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Wi San Joaquin County Environmental Health Department 1868 East Hazelton Avenue, Stockton, California 95205-6232 Telephone: (209)468-3420 Far:(209)468-3433 Web:www.sigov.org/ehd Underground Storage Tank Program Inspection Report Facility Name: Facility Phone: Date: QUICK& EASY FOOD MART 209 823-8800 June 25 2015 Facility Address: CERS ID: 824 E YOSEMITE AVE MANTECA CA 95336 10181295 Inspection Contact• Title: Phone: Zafar Khan O erator 209 271-2019 Inspection Type: Program: ROUTINE INSPECTION -O eratin Permit 2361 -UST FACILITY Consent For: I Consent Given By: N Inspection O Photos ❑x Sam les I Zafar Khan Operator Service Technician Onsite Exp.Date: Designated Operator: Exp.Date: Felix Ramirez 03/03/2016 Alex Jabbari 10/25/2015 Service Technician Manufacturer's Training VR: 07/07/16 VMI:, 11/12/15' TT: 05/31/15 CCR=Califomia Code of Regulations H C=Heath 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 o R o COS 102 HSC 25284(a)(3) No written agreement between tank owner and tank operator to monitor the tank system ❑V o R ❑COS 103 HSC 25292.2 Current financial responsibility documents not submitted ■V ❑R ❑COS 104 CCR 2711 UST Operating Permit Application for Facility and Tank information not submitted or current ❑V ❑R ❑COS 105 HSC 25286(c) Current 130E number not submitted ❑V ❑R o COS 106 CCR 2632 Monitoring and response plans not current or approved by the EHD •V ❑R ❑COS 107 CCR 2632(d)(1)(C) Plot plan/site map not submitted or failed to completely show where monitoring is performed ■V o R o COS 108 CCR 2637(%2638(e) Failed to notify the EHD 48 hours prior to conducting testing ❑V ❑R o COS 109 CCR 2637 Failed to test secondary containment o V o R ❑COS 110 CCR 2637(e) Failed to submit secondary containment test report within 30 days o V o R ❑COS 111 CCR 2638(a) Failed to test monitoring and leak detection equipment annually o V ❑R ❑COS 112 HSC 25284.2 Failed to test spill containers annually ❑V o R o COS 113 CCR 2638(d) Failed to submit monitoring system certification test report within 30 days ❑V o R o COS 114 CCR 2636(f) Failed to perforin 0.1 gph annual line test for pressurized piping without fail safe or shut down ❑V o R in COS 115 CCR 2715(a) Failed to inform the EHD of a change of designated operator within 30 days ❑V ❑R ❑COS 116 CCR 2715 Designated operator,service tech or installer did not possess current ICC certification ❑V o R ❑COS 117 HSC 25292.5 Failed to conduct ELD testing on a system located within 1000'of a public well ❑V o R o COS f12 HSC 25292.5 Failed to repair and retest system due to failed ELD test ❑V o R o COS CCR 2644.1(a)(5) Failed to submit ELD test results within 60 days ❑V ❑R o COS CCR 2663 Failed to inspect a lined or repaired steel tank within 10 years of lining and every 5 years after ❑V o R o COS CCR 2663 Failed to submit tank lining certfication within 30 days or to conduct proper tests o V o R ❑COS HSC 25299 Documents were falsified or misrepresented ❑V ❑R o COS CCR 2661 Permit to repair UST system not obtained ❑V ❑R ❑COS 124 j CCR 2635(d) Failed to submit UST Certification of Installation/Modification ❑V o R ❑COS Received by Inspector: Phone: Date: (initial): ELENA MANZO, REHS (209) 953-7699 06/25/2015 P e1