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COMPLIANCE INFO 2017 - 2018
Environmental Health - Public
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2300 - Underground Storage Tank Program
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PR0231760
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COMPLIANCE INFO 2017 - 2018
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Last modified
8/21/2019 11:07:05 AM
Creation date
8/21/2019 9:40:18 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2017 - 2018
RECORD_ID
PR0231760
PE
2351
FACILITY_ID
FA0003831
FACILITY_NAME
WATERLOO FOODMART
STREET_NUMBER
4315
Direction
E
STREET_NAME
WATERLOO
STREET_TYPE
RD
City
STOCKTON
Zip
95215-2305
APN
08710034
CURRENT_STATUS
01
SITE_LOCATION
4315 E WATERLOO RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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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.segov.org/ehd <br /> Underground Storage Tank Program Inspection Report <br /> Facility Name: Facility Phone: Date: <br /> WATERLOO FOODMART (209) 931-3674 April 10, 2017 <br /> Facility Address: CERS ID: <br /> 4315 E WATERLOO RD, STOCKTON, CA 95215 10181465 <br /> Inspection Contact: Title: Phone: <br /> Bikram Sodhi Manager (209) 931-3674 <br /> Inspection Type: Program: <br /> ROUTINE INSPECTION - Operating Permit 2351 - UST FACILITY-2481 COMPLIANT <br /> Consent For: I Consent Given By: <br /> O Inspection Z Photos O Samples I Bikram Sodhi, Manager <br /> Service Technician Onsite: Exp.Date: Designated Operator: Exp.Date: <br /> David Winkler 03/10/2018 Alex Jabbari 10/03/2018 <br /> Service Technician Manufacturer's Training <br /> Veeder Root, 02/03/18; VMI, 11/12/17 <br /> CCR=California Codeo egu ations HSC=Health and Safety Code CFR=Codeo a era Regulations <br /> V=Violation R=Repeat violation COS=Corrected on site during inspection <br /> File Review <br /> 101 HSC 25284 No permit to operate ❑V ❑R ❑COS <br /> 102 HSC 25284(a)(3) No written agreement between tank owner and tank operator to monitor the tank system ❑V ❑R ❑COS <br /> 103 HSC 25292.2 Current financial responsibility documents not submitted ❑V ❑R ❑COS <br /> 104 CCR 2711 UST operating permit application for facility and tank information not submitted or current ❑V ❑R ❑COS <br /> 105 CCR 2632(d)(1) Failed to have an approved UST monitoring plan ❑V ❑R ❑COS <br /> 106 CCR 2632(d)(2) Failed to have an approved UST response plan ❑V ❑R ❑COS <br /> 107 CCR 2632(d)(1)(C) Plot plan/site map not submitted or failed to completely show where monitoring is performed ■V ❑R ■COS <br /> 108 CCR 2637(f),2638(e) Failed to notify the EHD 48 hours prior to conducting testing ❑V ❑R ❑COS <br /> 109 CCR 2637 Failed to test secondary containment ❑V ❑R ❑COS <br /> 110 CCR 2637(e) Failed to submit secondary containment test report within 30 days ❑V ❑R ❑COS <br /> 111 CCR 2638(a) Failed to test monitoring and leak detection equipment annually ❑V ❑R ❑COS <br /> 112 HSC 25284.2 Failed to test spill containers annually ❑V ❑R ❑COS <br /> 113 CCR 2638(d) Failed to submit monitoring system certification test report within 30 days ❑V ❑R ❑COS <br /> 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 <br /> 115 CCR 2715(a) Failed to inform the EHD of designated operator identification or change within 30 days ❑V ❑R ❑COS <br /> 116 CCR 2715 Designated operator,service tech or installer did not possess current ICC certification ❑V ❑R ❑COS <br /> 117 CCR 2663 Failed to inspect a lined or repaired steel tank within 10 years of lining and every 5 years after ❑V ❑R ❑COS <br /> 118 CCR 2663 Failed to submit tank lining certification within 30 days or to conduct proper tests ❑V ❑R ❑COS <br /> 119 HSC 25299 Documents were falsified or misrepresented ❑V ❑R ❑COS <br /> 120 CCR 2635(d) Failed to submit UST Certification of Installation/Modification ❑V ❑R ❑COS <br /> 121 CCR 2712(f) Failed to submit a written response within 30 days of receiving an inspection report ❑V ❑R ❑COS <br /> 122 CCR 26310) Failure to submit UST system component statement of compatibility for substance stored ❑V ❑R ❑COS <br /> On Site Records <br /> 201 CCR 2712(b) Failed to maintain alarm logs and/or records of follow up actions ❑V ❑R ❑COS <br /> 202 CCR 2712(b) Failed to maintain cathodic protection test records on site for at least 6 1/2 years ❑V ❑R ❑COS <br /> 203 CCR 2712(b) Failed to maintain records of monitoring, repair,lining,and upgrades on site ❑V ❑R ❑COS <br /> 9171 9690 0935 0152 0944 97 Au"\A� FA0003831 PR0231760 SCO01 04/10/2017 <br /> EHD 23-01 Rev.09/22/16 Page 1 of 5 �rJi � Underground Storage Tank Program OIR <br />
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