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San Joaquin County <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, California 95205-6232 <br /> Telephone:(209)468-3420 Fax:(209)468-3433 Web:www.sjgov.org/ehd <br /> Underground Storage Tank Program Inspection Report <br /> Facility Name: Faclllty Phone: Date: <br /> A&A GAS&FOOD MART 209 466-9516 February 28 2018 <br /> Facility Address: CERS ID: <br /> 16 E HARDING WAY STOCKTON CA 95204 10181239 <br /> Inspection Contact Title: Phone: <br /> Mohshini Mishra Clerk 209 466-9516 <br /> Inspection Type: Program: <br /> ROUTINE INSPECTION -Operating Permit 2361 -UST FACILITY <br /> Consent For: I Consent Given By: <br /> N Ins ection O Photos ❑ Samples I Ali Ghulam Owner <br /> Service Technician Onsite Exp.Date: Designated Operator: Exp.Date: <br /> Dave Winkler 03/01/2018 Karen Amaiz 03/28/3019 <br /> Service Technician Manufacturer's Training <br /> Tank Tester 3/31/20 Veeder Root,02/08/20;VMI 03/31/20 <br /> rCCR=California Code of Regulations RE=Health and Safety Code CFR=Code of Federal Regulations <br /> V=Violation R=Repeat violation COS=Corrected on site during inspection <br /> File Review <br /> 101 HSC 25284 Failure to obtain a valid permit to operate from the EHD including but not limited to unpaid fees o V o R c COS <br /> 102 HSC 25284(a)(3)(A)l No written agreement between tank owner and tank operator to monitor the tank system o V o R c COS <br /> (B) <br /> 103 HSC 25292.2,25299.30 Current financial responsibility documents not submitted ■V o R c COS <br /> 104 CCR 2711 UST operating permit application for facility and tank information not submitted or current o V o R o COS <br /> 105 CCR 2632(d)(1), Failed to have an approved UST monitoring plan o V o R e COS <br /> 2634(d) <br /> 106 CCR 2632(d)(2), Failed to have an approved UST response plan a V o R o COS <br /> 2634(e) <br /> 107 CCR 2632(d)(1)(C) Plot plan/site map not submitted or failed to completely show where monitoring is performed ■V c R o COS <br /> 108 CCR 2637(8,2638(e) Failed to notify the EHD 48 hours prior to conducting testing o V o R c COS <br /> 109 CCR 2637 Failed to test secondary containment o V o R o COS <br /> 110 CCR 2637(e) Failed to submit secondary containment test report within 30 days o V o R c COS <br /> 111 CCR 2638(a) Failed to test monitoring and leak detection equipment annually o V o R ❑COS <br /> 112 HSC 25284.2 Failed to test spill containers annually o V o R o COS <br /> 113 CCR 2638(d) Failed to submit monitoring system certification test report within 30 days o V o R c COS <br /> 114 CCR 2636M Failed to perform 0.1 gph annual line test for pressurized piping without fail safe or shut down o V o R o COS <br /> 115 CCR 2715(a) Failed to submit to EHD notification of designated operator identification or change wfrn 30 days o V o R c COS <br /> 116 CCR 2715 Designated operator,service tech or installer did not possess current ICC certification o V o R o COS <br /> 117 CCR 2663(h) Failed to inspect a lined or repaired steel tank within 10 years of lining and every 5 years after o V o R c COS <br /> 118 CCR 2663 Failed to submit tank lining certification within 30 days or to conduct proper tests o V o R c COS <br /> 119 HSC 25299(a)(8), Documents were falsified or misrepresented o V o R o COS <br /> A 25299(b)(7) <br /> r 120 CCR 2635(d) Failed to submit UST Certification of Installation/Modification o V o R n COS <br /> 121 CCR 2712(f) Failed to submit a written response within 30 days of receiving an inspection report o V o R o COS <br /> 122 CCR 2631 Q) Failure to submit and maintain UST system component statement of compatibility for substance stored o V c R o COS <br /> On Site Records <br /> 201 CCR 2712(b) Failure to maintain monitoring,maintenance,and follow up action records ■V o R o COS <br /> FA0003610 PRO231136 SC001 02/28/2018 <br /> EHD 23-01 Rev.09n2116 Page 1 of 6 Underground storage Tank Program OIR <br />