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Allik Agh, 9171 9690 0936 U162 14U1 (j:3 FA0001946 PR0231092 SC001 08/07/2017 EHD 23-01 Rev. 09/22/16 Page 1 of 4 Underground Storage Tank Program OIR San Joaquin County Environmental Health Department 1868 East Hazelton Avenue, Stockton, California 95205-6232 Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: www.s6qov.org/ehd 1t; IN WIN - Facility Name: El Dorado Food Mart Facility Phone: (209) 451-4632 Date: August 07, 2017 Facility Address: 1901 S EL DORADO ST, STOCKTON, CA 95206 CERS ID: 10180839 Inspection Contact: Sukhjinder Singh Title: cashier TPhone: (209) 451-4632 Inspection Type: ROUTINE INSPECTION - Operating Permit Program: 2361 - UST FACILITY Consent For: Z Inspection Z Photos ED Sample I Consent Given By: I Sukhjinder Singh, cashier Service Technician Onsite: Edward Stearns Exp. Date: 11/09/2018 Designated Operator: Randall Kirby Exp. Date: 12/03/2017 Service Technician Manufacturer's Training Veeder Root, 08/10/17; VMI, 06/20/19; Tank Tester,08/31/17 CCR = California Code of Regulations HSC = Health and Safety Code CFR = Code of Federal Regulations V = Violation R = Repeat violation COS = Corrected on site during inspectio ."" o Q-IM%-' WUz 0N " T '_- -mq , A, ip". 101 HSC 25284 No permit to operate M Ei V Ei R c COS 102 HSC 25284(a)(3) No written agreement between tank owner and tank operator to monitor the tank system ii V Li R Ei COS 103 HSC 25292.2 Current financial responsibility documents not submitted Ei V c R o COS 104 CCR 2711 UST operating permit application for facility and tank information not submitted or current ❑ V c R o COS 105 CCR 2632(d)(1) Failed to have an approved UST monitoring plan Ei V Ei R Ei COS 106 CCR 2632(d)(2) Failed to have an approved UST response plan o V o R o COS 107 CCR 2632(d)(1)(C) Plot plan/site map not submitted or failed to completely show where monitoring is performed Li V c R o COS 108 CCR 2637(f), 2638(e) Failed to notify the EHD 48 hours prior to conducting testing Li V c R [i COS 109 CCR 2637 Failed to test secondary containment ii V Li R o COS 110 CCR 2637(e) Failed to submit secondary containment test report within 30 days c V ii R Li COS 111 CCR 2638(a) Failed to test monitoring and leak detection equipment annually ci V o R c COS 112 HSC 25284.2 Failed to test spill containers annually Li V c R o COS 113 CCR 2638(d) Failed to submit monitoring system certification test report within 30 days i -i V c R Li COS 114 CCR 2636(f) Failed to perform 0.1 gph annual line test for pressurized piping without fail safe or shut down o V o R Ei COS 115 j CCR 2715(a) Failed to inform the EHD of designated operator identification or change within 30 days Ei V o R Ei COS 116 CCR 2715 Designated operator, service tech or installer did not possess current ICC certification ii V Ej R o COS 117 CCR 2663 Failed to inspect a lined or repaired steel tank within 10 years of lining and every 5 years after o V ii R E COS 118 CCR 2663 Failed to submit tank lining certification within 30 days or to conduct proper tests Ei V o R o COS 119 HSC 25299 Documents were falsified or misrepresented i:i V ci R o COS 120 CCR 2635(d) Failed to submit UST Certification of Installation/Modification Ei V E R Ei COS 121 CCR 2712(f) Failed to submit a written response within 30 days of receiving an inspection report Li V o R Ei COS 122 CCR 26310) Failure to submit UST system component statement of compatibility for substance stored Li V Li R c COS 'Irfir, inn m W, -H, § E31d 'M - , I Ir —I'Me"'M - M, - *0*0141 I I , Off"J, "M Wj -d i r F 201 CCR 2712(b) 1 Failed to maintain alarm logs and/or records of follow up actions o V o R Ei COS 202 CCR 2712(b) Failed to maintain cathodic protection test records on site for at least 6 1/2 years o V ii R Li COS 203 CCR 2712(b) Failed to maintain records of monitoring, repair, lining, and upgrades on site Ei V Li R c COS I 9171 9690 0936 U162 14U1 (j:3 FA0001946 PR0231092 SC001 08/07/2017 EHD 23-01 Rev. 09/22/16 Page 1 of 4 Underground Storage Tank Program OIR