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, 14/03/2015 12:47 5104758830 <br />San Joaquin County <br />1868 East Hazelton Avenue, Stockton, Califiornia 96205-6232 1 <br />MM <br />76 MINI MART <br />MAMMA <br />Inspoctim "-- <br />INSPECTION/REINSPECTION I <br />(209) 824-3898 <br />CA 95336 1 EPA Ilk <br />(209) 894-7608 diffemnt from facility contaft <br />ninimum 2361 - UST FACILITY <br />101 HSC. =64 <br />No Peru* to operate U V U R U COS <br />102 <br />HSC 25284(a)(3) <br />No written agreement between lank owner and tank operettor to monitor the tank system <br />a V <br />08 <br />COOS <br />103 <br />HSC 25M.2 <br />Current finandal responsibility documents not submitted <br />c V <br />c R <br />a COS <br />104 <br />CCR 2711 <br />UST Operating Permit Application for Facility and Tank irtliormationnot submitted or ourrent <br />a V <br />o R <br />o COS <br />106 <br />HSC 26286(o) <br />Current BOE number not submitted <br />a V <br />m R <br />a COS <br />106 <br />CCR 2832 <br />Monitoring and response plans not current or approved by ft EHO <br />a V <br />o R <br />c COS <br />107 <br />�PCR 2532(d)(1)(C) <br />Plot phmftft map ra submitted or failed to compWtely show where monitoring Is perftwied <br />o V <br />u R <br />a COS <br />108 <br />CCR 2637(t), 2638(e) <br />Failed to notify the END 48 hours prior to conducting testing <br />0 V <br />a R <br />0 COS <br />109. <br />!;CR 2637 <br />Faiied to test secondary ovftnrnarAt <br />m V <br />o R <br />a COS <br />110 <br />CCR 2637(e) <br />Palled to submit se*ondairy containment test report within 30 days <br />m V <br />a R <br />aCOS <br />III <br />CCR 2638(a) <br />Failed to test monftorft and leak detectior; equipment annuafly <br />. V <br />. R <br />, COS <br />112 <br />HSC 2528C2 <br />Failed to test spill oeiiiiainers annually <br />o V <br />a R <br />a0OS <br />113 <br />CCR 26Wd) <br />Failed to sW)n* morAwy@ system certification test report within 30 days <br />o V <br />a R <br />oCOS <br />114 <br />CCR 2636M <br />Failed to perform 0.1 gph annual line test for pressurized pt" without fail safe or shut down <br />m V <br />c R <br />c COS <br />115 <br />CCR 2715(a) <br />Failed to inform the EHD of a duqp of designated operator within 30 days <br />a V <br />a R <br />0 COS <br />116 <br />CCR 2715 <br />Designated operaW. service tech or irwaller did not possess current tCC cerfiffixffion <br />o V <br />a R <br />a COS <br />117 <br />HSC 25M.5 <br />Failed to conduct ELD testing on a system located within I OW of a public well <br />0 V <br />a R <br />0 COS <br />118 <br />HSC 25292.5 <br />Failed to re;)ak and retest arm due to failed ELD test <br />a V <br />o R <br />a COS <br />119 <br />CCR2U4.j(aX6) <br />Failed to submit ELD W msults within 60 days <br />c V <br />a R <br />0 COS <br />120 <br />CCR 26M <br />Failed to inspact a lined or repaked sWW tank within 10 yearsof lining arid every 5 years *her <br />n V <br />a R <br />cOOS <br />121 <br />CGR 2663 <br />HSC 26209 <br />Failed to submit tar* linft owbftoon within 30 days or to conduct proper tests <br />Documents were falsified or "wepresented <br />o V <br />n V <br />o R <br />c R <br />cCOS <br />a COS <br />122 <br />124 <br />COR 26Wd) <br />Failed to submit LIST Certification of InstallationlModifMdon <br />o V <br />c R <br />a COS <br />125 <br />CGR 2712(o <br />Failed to submit a written reop"ea within 30 days of recahring an inspection report <br />a V <br />c R <br />a COS <br />126 <br />HSC 2"WeX4) <br />Failed to report program date eleftonbally <br />a V <br />c R <br />cOOS <br />201 1 <br />CCR 2712(b) <br />Failed to maintain alarm " and/or records of follow up actions' <br />V <br />a R <br />n COS <br />