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COMPLIANCE INFO_2023
Environmental Health - Public
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EHD Program Facility Records by Street Name
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2300 - Underground Storage Tank Program
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PR0231876
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COMPLIANCE INFO_2023
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Entry Properties
Last modified
12/14/2023 11:49:58 AM
Creation date
2/13/2023 10:03:40 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2023
RECORD_ID
PR0231876
PE
2361
FACILITY_ID
FA0000421
FACILITY_NAME
DINO MART
STREET_NUMBER
1001
Direction
E
STREET_NAME
YOSEMITE
STREET_TYPE
AVE
City
MANTECA
Zip
95336
CURRENT_STATUS
01
SITE_LOCATION
1001 E YOSEMITE AVE
P_LOCATION
04
P_DISTRICT
003
QC Status
Approved
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SJGOV\kblackwell
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EHD - Public
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S A N 10 A Q U I N Environmental Health Department <br /> COUNTY' <br /> Underground Storage Tank Program Inspection Report <br /> Facility Name: Facility Phone: Date: <br /> DINO MART (209 ) 647-2168 1 /13/2023 <br /> Facility Address: 1001 E YOSEMITE AVE , MANTECA CA 95336 CERS ID: 10180593 <br /> Inspection Contact: Avinash Singh Title: CEO Phone: ( 510 ) 557-4508 <br /> Inspection Type: ROUTINE INSPECTION - Operating Permit Program: 2361 - UST FACILITY <br /> Consent For: Consent Given By : <br /> ❑ Inspection ❑ Photos ❑ Samples (A rhCA Y) + S ' KYA <br /> Service Techaici n Onsite: Exp, Date: Designated Operator: Exp. Date: <br /> CL S r'U r r1S i t s Z :2 ck ne m Z ' 144 <br /> Service Technician Manufacturer's Training : <br /> ( 1 ,2 211 \ J I SI 2:e+— 7?� ft!X VC) 2l� <br /> CCR = Title 23 California Code of Regulationsr HSC = Health and Safety Code CFR = Code of Federal Regulations EHD = Environmental Health Department <br /> V = Violation R = Repeat violation COS = Corrected on site during inspection <br /> File Review <br /> 101 HSC 25284; CCR Failure to obtain a permit to operate from the EHD including but not limited to unpaid permit fees D V D R o COS <br /> 2711 (d) <br /> 102 CCR 2711 Failure to submit a complete and accurate application for a permit to operate a UST D V D R o COS <br /> 103 CCR 2635(f) , 2636(c)(2) Failure to submit the UST Certification of Installation/Modification ❑ V c R o COS <br /> 104 CCR 2632(d) (1 ) , Failure to submit a complete and accurate UST Monitoring Plan D V c R D COS <br /> 2634 (d) <br /> 105 CCR 2632(d) (2) , Failure to submit a complete and accurate UST Response Plan o V c R ❑ COS <br /> 2634(e) <br /> 106 CCR 2632(d) , 2641 (h) Failure to submit and maintain a current facility plot plan / site map o V o R D COS <br /> 107 HSC 25292 . 2 ; CCR Failure to submit and maintain complete and current financial responsibility documents D V D R n COS <br /> 2711 (a) (11 ) <br /> 108 CCR 2620(b) ; HSC Failure to implement or maintain a written agreement between the UST owner and operator o V D R D COS <br /> 25284(a) (3) <br /> 109 CCR 2715(a) ( 1 ) (B) , Failure to submit " Designated Underground Storage Tank Operator Identification Form" within 30 days a V D R D COS <br /> 2715(a)(3) <br /> 110 CCR 2715(a) ( 1 ) (A) , Failure to submit the " Underground Storage Tank Statement of Understanding and Compliance Form" D V c R D COS <br /> 2715(a) (2) <br /> 111 CCR 2637, 2638(e) , Failed to notify the EHD 48 hours prior to conducting testing n V D R D COS <br /> 2643(g) <br /> 112 CCR 26383 26410) , Failure to have properly qualified service technician test leak detection equipment every 12 months n V c R D COS <br /> 2715(f) <br /> 113 CCR 2637(a-d) , 2712(b) Failure to conduct secondary containment testing o V ❑ R o COS <br /> (1 )(F) <br /> 114 CCR 2636(f) (3) , 2643(c) Failure to perform line integrity test every 12 months or within 30 days of repair of primary pipe D V D R n COS <br /> (3) <br /> 115 CCR 2638(c) , 2638(d) Failure to submit "Monitoring System Certification Form" within 30 days of completion of the test D V D R n COS <br /> 116 CCR 2637 . 1 (d) , Failure to submit the "Spill Container Testing Report Form" within 30 days D V D R o COS <br /> 2637. 1 (e) <br /> 117 CCR 2637(e) , 2637(9 Failed to submit "Secondary Containment Testing Report Form" within 30 days after the test o V c R D COS <br /> 118 CCR 2637. 2(d&e) , Failure to submit the "Overfill Prevention Equipment Inspection Report Form" within 30 days c V D R D COS <br /> 2665 (a&b) <br /> 119 CCR 2663, 2712(b) (6) Failure to comply with tank lining certification , testing , inspection , and record requirements D V D R n COS <br /> 120 CCR 2631 , 2640. 1 , Failure to submit and/or maintain documentation regarding compatibility for UST system components o V D R n COS <br /> 2665, 2711 <br /> Page 1 of 4 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 />
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