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San Joaquin County Environmental Health Department 1868 East Hazelton Avenue, Stockton, California 95205-6232 Telephone. (209)468-3420 Fax: (209)468-3433 Web:www.sigov.org/ehd Underground Storage Tank Program Inspection Report Facility Name: Facility Address: Date: VALLEY PACIFIC HWY99 CARDLOCK 3550 S HWY 99 STOCKTON March 31 2015 SUMMARY OF VIOLATIONS (CLASS I,CLASS II,or MINOR-Notice to Comply) Item # Remarks 126 HSC 25404(e)(4) Failed to report program data electronically. The Owner Statement of Designated UST Operator Compliance was not submitted to the the California Electronic Reporting System (CERS). Beginning January 1, 2014, all businesses are required to submit all new(or any changes to existing) UST information, including: UST Monitoring Site Plan, UST Certification of Financial Responsibility, UST Response Plan, UST Owner/Operator Written Agreement(if applicable), UST Letter from Chief Financial Officer, and Owner Statement of Designated UST Operator Compliance online to the CERS at http://cers.calepa.ca.gov. Be sure to include any other relevant activities and required fields. This is a minor violation. 309 CCR 2636(f)(1) Monitoring in the i failed to activate an audible and visual alarm or stop the flow at the UDC. The Bravo box float and chain in the 1/2 UDC sump failed to stop the flow of product at the dispenser when tested. All monitoring equipment shall be maintained to activate an audible and visual alarm or stop the flow of product at the dispenser when it detects a leak. The service technician adjusted the chains)and verified functionality. This is a minor violation. Overall Inspection Comments: Complete and submit a copy of the Return to Compliance Certification form to the EHD with a statement documenting the corrective actions that have been or will be taken for each violation, and any supporting paperwork, by April 30, 2015. Please be aware that as of January 1, 2014, facility operators are required to upload the following UST program documents into the California Environmental Reporting System (CERS): UST Monitoring Site Plan, UST Certification of Financial Responsibility, UST Response Plan, UST Letter from Chief Financial Officer(if applicable), and the Owner Statement of Designated Operator Compliance. The UST Owner/Operator: Written Agreement, if applicable, can be stored at the facility or uploaded into CERS. Provided: Return to Compliance Certification form ALL EHD STAFF TIME ASSOCIATED WITH FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL BE BILLED AT THE CURRENT HOURLY RATE. THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. Received By Received By(printed name and title): Date: / (signature): _ Inspector Mike Eliason, Cardlock Manager P Inspector(printed name and title): Inspector Phone: (signatu - STACY RIVERA, Senior REHS (209)468-3440 Page 5 of 5