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Ask <br /> 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.s*aov.orq/ehd <br /> 6- fE mg <br /> 6 U <br /> 'I OR <br /> RIC 9 Is <br /> 1-4 Mr, <br /> Facility Name: Facility Phone: Date: <br /> QUIK STOP MARKET#3138 (209) 835-8284 August 16, 2016 <br /> Facility Address: CERS ID: <br /> 1153 LINCOLN BLVD, TRACY, CA 95376 10181059 <br /> Inspection Contact: Title: Phone: <br /> Roger Batra Dir Env Affairs <br /> Inspection Type: Program: <br /> ROUTINE INSPECTION -Operating Permit 2361 - LIST FACILITY <br /> Consent For: I Consent Given By: <br /> N Inspection Z Photos Z Sample I Pargat Litt, Franchisee <br /> Service Technician Onsite: Exp.Date: Designated Operator: Exp.Date: <br /> Tom Stiegler 03/24/2017 Curtis Carpenter 03/16/2017 <br /> Service Technician Manufacturer's Training <br /> VR level 4, 12/23/17; VMI tester, 07/14/18 <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 inspectio <br /> -1110 M qgg <br /> 1110 IS! <br /> -M <br /> --------------- <br /> 101 HSC 25284 No permit to operate o V c R Li COS <br /> 102 HSC 25284(a)(3) No written agreement between tank owner and tank operator to monitor the tank system o V c R ii COS <br /> 103 HSC 25292.2 Current financial responsibility documents not submitted Li V Lj R Ei COS <br /> 104 CCR 2711 UST operating permit application for facility and tank information not submitted or current L2 V Ej R Ei COS <br /> 105 CCR 2632(d)(1) Failed to have an approved UST monitoring plan o V Ei R Lj COS <br /> 106 CCR 2632(d)(2) Failed to have an approved UST response plan ci V ii R o COS <br /> 107 CCR 2632(d)(1)(C) Plot plan/site map not submitted or failed to completely show where monitoring is performed c V Li R Ei COS <br /> 108 CCR 2637(f),2638(e) Failed to notify the EHD 48 hours prior to conducting testing ❑V ❑R c COS <br /> 109 CCR 2637 Failed to test secondary containment ❑V ❑R c COS <br /> 110 CCR 2637(e) Failed to submit secondary containment test report within 30 days Ei V ii R ii COS <br /> 111 CCR 2638(a) Failed to test monitoring and leak detection equipment annually c V c R Li COS <br /> 112 HSC 25284.2 Failed to test spill containers annually Ei V Ei R o COS <br /> 113 CCR 2638(d) Failed to submit monitoring system certification test report within 30 days [i V Ei R Ei COS <br /> 114 CCR 2636(f) Failed to perform 0.1 gph annual line test for pressurized piping without fail safe or shut down Li V Li R Li COS <br /> 115 CCR 2715(a) Failed to inform the EHD of designated operator identification or change within 30 days ❑V ❑R D COS <br /> 116 CCR 2715 Designated operator,service tech or installer did not possess current ICC certification ❑V ❑R c COS <br /> 117 CCR 2663 Failed to inspect a lined or repaired steel tank within 10 years of lining and every 5 years after ❑V ❑R Ei COS <br /> 118 CCR 2663 Failed to submit tank lining certification within 30 days or to conduct proper tests Li V Li R Ei COS <br /> 119 HSC 25299 Documents were falsified or misrepresented Ei V D R Lj COS <br /> 120 CCR 2635(d) Failed to submit UST Certification of Installation/Modification c V Ei R Ei COS <br /> 121 CCR 2712(f) Failed to submit a written response within 30 days of receiving an inspection report Li V o R Li COS <br /> 122 CCR 26310) Failure to submit UST system component statement of compatibility for substance stored C V 11 R ❑COS <br /> 201 CCR 2712(b) Failed to maintain alarm logs and/or records of follow up actions m V c R o COS <br /> 202 CCR 2712(b) Failed to maintain cathodic protection test records on site for at least 6 1/2 years o V ii R c COS <br /> 203 CCR 2712(b) Failed to maintain records of monitoring, repair,lining,and upgrades on site m V o R Li COS <br /> Page 1 of 5 <br /> 9171 9690 0935 0118 0895 67 <br />