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COMPLIANCE INFO_2024
Environmental Health - Public
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2300 - Underground Storage Tank Program
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PR0231462
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COMPLIANCE INFO_2024
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Entry Properties
Last modified
8/26/2024 1:37:38 PM
Creation date
7/3/2024 11:45:48 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2024
RECORD_ID
PR0231462
PE
2361
FACILITY_ID
FA0000508
FACILITY_NAME
7- ELEVEN INC # 17647
STREET_NUMBER
1048
Direction
W
STREET_NAME
YOSEMITE
STREET_TYPE
AVE
City
MANTECA
Zip
95337
APN
21903003
CURRENT_STATUS
01
SITE_LOCATION
1048 W YOSEMITE AVE
P_LOCATION
04
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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� � Environmental Health Department <br /> OAN I N� <br /> G(eoo)ess grows here, <br /> ff CP22 - UST FULL Inspection Report <br /> Facility Name: Facility Phone: Date: <br /> 7-ELEVEN INC# 17647 209 239-2329 July 25 2024 <br /> Facility Address: CERS ID: <br /> 1048 W YOSEMITE AVE MANTECA CA 95337 10165823 <br /> Inspection Contact: Title: Phone: <br /> Sean Auaust'ne Environmental Qontact 949 761-2907 <br /> Inspection Type: Program: <br /> Routine 2361 - UST FACILITY <br /> Consent For: Consent Given By: <br /> ❑x Inspection ❑x Photos ❑x Samples Jaismin Kaur, Manager <br /> Service Technician Onsite: Exp.Date: Designated Operator: Exp.Date: <br /> Edwin Pineda 5/24/2025 Gabriel Martin 4/11/2026 <br /> Service Technician Manufacturer's Training: <br /> OPW, 12/27/2024; VR, 12/6/2024; VMI, 12/2/2024 <br /> OUT=Violation R=Repeat violation COS=Corrected on site during inspection <br /> 1 CA Health and Safety 2030021 -Facility has a valid Permit to Operate from the CUPA ❑OUT ❑R ❑COS <br /> Code 25284;CCR <br /> 2711(d) <br /> 2 CA Code of Regulations 2010010-Complete and accurate UST Operating Permit Application has been submitted. ❑OUT ❑R ❑COS <br /> 2711 <br /> 3 CA Code of Regulations 2010013-Facility has submitted a complete and accurate UST Monitoring Plan. ❑OUT ❑R ❑COS <br /> 2632(d)(1),2634(d) <br /> 4 CA Code of Regulations 2010014-Facility has submitted a complete and accurate UST Response Plan. ❑OUT ❑R ❑COS <br /> 2632(d)(2),2634(e) <br /> 5 CA Code of Regulations 2030041-A current facility plot plan is maintained and has been submitted ❑OUT ❑R ❑COS <br /> 2632(d),2641(h) <br /> 6 CA Health and Safety 2010006-Owner/Operator has not made false statements,certifications,or representations on ❑OUT ❑R ❑COS <br /> Code 25299(a)(8), documents <br /> 25299(b)(7) <br /> 7 CA Code of Regulations 2010003-Owner/Operator submitted DO form and/or informed the CUPA of any change(s)within ❑OUT ❑R ❑COS <br /> 2715(a)(1)(B),2715(a) 30 days(TCR 10) <br /> (3) <br /> 8 CA Code of Regulations 2010016-"Underground Storage Tank Statement of Understanding and Compliance Form" ❑OUT ❑R ❑COS <br /> 2715(a)(1)(A),2715(a) submitted(TCR 10) <br /> (2) <br /> 9 CA Code of Regulations 2030002-Leak detection equipment tested by qualified service technician every 12 months(TCR ❑OUT ❑R ❑COS <br /> 2638,26410),2715(f) 9d) <br /> 10 CA Code of Regulations 2030074-Annual Monitoring System Certification Form to the CUPA within 30 days of completion of ❑OUT ❑R ❑COS <br /> 2638(c),2638(d) the test <br /> 11 CA Code of Regulations 2030048-Sec containment testing conducted per requirements&records kept for 36 mths(TCR ❑OUT ❑R ❑COS <br /> 2637(a-d),2712(b)(1) 9d) <br /> (F) <br /> 12 CA Code of Regulations 2010009-Secondary containment test results submitted to the CUPA within 30 days after the test. ❑OUT ❑R ❑COS <br /> 2637(e),2637(f) <br /> 13 CA Code of Regulations 2010017-Spill bucket testing results submitted to the UPA within 30 days of testing ❑OUT ❑R ❑COS <br /> 2637.1(d),2637.1(e) <br /> 14 CA Code of Regulations 2010018-Overfill prevention equipment inspection report form submitted to the UPA within 30 days ❑OUT ❑R ❑COS <br /> 2637.2(d&e), <br /> 2665(a&b) <br /> 15 CA Code of Regulations 2030042-Line integrity test completed on DW press piping every 12 mths if no fail safe/+ ❑OUT ❑R ❑COS <br /> 2636(f)(3),2643(c)(3) shutdown(TCR 9d) <br /> 16 CA Code of Regulations 2030050-0.1 gph piping test conducted on SW suction systems every 36 mths and after piping ❑OUT ❑R ❑COS <br /> 2643(d),2661(f) repair(TCR 9d) <br /> FA0000508 PR0231462 SCO01 07/25/2024 <br /> EHD Rev.12/06/2021 Page 1 of 5 CP22-UST FULL 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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