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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 /> CONTINUATION FORM Page: 4 of 4 <br /> OFFICIAL INSPECTION REPORT Date: 04/09/14 <br /> Facility Address: Verizon Business 2500 W. Turner Rd. Lodi, CA 95242 Program: UST <br /> SUMMARY OF VIOLATIONS <br /> CLASS I,CLASS II, or MINOR-Notice to Comply) <br /> Complete and submit a copy of the Return to Compliance Certification form with a statement of how <br /> each violation was corrected, including supporting documentation, by May 9, 2014. <br /> 105. UST Tank Information for type of system (i.e. pressurized) is not current in CERS. Any change of <br /> information must be updated in CERS within 30 days of the changes. Immediately log into CERS, <br /> update the required information, and submit for review by the EHD. Complete a separate tank form for <br /> each tank. <br /> 105. UST Facility Operating Permit lists 44000966 as the BOE Maintenance Fee Account Number for <br /> this facility. The BOE number listed in CERS is different. Immediately log into CERS, update the <br /> required information, and submit for review by the EHD. <br /> 106. The monitoring plan in CERS is not current nor approved by the EHD. The monitoring plan should <br /> include an annual line test. The monitoring and response plans must be current and approved by the <br /> EHD. Immediately log into CERS, update the required information, and submit for review by the EHD. <br /> Complete a separate record for each tank. Maintain an approved copy on site. <br /> Complete and submit a copy of the Return to Compliance Certification form with a statement of how <br /> violations #105 and 106 were corrected, including supporting documentation, by June 23, 2014. <br /> Note: Facility operators are required to upload the following UST program documents into the <br /> California Environmental Reporting System (CERS): UST Monitoring Site Plan, UST Certification of <br /> Financial Responsibility, UST Response Plan, UST Owner/Operator: Written Agreement (if applicable), <br /> UST Letter from Chief Financial Officer, and Owner Statement of Designated UST Operator <br /> Compliance. After January 1, 2015, noncompliance with this requirement will be a violation. <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 SUBJE T REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br /> EHD Inspector: Rec ed B Title: <br /> Aris Veloso (209) 468-3453PAO <br /> EHD 23-02-003 Rev 04!19112 CONTfNUATION FORM <br />