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Page 1 of 6 9171 9690 0935 0087 3055 52 0 0 San Joaquin County Environmental Health Department pun�® 1868 East Hazelton Avenue, Stockton, California 95205-6232 Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: www.s' ov.or lehd Underground Storage Tank Program Inspection Report Facility Name: Facility Phone: date: 7-ELEVEN INC #32190 209 939-0679 April 13, 2016 Facility Address:. CERS ID: 4943 S HWY 99 Stockton CA 95215 10166017 Inspection Contact: Title: Phone: Nim Badial Mana er 209 939-0679 Inspection Type: I Program: 7 ROUTINE INSPECTION - Operating Permit 1 2361 - UST FACILITY Consent For: Consent Given By: 0 Inspection 9 Photos Z Samples I Nim Badial Manager Service Technician Onsite: Exp. Date: Designated Operator: Nicolas Poblano 06/30/2017 Laura Gomez Service Technician Manufacturer's Training Exp. Date: 04/14/2017 VMI, 09109117; VR, 05/27/17 CR = Cal fornia Me of Regulations HSC = Health and Safety Code CFR = Code of Federal Regulations V = Violation R = Repeat violation COS = Corrected on site during inspection File Review 101 HSC 25284 No permit to operate ❑ V ❑ R - COS 102 HSG 25284(a)(3) No written agreement between tank owner and tank operator to monitor the tank system ❑ V c R ❑ COS 103 HSC 25292.2 Current financial responsibility documents not submitted r_ V ❑ R -- COS 104 CCR 2711 UST Operating Permit Application for Facility and Tank information not submitted or current ❑ V 7 R ❑ COS 105 HSC 25286(c) Current BOE number not submitted _ V u R o COS 106 CCR 2632 Monitoring and response plans not current or approved by the EHD ■ V c R ❑COS 107 CCR 2632(d)(1)(C) Plot planlsite map not submitted or failed to completely show where monitoring is performed ❑ V ❑ R -- COS 108 CCR 2637(f), 2638(e) Failed to notify the EHD 48 hours prior to conducting testing ❑ V ❑ R ❑ COS 109 CCR 2637 Failed to test secondary containment ■ V ❑ R ❑ COS 110 CCR 2637(e) Failed to submit secondary containment test report within 30 days I ■ V ❑ R ❑COS 111 CCR 2638(a) Failed to test monitoring and leak detection equipment annually ❑ V R ❑ COS 112 HSC 25284.2 Failed to test spill containers annually 7 V ❑ R u COS 113 CCR 2638(d) Failed to submit monitoring system certification test report within 30 days ❑ V u R u COS 114 CCR 2636(() Failed to perform 0.1 gph annual line test for pressurized piping without fail safe or shut down ❑ V ❑ R ❑ COS 115 CCR 2715(a) Failed to inform the EHD of a change of designated operator within 30 days u V ❑ R ❑ COS 116 CCR 2715 Designated operator, service tech or installer did not possess current ICC certification ❑ V ,3 R c COS 117 HSG 25292.5 Failed to conduct ELD testing on a system located within 1 000'of a public well ❑ V ❑ R ❑ COS 118 HSC 25292.5 Failed to repair and retest system due to failed ELD test ❑ V G:, R 7; COS 119 CCR 2644.1(a)(5) Failed to submit ELD test results within 60 days :i V n R ❑ COS 120 CCR 2663 Failed to inspect a lined or repaired steel tank within 10 years of lining and every 5 years after ❑ V R ❑ COS 121 CCR 2663 Failed to submit tank lining certification within 30 days or to conduct proper tests V n R ❑ COS 122 HSC 25299 Documents were falsified or misrepresented ❑ V u R ❑ COS 123 CCR 2661 Permit to repair UST system not obtained ❑ V u R - COS 124 CCR 2635(d) Failed to submit UST Certification of Installation/Modification ❑ V u R ❑ COS 125 CCR 2712(() Failed to submit a written response within 30 days of receiving an inspection report o V u R -- COS 126 HSC 25404(e)(4) Failed to report program data electronically o V ci R n G05 Page 1 of 6 9171 9690 0935 0087 3055 52