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s SAN JOAHIN 1 --COUNTY �`+^` Gre�otn�<c mows hrr�. Is Environmental Health Department Underground Storage Tank Program Inspection Report Facility Name: GSG GAS & MART Facility Phone: (209) 467-0305 Date: June 06, 2018 Facility Address: 701 E DR MARTIN LUTHER KING JR BLVD, STOCKTON, CA 95206 CERS to: 10180955 Inspection Contact: Raj Singh Title: Manager Phone: (209) 467-0305 Inspection Type: ROUTINE INSPECTION - Operating Permit Program: 2361 - UST FACILITY Consent For: ❑x Inspection ❑x Photos ❑ Samples Consent Given By: Raj Singh. Manager Service Technician Onsite: Exp. Date: Ed Stearns 11/09/2018 Designated Operator: Exp. Date: Alex Jabbari 10/03/2018 Service Technician Manufacturer's Training: VR, 08/09/19; VMI, 06/20/19 CCR = California Code 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 Failure to obtain a valid permit to operate from the EHD including but not limited to unpaid fees o V o R o COS 102 HSC 25284(a)(3)(A)/(B) No written agreement between tank owner and tank operator to monitor the tank system o V o R o COS 103 HSC 25292.2, 25299.30 Current financial responsibility documents not submitted o V o R in COS 104 CCR 2711 UST operating permit application for facility and tank information not submitted or current o V o R o COS 105 CCR 2632(d)(1), 2634(d) Failed to have an approved UST monitoring plan o V o R o COS 106 CCR 2632(d)(2), 2634(e) Failed to have an approved UST response plan o V o R o COS 107 CCR 2632(d)(1)(C) Plot plan/site map not submitted or failed to completely show where monitoring is performed ■ V ■ R o COS 108 CCR 2637(f), 2638(e) Failed to notify the EHD 48 hours prior to conducting testing o V o R o COS 109 CCR 2637 Failed to test secondary containment o V o R o COS 110 CCR 2637(e) Failed to submit secondary containment test report within 30 days o V o R o COS 111 CCR 2638(a) Failed to test monitoring and leak detection equipment annually o V o R o COS 112 HSC 25284.2 Failed to test spill containers annually o V o R 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 D V o R o COS 115 CCR 2715(a) Failed to submit to EHD notification of designated operator identification or change w/in 30 days o V o 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(h) Failed to inspect a lined or repaired steel tank within 10 years of lining and every 5 years after o V o R o COS 118 CCR 2663 Failed to submit tank lining certification within 30 days or to conduct proper tests o V o R o COS 119 HSC 25299(a)(8), 25299(b)(7) Documents were falsified or misrepresented o V o R o COS 120 CCR 2635(d) Failed to submit UST Certification of Installation/Modification ❑ V o R o COS 121 CCR 2712(f) Failed to submit a written response within 30 days of receiving an inspection report o V o R o COS 122 CCR 26310) Failure to submit and maintain UST system component statement of compatibility for substance stared EV o R ❑ COS On Site Records 201 CCR 2712(b) Failure to maintain monitoring, maintenance, and fallow up action records ■ V ❑ R ❑ COS FA0002512 PR0231059 SCO01 06/06/2018 EHD 23-01 Rev. 10/31/2017 Page 1 of 5 Underground Storage Tank Program OIR 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com