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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, California 95205-6232 <br /> Telephone:(209)468-3420 Fax:(209)468-3433 Web:www.sigov.org/ehd <br /> UNDERGROUND STORAGE TANK (UST) PROGRAM INSPECTION REPORT CONTINUED <br /> Facility ARP Mini Mart Corpacility 25775 S Patterson Pass Rd, Trac Inspection Mar 21, 2013 <br /> Name: p Address: y Date: <br /> VIOLATIONS <br /> # C1 C2 M Code Section HSC=CA Health and Safety Code,CFR=Code of Federal Regulations <br /> C1=Class 1 violation,C2=Class 2 violation;M=Minor violation <br /> Non-Pressurized Piping(continued) <br /> 702 CCR 2643(e) Biennial tightness test of gravity piping not performed(pre-January 1, 1984) (M1) <br /> 703 CCR 2643(d) Triennial line test for conventional suction piping not performed(pre-January 1,1984) (M1) <br /> Other Violations <br /> 999 Other: See attached"Continuation—Official Inspection Report"for violation(s)not listed above. <br /> SUMMARY OF VIOLATIONS <br /> CLASS I,CLASS II,or MINOR-Notice to Comply) <br /> UST Inspection: Routine & Annual Monitoring System Certification <br /> 104. Financial responsibility documents for 2013 have not been submitted to the EHD. Date of last <br /> financial responsibility document dated 02/2012. It is 1 month late. Current financial responsibility <br /> documents are required to be submitted annually via fax or postal mail. Complete and submit a copy <br /> of the financial responsibility. Submit a written statement how to ensure the financial responsibility <br /> document is submitted to EHD annually. <br /> - Copy of Certification of Financial Responsibility was received on site. <br /> 313. The 87 Slave spill container failed when tested. All spill containers shall have a minimum capacity <br /> of five gallons and be capable of containing a spill or overfill until it is detected or cleaned up. The spill <br /> cap, swivel and the O-ring was replaced and retested during the inspection. The spill bucket pass the <br /> one hour hydrostatic test. <br /> Submit to SJC EHD within 30 days (04/22/13): <br /> 1. one copy of the completed "Return to Compliance Certification" form <br /> 2. a written corrective action statement explaining how financial responsibility document will be <br /> submitted in a timely manner to EHD <br /> Notes: <br /> -CERS ID 10181249 HMBP & UST reports has been submitted by Gira Patel in 02/2013 but it is <br /> incomplete. All blank items must be filled in. Please contact EHD inspector for assistance. <br /> ALL EHD STAFF TIME ASSOCIATED WITH FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL BE BILLED AT THE CURRENT HOURLY RATE. <br /> THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br /> Inspector: Received By: Tille: <br /> � i J <br /> EHD 23-02 Rev 04/19/12 r Page 3 UST INSPECTION REPORT <br />