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SAN J O A Q U I N Environmental Health Department (: UUN I Y-- Underground Storage Tank Program Inspection Report Facility Name: Facility Phone: Date: QUICKI KLEEN CAR WASH (209) 523-9159 October 25, 2018 Facility Address: CERS ID: 707 E YOSEMITE AVE, MANTECA, CA 95336 10182307 Inspection Contact: Title: Phone: Francene Escobar Owner (209)346-1745 Inspection Type: Program: ROUTINE INSPECTION-Operating Permit 2361 - UST FACILITY Consent For: Conserv Given By: 0 Inspection 0 Photos N Samples Stacy Merrell, Manager service Technician Onsite: Exp.Date: Designated Operator: Exp.Date: Edward Steams 11/08/2018 David Winkler 02/23/2020 Service Technician Manufacturer's Training: VMI, 06/30/19;Veeder Root, 08/09/19;Tank Tester,08/31/20 CCR=Tide 23 California Cade of Regulations HSC=Health and Safety Code CFR=Code of Federal Regulations V=Molation R=Repeat violation COS=Corrected on site dunag inspection File Review 101 HSC 25284 Failed to obtain a permit to operate from the EHD including but not limited to unpaid permit fees o V o R D COS 102 HSC 25284(a)(3)(A)/(B) No written agreement between tank owner and tank operator to monitor the tank system c V o R o COS 103 HSC 25292.2,25299.30 Failure to submit and maintain complete and current financial responsibility documents D V D R o COS 104 CCR 2711 UST operating permit application for facility and tank information not submitted or current ■V ■R n COS 105 CCR 261 Failed to have an approved UST monitoring plan ■V ■R a COS 12634(d) 106 CCR 261 Failed to have an approved UST response plan D V in R c COS 12634(a) 107 CCR 2632(d)(1)(C) Plot plan/site map not submitted or failed to completely show where monitoring is performed o V o R D COS 108 CCR 2637,2638(e), Failed to notify the EHD 48 hours prior to conducting testing o V o R D COS 2643 109 CCR 2637(a-d),2712 Failed to lest secondary containment,or failed to maintain test records for 36 months o V o R D COS 110 CCR 2637(e),2637(f) Failed to submit"Secondary Containment Testing Report Forth"within 30 days after the test D V o R o COS 111 CCR 2638(a)&(b), Failed to test monitoring and leak detection equipment annually o V o R D COS 2641 112 HSC 25293 Failure to maintain UST records to enable the UPA to determine whether the UST is in compliance D V D R n COS 113 CCR 2638(.),2638(d) Failure to submit"Monitoring System Certification Fore"within 30 days of completion of the test ■V D R o COS 114 CCR 261 2643(c) No 0.1 gph annual line integrity test for pressurized piping,or within 30 days after repair D V o R o COS (3) 115 CCR 2715(a)(1)(B), "Designated Underground Storage Tank Operator Identification Form"not submitted within 30 days o V o R o COS 2715(a)(3) 116 CCR 2715 Designated operator,service tech or installer did not possess current ICC certification o V o R o COS 117 CCR 2663, 2712(b)(6) Failure to comply with tank lining,recordkeeping,and inspection requirements o V D R D COS 118 CCR 2715(a)(1)(A), Failure to submit the"Underground Storage Tank Statement of Understanding and Compliance Form" u V D R D COS 2715 a 2 119 HSC 25299(a)(8), Documents were falsified or misrepresented o V o R D COS 25299(b)(7) 120 CCR 2635(d) Failed to submit UST Certification of Installation/Modification o V o R D COS 121 CCR 2712(f) Failed to submit a written response within 30 days of receiving an inspection report mV ■R o COS 122 CCR 2631,2640.1, Failure to submit and/or maintain documentation regarding compatibility for UST system components D V o R o COS 2665,2711 FA0007815 PRO505151 SC001 10/25/2018 EHD 23-01 Rev.09/28/2018 Page 1 of 6 Underground Storage Tank Program OIR 1868 E. Hazelton Avenue I Stockton, Cal'Ifomia 952051 T 209 468-34201 F 209 464-0138 1 www.sjcehd.com