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SAN J 0 A Q I I I Irl Environmental Health Department <br /> C O U N T AMENDED <br /> 6/17/2021 <br /> Underground Storage Tank Program Inspection Report <br /> Facility Name: Facility Address: Date: <br /> MY MINI MART 1756 N WILSON WAY, STOCKTON June 16, 2021 <br /> Other Violations <br /> 2010 See below Unlisted General violation ❑V ❑R ❑COS <br /> SUMMARY OF VIOLATIONS <br /> (CLASS I,CLASS II,or MINOR-Notice to Comply) <br /> Item# Remarks <br /> 104 CCR 2632(d)(1), 2634(d)Failure to have an approved UST Monitoring Plan. <br /> OBSERVATION: The monitoring plans for the 87 and 91 tanks are not current: <br /> 1. The tank monitoring panel manufacturer and model are listed as Incon and TS-1001, respectively. However, the <br /> monitoring panel manufacturer and model observed on-site is Veeder Root and TLS-350, respectively. <br /> 2. The tank monitoring leak sensor manufacturer and model are listed as Incon and STD-101 E1 S, respectively. <br /> However,the leak sensor manufacturer and model observed on-site is Veeder Root and 420, respectively. <br /> 3. The pipe monitoring leak sensor manufacturer and model are listed as Incon and ULS, respectively. However,the <br /> leak sensor manufacturer and model observed on-site is Veeder Root and 208, respectively. <br /> REGULATION GUIDANCE: The monitoring plan must be uploaded to the California Environmental Reporting <br /> System (CERS). <br /> CORRECTIVE ACTION: Immediately log into CERS, make the necessary changes, and submit for review by the <br /> EHD. <br /> This is a repeat violation, Class ll. <br /> 107 HSC 25292.2; CCR 2711(a)(11)Failure to submit and maintain complete and current financial responsibility <br /> documents. <br /> OBSERVATION: Current financial responsibility documents were not found on site. <br /> REGULATION GUIDANCE:A copy of current financial responsibility documents are required to be maintained on <br /> site. <br /> CORRECTIVE ACTION: Immediately obtain a copy of the facility's financial responsibility documents and maintain a <br /> copy on site. <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:A monitoring system certification was performed on 8/14/2020. A test report has not been <br /> submitted to the EHD or the California Environmental Reporting System (CERS). <br /> REGULATION GUIDANCE:A copy of the test report must be submitted within 30 days of the test. <br /> CORRECTIVE ACTION: Immediately provide this report to the EHD. <br /> This is a repeat violation, Class ll. <br /> FA0001858 PR0231300 SCO01 06/16/2021 <br /> EHD 23-01 Rev.9/16/2020 Page 4 of 7 Underground Storage Tank Program OIR <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/EHD <br />