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s Q N J U QQ U S N Environmental Health Department COUNTY Z � I ( Underground Storage Tank Program Inspection Report Facility Name : Facility Phone: Date : QUICK SHOP (209 ) 824 -6700 December 18 , 2018 Facility Address : CERS ID: 2072 W YOSEMITE AVE , MANTECA , CA 95337 10181669 Inspection Contact: Title: Phone: Pete Chahoud Operator (209 ) 345- 1689 Inspection Type: Program : INSPECTION / REINSPECTION ( Chargeable) 12361 - UST FACILITY Consent For; I Consent Given By : Z Inspection M Photos N Samples Pete Chahoud , Operator Service Technician Onsite; Exp. Date : Designated Operator: Exp. Date : Felix Ramirez 11 /09/2020 Zane Nimmo 02/25/2020 Service Technician Manufacturer's Training VMI , 11 / 17/ 19 ; Veeder Root, 07/08/ 19 ; Frankling fueling , 11 /29/20 CCR = Title 23 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 Failed to obtain a permit to operate from the EHD including but not limited to unpaid permit fees ■ V ■ R ACOS 102 HSC 25284 (a) (3) (A)/(B) No written agreement between tank owner and tank operator to monitor the tank system n V n R n COS 103 HSC 25292 . 21 25299 . 30 Failure to submit and maintain complete and current financial responsibility documents ■ V ■ R n COS 104 CCR 2711 UST operating permit application for facility and tank information not submitted or current n V n R ❑ COS 105 CCR 2632 (d ) ( 1 ) , Failed to have an approved UST monitoring plan n V o R n COS 2634(d) 106 CCR 2632 (d) (2) , Failed to have an approved UST response plan ❑ V o R o COS 2634(e) 107 CCR 2632(d) ( 1 ) (C) Plot plan/site map not submitted or failed to completely show where monitoring is performed ❑ V ❑ R n COS 108 CCR 2637 , 2638(e) , Failed to notify the EHD 48 hours prior to conducting testing ❑ V ❑ R n COS 2643(g) 109 CCR 2637(a-d) , 2712 Failed to test secondary containment , or failed to maintain test records for 36 months o V n R n COS 110 CCR 2637(e) , 2637 (f) Failed to submit "Secondary Containment Testing Report Form" within 30 days after the test ■ V ■ R ■ COS 111 CCR 2638 (a) & (b) , Failed to test monitoring and leak detection equipment annually ■ V ■ R 'ACOS 26410) 112 HSC 25293 Failure to maintain UST records to enable the UPA to determine whether the UST is in compliance ❑ V n R n COS 113 CCR 2638(c) , 2638 (d) Failure to submit " Monitoring System Certification Form" within 30 days of completion of the test ■ V ■ R ■ COS 114 CCR 2636 (f) (3) , 2643 (c) No 0 . 1 gph annual line integrity test for pressurized piping , or within 30 days after repair o V n R n COS (3) 115 CCR 2715 (a) ( 1 ) (B) , " Designated Underground Storage Tank Operator Identification Form " not submitted within 30 days o V n R n COS 2715(a) (3) 116 CCR 2715 Designated operator, service tech or installer did not possess current ICC certification ❑ V ❑ R n COS 117 CCR 2663 , 2712 (b) (6) Failure to comply with tank lining , recordkeeping , and inspection requirements ❑ V o R n COS 118 CCR 2715 (a) ( 1 ) (A) , Failure to submit the " Underground Storage Tank Statement of Understanding and Compliance Form" o V n R ❑ COS 2715(a) (2) 119 HSC 25299 (a) (8) , Documents were falsified or misrepresented o V n R ❑ COS 25299 (b)(7) 120 CCR 2635(d) Failed to submit UST Certification of Installation/Modification o V n R ❑ COS 121 CCR 2712 (f) Failed to submit a written response within 30 days of receiving an inspection report ■ V ■ R ■ COS FA0004625 PR0231426 SC333 12/18/2018 EHD 23-01 Rev. 09/28/2018 Page 1 of 9 Underground Storage Tank Program OIR 1868 E . Hazelton Avenue Stockton , California 95205 1 T 209 468 -3420 F 209 464 -0138 1 www , sjcehd . com