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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.s0qov.or-q/ehd <br /> �Ae ov UderrlundalraeIAS <br /> Tn. rifispedonC <br /> Deport <br /> � ff <br /> OzO <br /> Facility Name: Facility Phone: Date: <br /> DINO MART (209)647-2168 January 23,2018 <br /> Facility Address: CERS ID: <br /> 1001 E YOSEMITE AV <br /> Inspection Contact: Phone: 10180593 <br /> Venus McDonald ager (209)495-4473 <br /> Inspection Type: Program: <br /> Field Activity/Other Insl 2361 -LIST FACILITY <br /> Consent For: <br /> El Inspection El Photo: 00 <br /> Service Technician Onsite: ISA Designated Operator: Exp.Date: <br /> Benjamin Duncan 119 <br /> Service Technician Manufacturers Training: <br /> Tank Tester, 12/31/19; Caldwell,07/05/20 <br /> CCR=California Code of Regulations HSC=Health and Safety Code CFR=Code of Federal Regulations <br /> V=Violation R=Repeat violation COS=Corrected on site during inspection <br /> Reuiq <br /> 3 <br /> 101 HSC 25284 Failure to obtain a valid permit to operate from the EHD including but not limited to unpaid fees ii V u R ci COS <br /> 102 HSC 25284(a)(3)(A)/(B) No written agreement between tank owner and tank operator to monitor the tank system Ei V o R ci COS <br /> 103 HSC 25292.2,25299.30 Current financial responsibility documents not submitted Ei V o R o COS <br /> 104 CCR 2711 UST operating permit application for facility and tank information not submitted or current Ei V o R o COS <br /> 105 CCR 2632(d)(1), Failed to have an approved UST monitoring plan o V E:i R Ei COS <br /> 12634(d) <br /> 106 CCR 2632(d)(2), Failed to have an approved UST response plan o V o R o COS <br /> 2634(e) <br /> 107 CCR 2632(d)(1)(C) Plot plan/site map not submitted or failed to completely show where monitoring is performed o V o R o COS <br /> 108 CCR 2637(f),2638(e) Failed to notify the EHD 48 hours prior to conducting testing o V o R Ei COS <br /> 109 CCR 2637 Failed to test secondary containment s V Ei R c COS <br /> 110 CCR 2637(e) Failed to submit secondary containment test report within 30 days o V o R o COS <br /> 111 CCR 2638(a) Failed to test monitoring and leak detection equipment annually o V o R o COS <br /> 112 HSC 25284.2 Failed to test spill containers annually Ei V o R ii COS <br /> 113 CCR 2638(d) Failed to submit monitoring system certification test report within 30 days c V o R o COS <br /> 114 CCR 2636(f) Failed to perform 0.1 gph annual line test for pressurized piping without fail safe or shut down ci V o R Ei COS <br /> 115 CCR 2715(a) Failed to submit to EHD notification of designated operator identification or change w/in 30 days o V o R o COS <br /> 116 CCR 2715 Designated operator,service tech or installer did not possess current[CC certification o V Ei R o COS <br /> 117 CCR 2663(h) Failed to inspect a lined or repaired steel tank within 10 years of lining and every 5 years after o V ci R c COS <br /> 118 CCR 2663 Failed to submit tank lining certification within 30 days or to conduct proper tests o V o R o COS <br /> 119 HSC 25299(a)(8), Documents were falsified or misrepresented o V o R o COS <br /> 125299(b)(7) <br /> 120 CCR 2635(d) Failed to submit UST Certification of Installation/Modification o V o R Ei COS <br /> 121 CCR 2712(1) Failed to submit a written response within 30 days of receiving an inspection report El V 0 R o COS <br /> 122 CCR 26310) Failure to submit and maintain UST system component statement of compatibility for substance stored o V o R ci COS <br /> -....... <br /> J <br /> S�tt',�,ecords <br /> -2, <br /> 201 CCR 2712(b) Failure to maintain monitoring,maintenance,and follow up action records EiV oR oCOS <br /> 202 CCR 2712(b) Failed to maintain cathodic protection test records on site for at least 6 1/2 years EiV EjR ii COS <br /> FA0000421 PR0231876 SCO10 01/23/2018 <br /> EHD 23-01 Rev.09/22/16 Page 1 of 4 Underground Storage Tank Program OIR <br />