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SAN J O A R N Environmental Health Department <br /> i , �V <br /> Underground Storage Tank Program Inspection Report <br /> Facility Name: Facility Address: Date: <br /> ESCALON MINI MART 1097 YOSEMITE AVE, ESCALON December 18, 2020 <br /> SUMMARY OF VIOLATIONS <br /> (CLASS I,CLASS II,or MINOR-Notice to Comply) <br /> Item# Remarks <br /> 109 CCR 2715(a)(1)(B), 2715(a)(3) Failure to submit"Designated Underground Storage Tank Operator Identification <br /> Form"within 30 days. <br /> OBSERVATION: The following new designated operator have been performing inspections at the facility and <br /> notification was not provided to the EHD within 30 days of the change: <br /> Jerry Langrell, as of 5/18/20 <br /> Andrew Martin, as of 2/22/21 <br /> Mario Romero, as of 6/15/20 <br /> Lisabeth Madrigal, as of 4/20/20 <br /> REGULATION GUIDANCE: The owner or operator shall submit a"Designated Underground Storage Tank Operator <br /> Identification Form"no later than 30 days after any change in the designated UST operator(s). <br /> CORRECTIVE ACTION: Immediately log into the California Environmental Reporting System (CERS)at <br /> http://cers.calepa.ca.gov and upload the notification identifying all the designated operators for this facility. <br /> This is a Class II violation. <br /> 115 CCR 2638(c), 2638(d) Failure to submit"Monitoring System Certification Form"within 30 days of completion of the <br /> test. <br /> OBSERVATION:Annual monitoring system certification and leak detector testing was performed on 12/2/19 and a <br /> test report was submitted on 3/5/20,two months late. <br /> Annual monitoring system certification and leak detector testing was performed on 12/18/20 and a test report was <br /> submitted on 6/4/21,five months late. <br /> REGULATION GUIDANCE:A copy of the test report must be submitted within 30 days of the tests. <br /> CORRECTIVE ACTION: Take all necessary precautions to ensure testing and submittal of test reports are <br /> performed in a timely manner. <br /> OBSERVATION: -The test report for the annual monitoring system certification and leak detector testing performed <br /> on 12/18/20 and submitted on 6/4/21 contained incomplete information. No CERS ID or contractor license number <br /> were included. <br /> -The test report for the annual monitoring system certification and leak detector testing performed on 3/22/21 and <br /> submitted on 6/4/21 contained incomplete and inaccurate information. No CERS ID or contractor license number <br /> were included, and the results were incorrectly dated 3/29/21. <br /> REGULATION GUIDANCE:A copy of the complete and accurate test report must be submitted within 30 days of <br /> the tests. <br /> CORRECTIVE ACTION: Immediately provide a complete, accurate copy of these reports to EHD. <br /> This is a Class II violation. <br /> FA0000279 PR0231497 SCO01 12/18/2020 <br /> EHD 23-01 Rev.9/20/2019 Page 5 of 11 Underground Storage Tank Program OIR <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />