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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.s*gov.org/ehd <br />UNDERGROUND STORAGE TANK (UST) PROGRAM INSPECTION REPORT CONTINUED <br />Facility Toys R Us Facility Ins1624 Army Ct., Stockton Date: <br />Name: Oct 2, 2013 <br />y Address: <br />SUMMARY OF VIOLATIONS <br />CLASS I, CLASS II, or MINOR -Notice to Comply) <br />ROUTINE ANNUAL INSPECTION AND MONITORING SYSTEM CERTIFICATION <br />Notice to Comply - Minor violations: (109) <br />109. Annual monitoring system certification, leak detector testing, and spill container testing was <br />performed on October 1, 2012 and a test report was submitted to the EHD on November 19, 2012. A <br />copy of the test report must be submitted within 30 days of the tests. Ensure that all future test reports <br />are submitted to the EHD within the required time frame. <br />Complete and submit a copy of the Return to Compliance Certification form to the EHD by November 2, <br />2013, along with a statement documenting the corrective actions that have been or will be taken for each <br />violation, and any supporting paperwork. <br />Provided: Return to Compliance Certification, Schedule of FREE training <br />ALL EHD STAFF TIME ASSOCIATED WITH FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL BE BILLED AT THE CURRENT HOURLY RATE. <br />THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br />EHD 23-02 (Rev 04//19/12 Page 3 UST INSPECTION REPORT <br />VIOLATIONS <br /># <br />C1 <br />C2 <br />M <br />Code Section <br />HSC = CA Health and Safe Code; CFR = Code of Federal R ulations <br />C1 = Class 1 violation; C2 = Class 2 violation; M = Minor violation <br />Non -Pressurized Piping (continued) <br />702 <br />CCR 2643(e) <br />Biennial tightness test of gravity piping not performed (pre -January 1, 1984) (M1) <br />703 <br />CCR 2643(d) <br />Triennial line test for conventional suction piping not performed (pre -January 1, 1984) (M1) <br />Other Violations <br />999 <br />Other: <br />See attached "Continuation — Official Inspection Report" for violation(s) not listed above. <br />SUMMARY OF VIOLATIONS <br />CLASS I, CLASS II, or MINOR -Notice to Comply) <br />ROUTINE ANNUAL INSPECTION AND MONITORING SYSTEM CERTIFICATION <br />Notice to Comply - Minor violations: (109) <br />109. Annual monitoring system certification, leak detector testing, and spill container testing was <br />performed on October 1, 2012 and a test report was submitted to the EHD on November 19, 2012. A <br />copy of the test report must be submitted within 30 days of the tests. Ensure that all future test reports <br />are submitted to the EHD within the required time frame. <br />Complete and submit a copy of the Return to Compliance Certification form to the EHD by November 2, <br />2013, along with a statement documenting the corrective actions that have been or will be taken for each <br />violation, and any supporting paperwork. <br />Provided: Return to Compliance Certification, Schedule of FREE training <br />ALL EHD STAFF TIME ASSOCIATED WITH FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL BE BILLED AT THE CURRENT HOURLY RATE. <br />THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br />EHD 23-02 (Rev 04//19/12 Page 3 UST INSPECTION REPORT <br />