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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 /> 116 CCR 2637.1(d), 2637.1(e)Failure to submit the"Spill Container Testing Report Form"within 30 days. <br /> OBSERVATION:Annual spill container testing was performed on 12/2/19 and a test report was submitted on 3/5/20, <br /> two months late. <br /> Annual spill container testing was performed on 12/18/20 and a test report was submitted on 6/4/21,five months <br /> 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 spill container testing performed on 12/18/20 and submitted on <br /> 6/4/21 contained incomplete information. No CERS ID, contractor license number, or test procedure were included. <br /> The test method is listed as industry standard,with no additional testing information. <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 /> 118 CCR 2637.2(d&e), 2665(a&b) Failure to submit the"Overfill Prevention Equipment Inspection Report Form"within <br /> 30 days. <br /> OBSERVATION:An overfill prevention equipment inspection for the 91 flapper was performed on 1/16/19. A test <br /> report has not been submitted to the EHD or the California Environmental Reporting System (CERS). <br /> REGULATION GUIDANCE:A copy of the test report must be submitted within 30 days of the test. <br /> CORRECTIVE ACTION: Immediately provide this report to the EHD. <br /> This is a Class II violation. <br /> FA0000279 PR0231497 SCO01 12/18/2020 <br /> EHD 23-01 Rev.9/20/2019 Page 6 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 />