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San Joaquin County Ste 0 8 20,16 AMENDED Environmental Health Department n« �- ) (70 1868 East Hazelton Avenue, Stockton, California 95205-'?i�$Z,..* Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: www.siciov.or /ehd Underground Storage Tank Program Inspection Report Facility Name: SUPER CENTER MART" Facility Phone: (209) 467-0305 Date: June 20, 2016 Facility Address: 701 E DR MARTIN LUTHER KING JR BLVD, Stockton, CA 95206 CERS ID: 10180955 Inspection Contact: Raj Singh Title: Cashier Phone: (209) 993-1298 Inspection Type: ROUTINE INSPECTION - Operating Permit Program: 2361 - UST FACILITY Consent For: 0 Inspection EI Photos I] Samples I Consent Given By: I Raj Singh, Cashier Service Technician Onsite: Exp. Date: Zane Nimmo 06/17/2017 Designated Operator: Exp. Date: Alex Jabbari 10/03/2016 Service Technician Manufacturer's Training Tank Tester,03/31/19; VMI, 02/03/17; Veeder Root, 09/27/17 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 inspectio File Review 101 HSC 25284 No permit to operate ❑ V ❑ R ❑ COS 102 HSC 25284(a)(3) No written agreement between tank owner and tank operator to monitor the tank system ❑ V ❑ 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 CCR 2632 Monitoring and response plans not current or approved by the EHD ❑ V ❑ R ❑ COS 106 CCR 2632(d)(1)(C) Plot plan/site map not submitted or failed to completely show where monitoring is performed ❑ V ❑ R ❑ COS 107 CCR 2637(f), 2638(e) Failed to notify the EHD 48 hours prior to conducting testing ❑ V ❑ R ❑ COS 108 CCR 2637 Failed to test secondary containment ❑ V ❑ R ❑ COS 109 CCR 2637(e) Failed to submit secondary containment test report within 30 days ❑ V ❑ R ❑ COS 110 CCR 2638(a) Failed to test monitoring and leak detection equipment annually ❑ V ❑ R ❑ COS 111 HSC 25284.2 Failed to test spill containers annually ❑ V ❑ R ❑ COS 112 CCR 2638(d) Failed to submit monitoring system certification test report within 30 days ❑ V ❑ R ❑ COS 113 CCR 2636(f) Failed to perform 0.1 gph annual line test for pressurized piping without fail safe or shut down ❑ V ❑ R ❑ COS 114 CCR 2715(a) Failed to inform the EHD of designated operator identification or change within 30 days ❑ V ❑ R ❑ COS 115 CCR 2715 Designated operator, service tech or installer did not possess current ICC certification ❑ V ❑ R ❑ COS 116 CCR 2663 Failed to inspect a lined or repaired steel tank within 10 years of lining and every 5 years after ❑ V ❑ R ❑ COS 117 CCR 2663 Failed to submit tank lining certification within 30 days or to conduct proper tests ❑ V ❑ R ❑ COS 118 HSC 25299 Documents were falsified or misrepresented ❑ V ❑ R ❑ COS 119 CCR 2635(d) Failed to submit UST Certification of Installation/Modification ❑ V ❑ R ❑ COS 120 CCR 2712(f) Failed to submit a written response within 30 days of receiving an inspection report ❑ V ❑ R ❑ COS On Site Records 201 CCR 2712(b) Failed to maintain alarm logs and/or records of follow up actions ❑ V ❑ R ❑ COS 202 CCR 2712(b) Failed to maintain cathodic protection test records on site for at least 6 1/2 years ❑ V ❑ R ❑ COS 203 CCR 2712(b) Failed to maintain records of monitoring, repair, lining, and upgrades on site ❑ V ❑ R ❑ COS 204 CCR 2712(i) Current monitoring plan approved by the EHD not found on site ❑ V ❑ R ❑ COS 205 CCR 2712 Failure to comply with UST operating permit conditions ❑ V ❑ R ❑ COS Page 1 of 4