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Pagle-4-of-4 San Joaquin County _ Environmental Health Department 1868 East Hazelton Avenue, Stockton, California95205-6232 Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: www.si-ov.org/ehd Underground Storage Tank Program Inspection Report Facility Name: i -N INC #19976 Facility Phone: (209) 239-3252 Date: October 07, 2015 Facility Address: 1399 N MAIN ST Uanteca CA 95336 CERS ID: 10165857 Inspection Contact: /� lov"Owaremi l� (9 M t Title: Franchisee Phone: 209 239-3252 Inspection Type: ROUT! NF INSPFCTION - O eratin Permit Program: 2361 - UST FACILITY Consent For: [x Inspection Photos 21 Samples I Consent Given By: I Manjit Grewal, F,-111111:;1. Service Technician Onsite: Jarrod Cooke Exp. Date: 04/20/2017 Designated Operator: Laura GomE. Exp. Date: U4i]4i2UI Service Technician Manufacturer's Training: VR, 05/06/16; TLDT-5000, 02/11 CCR = Callforrils Code of Regulations ME = 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 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 j HSC 25286(c) Current BOE number not submitted ❑ V ❑ R ❑ 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 ❑ R ❑ COS 108 CCR 2637(1), 2638(e) Failed to notify the EHD 48 hours prior to conducting testing ❑ V ❑ R ❑ COS 109 CCR 2637 Failed to test secondary containment ❑ V ❑ R ❑ COS 110 CCR 2637(e) Failed to submit secondary containment test report within 30 days ❑ V ❑ R ❑ COS 111 CCR 2638(a) Failed to test monitoring and leak detection equipment annually ❑ V ❑ R ❑ COS 112 HSC 25284.2 Failed to test spill containers annually ❑ V in R ❑ COS 113 CCR 2638(d) Failed to submit monitoring system certification test report within 30 days ❑ V ❑ R ❑ COS 114 CCR 2636(f) Failed to perform 0.1 gph annual line test for pressurized piping without fail safe or shut down ❑ V ❑ R ❑ COS 115 CCR 2715(a) Failed to inform the EHD of a change of designated operator within 30 days ❑ V ❑ R ❑ COS 116 117 CCR 2715 HSC 25292.5 Designated operator, service tech or installer did not possess current ICC certification Failed to conduct ELD testing on a system located within 1 000'of a public well ❑ V ❑ V ❑ R ❑ COS ❑ R ❑ COS 118 H.SC 25292.5 Failed to repair and retest system due to failed ELD test ❑ V ❑ R ❑ COS 119 CCR 2644.1(a)(5) Failed to submit ELD test results within 60 days ❑ V ❑ R ❑COS 120 CCR 2663 Failed to inspect a lined or repaired steel tank within 10 years of lining and every 5 years after ❑ V ❑ R ❑ COS 121 CCR 2663 Failed to submit tank lining certification within 30 days or to conduct propertests ❑ V ❑ R ❑ COS 122 HSC 25299 Documents were falsified or misrepresented ❑ V ❑ R ❑ COS 123 CCR 2661 Permit to repair UST system not obtained ❑ V ❑ R ❑ COS 124 125 CCR 2635(d) CCR 2712(f) Failed to submit UST Certification of Installation/Modification Failed to submit a written response within 30 days of receiving an inspection report ❑ V ❑ V ❑ R ❑ COS ❑ R ❑ COS Received by (initial): (jj� Inspector: ELENA MANZO. Senior REHS Phone: (209) 953-7699 Date: Pagle-4-of-4