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Page 1 of 7 San Joaquin County Environmental Health Department 1868 East Hazelton Avenue, Stockton, California 95205-6232 Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: www.sjgov.ora/ehd Underground Storage Tank Program Inspection Report Facility Name: Unified Grocers Inc. Facility Phone: 209 931-9440 Date: November 23 2015 Facility Address: 1990 N PICCOLI RD STOCKTON CA 95215 CERS ID: 10181455 Inspection Contact: Mike Young Title: Supervisor Phone: 209 931-7431 Inspection Type: ROUTINE INSPECTION - Operatinq Permit Program: 2361 - UST FACILITY Consent For: N Inspection Z Photos Z Samples I Consent Given By: I Mike Young, Supervisor Service Technician Onsite Victor Guerrero Exp. Date: 06/09/2017 Designated Operator: Michael Young Exp. Date: Service Technician Manufacturer's Training Veeder-Root 06/28/17-1 VMI Tester, 11/09/17; Incon Level 4 04/23/17 CCR =California coca of Regulations HSC = Health and Safety Code CFR = Code of Federal Regulations V = Violation R = Repeat violation COS = Corrected on site during inspection File Review 101 HSC 25284 No permit to operate ❑ V ❑ R o COS 102 HSC 25284(a)(3) No written agreement between tank owner and tank operator to monitor the tank system ❑ V ❑ R ❑ COS 103 HSC 25292.2 Current financial responsibility documents not submitted ■ V ■ R o COS 104 CCR 2711 UST Operating Permit Application for Facility and Tank information not submitted or current ■ V ❑ R ❑ COS 105 HSC 25286(c) Current BOE number not submitted o V o R ❑ COS 106 CCR 2632 Monitoring and response plans not current or approved by the EHD ■ V ■ R o COS 107 CCR 2632(d)(1)(C) Plot plan/site map not submitted or failed to completely show where monitoring is performed ■ V ❑ R ❑ COS 108 CCR 2637(f), 2638(e) Failed to notify the EHD 48 hours prior to conducting testing ❑ V o R ❑ COS 109 CCR 2637 Failed to test secondary containment ❑ V ❑ R ❑ COS 110 CCR 2637(e) Failed to submit secondary containment test report within 30 days ❑ V ❑ R ❑ COS 111 CCR 2638(a) Failed to test monitoring and leak detection equipment annually o V ❑ R o COS 112 HSC 25284.2 Failed to test spill containers annually ❑ V ❑ R ❑ COS 113 CCR 2638(d) Failed to submit monitoring system certification test report within 30 days ❑ V ❑ R ❑ COS 114 CCR 2636(f) Failed to perform 0.1 gph annual line test for pressurized piping without fail safe or shut down ❑ V o R ❑ COS 115 CCR 2715(a) Failed to inform the EHD of a change of designated operator within 30 days ■ V ❑ R ❑ COS 116 CCR 2715 Designated operator, service tech or installer did not possess current ICC certification ❑ V ❑ R ❑ COS 117 HSC 25292.5 Failed to conduct ELD testing on a system located within 1000' of a public well ❑ V ❑ R ❑ COS 118 HSC 25292.5 Failed to repair and retest system due to failed ELD test o V ❑ R o COS 119 CCR 2644.1(a)(5) Failed to submit ELD test results within 60 days ❑ V ❑ R ❑ COS 120 CCR 2663 Failed to inspect a lined or repaired steel tank within 10 years of lining and every 5 years after ❑ V ❑ R o COS 121 CCR 2663 Failed to submit tank lining certification within 30 days or to conduct proper tests ❑ V ❑ R ❑ COS 122 HSC 25299 Documents were falsified or misrepresented o V o R o COS 123 CCR 2661 Permit to repair UST system not obtained ❑ V ❑ R o COS 124 CCR 2635(d) Failed to submit UST Certification of Installation/Modification o V ❑ R o COS Received by (initiaq: '-- Inspector: STACY RIVERA, Senior REHS Phone: (209) 468-3440 Date: 11/23/2015 Page 1 of 7