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SAN 410 A Q U IN Environmental Health Department COUNTY Underground Storage Tank Program Inspection Report Facility Name : Facility Phone: Date: EMILS LIQUOR & SPORTS SHOP " (209) 838-7674 May 02 , 2024 Facility Address : CERS ID: 1405 CALIFORNIA ST, ESCALON , CA 95320 10180567 Inspection Contact: Title: Phone: Chacko Thomas Owner (209) 499-2693 Inspection Type: Program: ROUTINE INSPECTION - Operating Permit 12361 - UST FACILITY Consent For: Consent Given By: ❑x Inspection ❑x Photos ❑ Samples c (AcIruimmo vinirr Service Technician Onsite: Date: Designated Operator: Exp. Date: jxp. ► � � i ka V � � t = /J � Service Technician Manufacturer's Training , CCR = Title 23 California Code of Regulations HSC = ealth and Safety Code CFR = Code of Federal Regulations EHD = Environmental Health Department V = Violation R = Repeat violation COS = Corrected on site during inspection File Review 101 HSC 25284; CCR Failure to obtain a permit to operate from the EHD including but not limited to unpaid permit fees o V o R c COS 2711 (d) 102 CCR 2711 Failure to submit a complete and accurate application for a permit to operate a UST o V o R o COS 103 CCR 2635(f) , 2636(c)(2) Failure to submit the UST Certification of Installation/Modification o V o R o COS 104 CCR 2632(d)( 1 ) , Failure to submit a complete and accurate UST Monitoring Plan o V o R o COS 2634(d) 105 CCR 2632(d)(2) , Failure to submit a complete and accurate UST Response Plan o V o R o COS 2634 (e) 106 CCR 2632(d) , 2641 (h) Failure to submit and maintain a current facility plot plan / site map o V o R o COS 107 HSC 25292 . 2; CCR Failure to submit and maintain complete and current financial responsibility documents kV 'AR o COS 2711 (a)( 11 ) 108 CCR 2620(b) ; HSC Failure to implement or maintain a written agreement between the UST owner and operator o V o R o COS 25284(a)(3) 109 CCR 2715(a) (1 ) (B) , Failure to submit " Designated Underground Storage Tank Operator Identification Form" within 30 days o V o R o COS 2715(a)(3) 110 CCR 2715(a) (1 ) (A) , Failure to submit the "Underground Storage Tank Statement of Understanding and Compliance Form" o V o R o COS 2715(a) (2) 111 CCR 2637 , 2638(e) , Failed to notify the EHD 48 hours prior to conducting testing o V o R n COS 2643(g) 112 CCR 26382 26410) , Failure to have properly qualified service technician test leak detection equipment every 12 months o V o R o COS 2715(f) 113 CCR 2637(a-d) , 2712(b) Failure to conduct secondary containment testing o V o R o COS (1 ) (F) 114 CCR 2636 (0 (3) , 2643(c) Failure to perform line integrity test every 12 months or within 30 days of repair of primary pipe o V o R o COS (3) 115 CCR 2638 (c) , 2638(d) Failure to submit "Monitoring System Certification Form" within 30 days of completion of the test \ V e R o COS 116 CCR 2637 . 1 (d) , Failure to submit the "Spill Container Testing Report Form" within 30 days o V o R o COS 2637 . 1 (e) 117 CCR 2637 (e) , 2637(f) Failed to submit "Secondary Containment Testing Report Form" within 30 days after the test o V o R o COS 118 CCR 2637. 2(d&e) , Failure to submit the "Overfill Prevention Equipment Inspection Report Form" within 30 days o V o R o COS 2665(a&b) 119 CCR 2663, 2712(b) (6) Failure to comply with tank lining certification , testing , inspection , and record requirements o V o R o COS 120 CCR 2631 , 2640 . 1 , Failure to submit and/or maintain documentation regarding compatibility for UST system components o V n R o COS 2665 , 2711 FA0000306 PR0231485 SCO01 05/02/2024 EHD 23-01 Rev. 12/06/2021 Page 1 of 4 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. sjgov. org/EHD