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SAN JOARU <br />.�_,u;� I <br />Environmental Health Department <br />Underground Storage Tank Program Inspection Report <br />Facility Name: <br />Facility Address: <br />Date: <br />ESCALON MINI MART <br />1097 YOSEMITE AVE, ESCALON <br />December 18, 2020 <br />SUMMARY OF VIOLATIONS <br />(CLASS I, CLASS II, or MINOR - Notice to Comply) <br />Item # <br />Remarks <br />109 <br />CCR 2715(a)(1)(B), 2715(a)(3) Failure to submit "Designated Underground Storage Tank Operator Identification <br />Form" within 30 days. <br />OBSERVATION: The following new designated operator have been performing inspections at the facility and <br />notification was not provided to the EHD within 30 days of the change: <br />Jerry Langrell, as of 5/18/20 <br />Andrew Martin, as of 2/22/21 <br />Mario Romero, as of 6/15/20 <br />Lisabeth Madrigal, as of 4/20/20 <br />REGULATION GUIDANCE: The owner or operator shall submit a "Designated Underground Storage Tank Operator <br />Identification Form" no later than 30 days after any change in the designated UST operator(s). <br />CORRECTIVE ACTION: Immediately log into the California Environmental Reporting System (CERS) at <br />http://cers.calepa.ca.gov and upload the notification identifying all the designated operators for this facility. <br />This is a Class II violation. <br />115 <br />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 and leak detector testing was performed on 12/2/19 and a <br />test report was submitted on 3/5/20, two months late. <br />Annual monitoring system certification and leak detector testing was performed on 12/18/20 and a test report was <br />submitted on 6/4/21, five 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 />OBSERVATION: -The test report for the annual monitoring system certification and leak detector testing performed <br />on 12/18/20 and submitted on 6/4/21 contained incomplete information. No CERS ID or contractor license number <br />were included. <br />-The test report for the annual monitoring system certification and leak detector testing performed on 3/22/21 and <br />submitted on 6/4/21 contained incomplete and inaccurate information. No CERS ID or contractor license number <br />were included, and the results were incorrectly dated 3/29/21. <br />REGULATION GUIDANCE: A copy of the complete and accurate test report must be submitted within 30 days of <br />the tests. <br />CORRECTIVE ACTION: Immediately provide a complete, accurate copy of these reports to EHD. <br />This is a Class II violation. <br />FA0000279 PR0231497 SCO01 12/18/2020 <br />EHD 23-01 Rev. 9/20/2019 Page 5 of 11 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.sjcehd.com <br />