submitted to the UPA within 30 days of testing ❑OUT ❑ R ❑COS <br /> 2637.1(d), 2637.1(e) <br /> 14 CA Code of Regulations 2010018-Overfill prevention equipment inspection report form submitted to the ❑OUT ❑ R ❑COS <br /> 2637.2(d&e), 2665(a&b) UPA within 30 days <br /> 15 CA Code of Regulations 2030042-Line integrity test completed on DW press piping every 12 mths if no fail ❑OUT ❑ R ❑COS <br /> 2636(f)(3), 2643(c)(3) safe/+shutdown (TCR 9d) <br /> 16 CA Code of Regulations 2030050-0.1 gph piping test conducted on SW suction systems every 36 mths ❑OUT ❑ R ❑COS <br /> 2643(d), 2661(f) and after piping repair(TCR 9d) <br /> 17 CA Code of Regulations 2030051 -0.1 gph piping test conducted on SW gravity systems every 24 mths and ❑OUT ❑ R ❑COS <br /> 2643(e), 2661(f) after piping repair(TCR 9d) <br /> 18 CA Code of Regulations 2030029-Tank lining inspected Win 10 years of lining, every 5 years after, cert ❑OUT ❑ R ❑COS <br /> 2663, 2712(b)(6) submitted to CUPA(TCR 9c) <br /> EHD-CUPA Inspection Report IS02 Page 1 of 5 FA0006441 PR0231442 4517014 6/16/2025 <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 />