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SAN J O A Q U I N ( zg614 En �✓ ironmental Health Department <br /> COUN7IY — <br /> Underground Storage Tank Program Inspection Report <br /> Facility Name : Facility Address : Date: <br /> DINO MART 1 1001 E YOSEMITE AVE , MANTECA April 26 , 2021 <br /> SUMMARY OF VIOLATIONS <br /> (CLASS I, CLASS II, or MINOR - Notice to Comply) <br /> Item # Remarks <br /> 110 CCR 2715(a) ( 1 ) (A) , 2715(a ) (2 ) Failure to submit the " Underground Storage Tank Statement of Understanding and <br /> Compliance Form " . <br /> OBSERVATION : The Underground Storage Tank Statement of Understanding and Compliance Form was not found <br /> in CERS . <br /> REGULATION GUIDANCE : This form must be uploaded to the California Environmental Reporting System (CERS) . <br /> CORRECTIVE ACTION : Immediately log into the California Environmental Reporting System (CERS) at <br /> http : //cers , calepa . ca . gov and upload the Underground Storage Tank Statement of Understanding and Compliance <br /> Form for this facility . <br /> This is a repeat violation , Class II . <br /> 112 CCR 2638 , 26410) , 2715(f) Failure to have properly qualified service technician test leak detection equipment every <br /> 12 months . <br /> OBSERVATION : Annual monitoring system certification and leak detector testing were previously performed on <br /> 01 /13/2020 and was completed on 04/26/2021 , three months past due . <br /> REGULATION GUIDANCE : These tests are required once every 12 months. <br /> CORRECTIVE ACTION : Take all necessary precautions to ensure testing is performed in a timely manner. <br /> This is a repeat violation , Class ll . <br /> 115 CCR 2638(c) , 2638(d) Failure to submit " Monitoring System Certification Form " within 30 days of completion of the <br /> test. <br /> OBSERVATION : Annual monitoring system certification , leak detector testing , and spill container testing was <br /> performed on 01 / 13/2020 and a test report was submitted on 06/11 /2020, four months late . <br /> REGULATION GUIDANCE : A copy of the test report must be submitted within 30 days of the tests . <br /> CORRECTIVE ACTION : Take all necessary precautions to ensure testing and submittal of test reports are <br /> performed in a timely manner. <br /> This is a repeat violation , Class II . <br /> FA0000421 PR0231876 SC333 04/26/2021 <br /> EHD 23-01 Rev. 9/16/2020 Page 5 of 8 Underground Storage Tank Program OIR <br /> 1868 E . Hazelton Avenue Stockton , California 952051 T 209 468=3420 1 F 209 464-0138 1 www . sjgov. org/EHD <br /> I <br />