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San Joaquin County <br />Environmental Health Department <br />1868 East Hazelton Avenue, Stockton, California 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: www.sjgov.org/ehd <br />Underground Storage Tank Program Inspection Report <br />Facility Name: <br />Facility Address: <br />1 <br />Date: <br />TOYS R US <br />1624 ArmV Ct STOCKTON <br />October 06, 2014 <br />SUMMARY OF VIOLATIONS <br />(CLASS I. CLASS 11. or MINOR - Notice to ComoM <br />Item # <br />Remarks <br />115 <br />CCR 2715(a) Failed to inform the EHD of a change of designated operator within 30 days. <br />An Owner Statement of Designated UST Operator Compliance has not been submitted to CERS. Any changes shall be <br />reported to the EHD by submitting to CERS within 30 days. Immediately log into the California Environmental Reporting <br />System (CERS) at http://cers.calepa.ca.gov and upload the notification identifying all the designated operators for this <br />facility. This is a Class II violation. <br />207 <br />CCR 2715 Designated operator did not inspect all required items and/or the inspection reports not completed. <br />The designated operator failed to check and note the correct test dates for the triennial secondary containment testing o <br />the designated operator monthly inspection reports. The date written on the reports is the previous test date of Septemb <br />27, 2010. This testing was conducted on September 24, 2013. During the monthly inspection, the designated operator <br />shall check that all required testing and maintenance for the UST system have been completed and document the dates <br />they were done. Ensure that designated operators performing monthly inspections at this facility are including all of the <br />required information on the reports. This is a Class II violation. <br />The designated operator failed to verify that all employees have been trained during the November 2013, March 2014, A <br />2014, May 2014, June 2014, August 2014, and September 2014 monthly inspection. This section of the reports was left <br />blank. During the monthly inspection, the designated operator shall verify that all facility employees have been trained. <br />Ensure that designated operators performing monthly inspections at this facility are including all of the required informati, <br />on the reports. This is a Class II violation. <br />Overall Inspection Comments: <br />Complete and submit a copy of the Return to Compliance Certification form to the EHD with a statement <br />documenting the corrective actions that have been or will be taken for each violation, and any supporting <br />paperwork, by November 5, 2014. <br />Consent to perform the inspection, take photos and collect samples was given by Steve Kempton, General <br />Manager. This facility's designated operator is Thomas Lee Hingston II (]CC expiration date: 10/19/14) . The <br />service technician was Ed Stearns (ICC expiration date: 11/27/14), who had the following manufacturer's <br />certifications: VMI (exp. 6/24/15). The Veeder-Root Level 4 certification was not available for review on site. If this <br />certification cannot be verified, the testing will need to be redone by a properly certified technician. All EHD staff <br />time associated with a reinspection will be billed at the current hourly rate ($130). <br />Please be aware that as of January 1, 2014, facility operators are required to upload the following UST program <br />documents into the California Environmental Reporting System (CERS): UST Monitoring Site Plan, UST <br />Certification of Financial Responsibility, UST Response Plan, UST Owner/Operator: Written Agreement (if <br />applicable), UST Letter from Chief Financial Officer, and Owner Statement of Designated UST Operator <br />Compliance. Please be aware that the monitoring system certification test report must be submitted into CERS <br />within 30 days of testing. <br />Provided: Return to Compliance Certification form <br />Rece, d (initial): <br />Inspector: <br />Phone: <br />Date: <br />STACY RIVERA, Senior REHS <br />(209) 468-3440 <br />10/06/2014 <br />Page 4 of 5 <br />