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Envirotental Health Department SANAAQUI, —COUNTY— iWd Stowe S , Facility Name: Facility Phone: Date: ONE STOP MARKET* (209)823-4081 December 06,2018 Facility Address: CERS ID: 1151 W LOUISE AVE, MANTECA, CA 95336 —Phon-. 10180661 Inspection Contact: Title: Hari Kamboj Operator (209)470-2779 Inspection Type: Program: ROUTINE INSPECTION-Operating Permit 12361 -LIST FACILITY Consent For: Consent Given By: M Inspection 0 Photos N Samples Ammy Kamboj, Manager Service Technician Onsite: Exp.Date: Designated Operator: Exp.Date: Edward Stearns 11/09/2020 Alex Jibbari 10/01/2020 Service Technician Manufacturer's Training: Veeder Root, 08/09/19;VMI, 06/20/19; Franklin Fueling, 11/29/20 CCR=Title 23 California Code of Regulations HSC=Health and Safety Code CFR=Code of Federal Regulations V=Violation R=Repeat violation COS=Corrected on site during inspection 101 HSC 25284 Failed to obtain a permit to operate from the EHD including but not limited to unpaid permit fees E V o R o COS 102 HSC 25284(a)(3)(A)/(B) No written agreement between tank owner and tank operator to monitor the tank system Ei V o R ci COS 103 HSC 25292.2,25299.30 Failure to submit and maintain complete and current financial responsibility documents o V o R o COS 104 CCR 2711 UST operating permit application for facility and tank information not submitted or current Ei V Ei R c COS 105 CCR 2632(d)(1), Failed to have an approved UST monitoring plan ■V m R w COS 12634(d) 106 CCR 2632(d)(2), Failed to have an approved UST response plan ii V o R ii COS �2634(e) 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 Ei COS 108 CCR 2637,2638(e), Failed to notify the EHD 48 hours prior to conducting testing Ei V Ei R i-i COS 2643(g) 109 CCR 2637(a-d),2712 Failed to test secondary containment,or failed to maintain test records for 36 months o V Ei R Ei COS 110 CCR 2637(e),2637(f) Failed to submit"Secondary Containment Testing Report Form"within 30 days after the test ci V ii R o COS 111 j CCR 2638(a)&(b), Failed to test monitoring and leak detection equipment annually o V o R Ei COS 26410) 112 1 HSC 25293 Failure to maintain UST records to enable the UPA to determine whether the UST is in compliance o V c R Ei COS 113 CCR 2638(c),2638(d) Failure to submit"Monitoring System Certification Form"within 30 days of completion of the test u V Ei R o COS 114 CCR 2636(f)(3),2643(c) No 0.1 gph annual line integrity test for pressurized piping,or within 30 days after repair o V o R o COS (3) 115 CCR 2715(a)(1)(B), "Designated Underground Storage Tank Operator Identification Form"not submitted within 30 days c V o R Ei COS ,2715(a)(3) 116 1 CCR 2715 Designated operator,service tech or installer did not possess current[CC certification o V o R o COS 117 CCR 2663, 2712(b)(6) Failure to comply with tank lining,recondkeeping,and inspection requirements Ei V Ei R o COS 118 CCR 2715(a)(1)(A), Failure to submit the"Underground Storage Tank Statement of Understanding and Compliance Form" ij V o R o COS 2715(a)(2) 119 HSC 25299(a)(8), Documents were falsified or misrepresented Ei V Ei R Ei COS ,25299(b)(7) 120 CCR 2635(d) Failed to submit UST Certification of Installation/Modification D V Ei R o COS 121 CCR 2712(f) Failed to submit a written response within 30 days of receiving an inspection report o V o R o COS 122 CCR 2631,2640.1, Failure to submit and/or maintain documentation regarding compatibility for LIST system components Ei V o R o COS 2665,2711 FA0000819 PR0231429 SCO01 12/06/2018 EHD 23-01 Rev.09/28/2018 Page I of 6 Underground Storage Tank Program OIR 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com