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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.sWqov.org/ehd <br /> g� <br /> Mgg HH111 <br /> 5' - ----- ---- <br /> Facility Name: Facility Phone: Date: <br /> GREWALS GAS & LIQUOR* (209)487-0480 April 11, 2017 <br /> Facility Address: CERS ID: <br /> 4100 E FREMONT ST, STOCKTON, CA 95215 10180875 <br /> Inspection Contact: Title: Phone: <br /> Rick Grewal Owner <br /> Inspection Type: Program: <br /> INSPECTION/REINSPECTION 1 hr minimum 2361 - UST FACILITY <br /> Consent For: I Consent Given By: <br /> Z Inspection Z Photos 9 Sam les I Rick Grewal, Owner <br /> Service Technician Onsite: Exp.Date: Desipated Operator: Exp.Date: <br /> Felix Ramirez 11/22/2018 <br /> Service Technician Manufacturer's Training <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 /> 000filai4H <br /> 10 <br /> F M <br /> rHSC 25284 No permit to operate o V Ei R Ei COS <br /> HSC 25284(a)(3) No written ❑agreement between tank owner and tank operator to monitor the tank system o V Ei R ii COS <br /> HSC 25292.2 Current financial responsibility documents not submitted Li V Ei R Ei 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 c V c R Li COS <br /> 106 CCR 2632(d)(2) Failed to have an approved UST response plan o V o R Ei 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 o R c COS <br /> 108 CCR 2637(f),2638(e) Failed to notify the EHD 48 hours prior to conducting testing Li V o R Li COS <br /> 109 CCR 2637 Failed to test secondary containment c V Li R Li COS <br /> 110 CCR 2637(e) Failed to submit secondary containment test report within 30 days o V o R c COS <br /> 111 CCR 2638(a) Failed to test monitoring and leak detection equipment annually Li V c R Ei COS <br /> 112 HSC 25284.2 Failed to test spill containers annually c V c R c COS <br /> 113 CCR 2638(d) Failed to submit monitoring system certification test report within 30 days c V Fi 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 o R o COS <br /> 115 CCR 2715(a) Failed to inform the EHD of designated operator identification or change within 30 days Ei V m R Ei COS <br /> 116 CCR 2715 Designated operator,service tech or installer did not possess current ICC certification Ei V Li R Li COS <br /> 117 CCR 2663 Failed to inspect a lined or repaired steel tank within 10 years of lining and every 5 years after c V o R c COS <br /> 118 CCR 2663 Failed to submit tank lining certification within 30 days or to conduct proper tests c V Ei R Ei COS <br /> 119 HSC 25299 Documents were falsified or misrepresented ii V o R Li COS <br /> 120 CCR 2635(d) Failed to submit UST Certification of Installation/Modification Li V o R Li COS <br /> 121 CCR 2712(f) Failed to submit a written response within 30 days of receiving an inspection report Li V o R c COS <br /> 122 CCR 26310) Failure to submit UST system component statement of compatibility for substance stored o V o R c COS <br /> rk, <br /> M <br /> W <br /> :4, V <br /> 201 CCR 2712(b) Failed to maintain alarm logs and/or records of follow up actions o V Ei R ii COS <br /> 202 CCR 2712(b) Failed to maintain cathodic protection test records on site for at least 6 1/2 years o V Li R Li COS <br /> 203 CCR 2712(b) Failed to maintain records of monitoring, repair,lining,and upgrades on site Li V o R o COS <br /> FA0002123 PR0231574 SC333 04/11/2017 <br /> EHD 23-01 Rev.09/22/16 Page 1 of 4 Underground Storage Tank Program OIR <br />