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FA0000508 M0231462 Scoot 07/1312017 EHD 23-01 Rev. 09122/16 page 1 of 4 underground Storage Tank Program OR 9171 9690 0935 0131 4337 67 San Joaquin County Environmental Health Department 1868 East Hazelton Avenue, Stockton, California 95205-6232 Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: vvv vv.siaov.oryehd Underground Storage Tank Program Inspection Report Facility Name: 7-ELEVEN INC #17647 Facility Phone: (2091 239-2329 Date: July 13, 2017 Facility Address: 1048 W YOSEMITE, MANTECA, CA 95337 CERS ID: 10165823 Inspection Contact: Gurbeer Somal Title: Manager Phone: (209) 239-2329 Inspection Type:Program: ROUTINE INSPECTION - Operating Permit 2361 - UST FACILITY Consent For: O Inspection 21 Photos O Samples Consent Given By: Gurtleer Somal, Manager Service Technician Onsite: Jesus Sadivar Exp. Date:Designated 06/06/2019 Operator: Kaylynn Rammell Exp. Date: 06/15/2018 Service Technician Manufacturer's Training: Veeder Root, 05/01/19; VMI, 12/13/17 CCR - California Code of RegulaVons HSC = Health and Safety Code CFR = Code of Federal Regulations V = Violatron R = Repeat violation COS = Consote! on site during inspection File Review 101 HSC 25284 No permit to operate o V OR o COS 102 HSC 25284(a)(3) No written agreement between tank owner and tank operator to monitor the tank system o V OR o COS 103 HSC 25292.2 Current financial responsibility documents not submitted o V OR o COS 104 CCR 2711 UST operating permit application for facility and tank information not submitted or current s V o R o COS 105 CCR 2632(d)(1) Failed to have an approved UST monitoring plan n V n R o COS 106 CCR 2632(dH2) Failed to have an approved UST response plan a V o R in COS 107 CCR 2632(d)(1)(C) Plot plan/site map not submitted or failed to completely show where monitoring is performed mV o R o COS 108 CCR 261 2638(e) Failed to notify the EHD 48 hours prior to conducting testing o V OR a COS 109 CCR 2637 Failed to test secondary containment a V o R o COS 110 CCR 2637(e) Failed to submit secondary containment test report within 30 days o V OR o COS 111 CCR 2638(a) Failed to test monitoring and leak detection equipment annually o V o R in COS 112 HSC 25284.2 Failed to test spill containers annually o V OR o COS 113 CCR 2638(d) Failed to submit monitoring system certification test report within 30 days o V o R o COS 114 CCR 2636(f) Failed to perform 0.1 gph annual line test for pressurized piping without fail safe or shut down o V OR o COS 115 CCR 2715(a) Failed to inform the EHD of designated operator identification or change within 30 days o V c R o COS 116 CCR 2715 Designated operator, Service tech or installer did not possess current ICC certification o V o R o COS 117 CCR 2663 Failed to inspect a lined or repaired steel tank within 10 years of lining and every 5 years after o V OR o CAS 118 CCR 2663 Failed to submit tank lining certification within 30 days or to conduct proper tests D V OR D COS 119 HSC 25299 Documents were falsified or misrepresented a V o R o CAS 120 CCR 2635(d) Failed to submit UST Certification of Installation/Modification o V :Ft o COS 121 CCR 2712(() Failed to submit a written response within 30 days of receiving an inspection report o V OR u COS 122 CCR 26310) Failure to submit UST system component statement of compatibility for substance stored a V ❑ R a CAS On Site Records - 201 CCR 2712(b) Failed to maintain alarm logs and/or records of follow up actions o V o R o COS 202 CCR 2712(b) Failed to maintain cathodic protection test records on site for at least 6 1/2 years QV QR o COS 203 CCR 2712(b) Failed to maintain records of m initonng. repair, lining, and upgrades on site o V o R o COS FA0000508 M0231462 Scoot 07/1312017 EHD 23-01 Rev. 09122/16 page 1 of 4 underground Storage Tank Program OR 9171 9690 0935 0131 4337 67