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k San Joaquin County �w <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, California 95205-6232 <br /> Telephone: (209)468-3420 Fax:(209)468-3433 Web:www.sigov.org/ehd <br /> Underground Storage Tank Program Inspection Report <br /> Facility Name: Facility Address: Date: <br /> OUiCKI KLEEN �rri vvr,br E YOSEMITE AVE, MANTECA October 22, 2014 <br /> SUMMARY OF VIOLATIONS <br /> (CLASS 1,CLASS 11,or MINOR-Notice to Comply) <br /> Item# Remarks <br /> 208 CCR 2715 Designated operator monthly inspection reports not maintained on site for at least 12 months. <br /> The May and September 2014 designated operato onthly inspection reports were not found on site. Designated <br /> operator monthly inspection reports for the previous twelve months shall be retained on site. Locate and ensure that <br /> copies of the previous twelve months of designated operator monthly inspection reportsaremaintained on site. Submit <br /> copies to the EHD. This is a Class II violation a+� ? U.) Q fed "J'LLP PQSi'-P— <br /> re <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 22, 2014. <br /> Consent to perform the inspection, take photos and collect samples was given by James Ginerrero, the facility <br /> attendant, and the inspector was escorted around the facility by Genarro DeAnda, the facility manager. This <br /> facility's designated operator is Edward Stearns (ICC expiration date: December 29, 2014) . The service <br /> technician was Felix Ramirez (ICC expiration date: March 3, 2016), who had the following manufacturer's <br /> certifications: VR- July 7, 2016 and VMI- November 12, 2015. <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 /> ALL EHD STAFF TIMEASSOCIAl ED WITH FAILING 10 U b7l ES WILL BE BILLED AT I HE CURRENT HOURLY RAI E <br /> BO <br /> THIS FACT IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br /> Receiv By(signature): Title: Date: <br /> iv y(Printed name): Inspector: nape or h ne: <br /> ELENA MANZO, REHS (209) 953-7699 <br /> Page 4 of 4 <br />