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avw .aa <br /> 2015-02-23 10:31 Safeway 1769 2094615559 >> p 9/10 <br /> 1 <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue,Stockton,California 95205-6232 <br /> r T414phGne.(209)468-3420 Fax:(209)458-3433 Web.www s)gov.or /t3 ehd <br /> UNDERGROUND STORAGE TANK(UST)PROGRAM INSPECTION REPORT CONTINUE <br /> Safeway Fuel Center#1769 Faal`y 2808 Country Club Blvd., Stockton 1n5pBC0°n Jan 7, 2013 <br /> Nam: Addles: Date' <br /> Name: <br /> VIOLATIONS <br /> H =CA Heallh an0 Sete Cede;CFR=Coded FedMal utetlans <br /> 0 c1 02 M Coda SectionCf=Classt NOL3ti0n'C2=CIeav2xdeaon;M=Mina.idal�on <br /> Non•Pressurlead Pi tng(eaMinued) (M1) <br /> 702 CCR 2643(e) Siewtal tiMoats test of gnWty piping not pedomod(Pre-Janus 111984) <br /> 703 CCR 2643(d) Tdelvlial Ivre mst for conventional sudivn�,ping not performed(pr"nuory 1.1884) IMI) <br /> Olhef tdolallona <br /> 999 pth9r. Sce attached"Contmuedon—OlBr al Inspec0on fiepvM for vioWOon(s)nol listed above. <br /> SUMMARY OF VIOLATIONS <br /> ICLAS3 I,CLASS u,or MINOR•Notice to Comply) <br /> ROUTINE ANNUAL INSPECTION AND MONITORING SYSTEM CERTIFICATION <br /> Class II violation: (104) <br /> 104. Financial responsibility documents have not been submitted to the EHD. The most curre t financial <br /> responsibility documents on file with the EHD are dated February 2011 (coverage period 7/1/1 -7/1/11). <br /> Current financial responsibility documents are required to be submitted annually. A copy of th current <br /> financial responsibility(found on site) was provided at the time of inspection. <br /> REPEAT VIOLATION <br /> Notice to Comply- Minor violations: (113, 202, 205) <br /> 113. A new designated operator, Maria Guarnelli, was hired on June 14, 2013 and notification as not <br /> provided to the EHD within 30 days of the change. Any changes shall be reported to the EHD ith 30 <br /> days- A copy of the notification (found on site) was provided at the time of inspection. <br /> 202. A copy of the UST operating permit was not found on site. A copy of the UST operating permit and <br /> all attachments and conditions shall be retained at the facility. A copy of the operating permit+vas <br /> provided by the EHD. Retain it on site at all times. <br /> 205. The May 2012 designated operator monthly inspection report weas not found on site. D signated <br /> operator monthly inspection reports for the previous twelve months shall be retained on site. Locate and <br /> ensure that copies of the previous twelve months of designated operator monthly inspection rE ports are <br /> maintained on site. Submit a copy to the EHD by February 17, 2013. <br /> Complete and submit a copy of the Return to Compliance Certification form to the EHD by Fe ruary 17, <br /> 2013 along with a statement documenting the corrective actions that have been or wilt be take for each <br /> violation and any supporting paperwork. <br /> ALL EHD STAFF TIME ASSOCIATED WITH FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL BE BILLED AT THE CIPtRENT HOLINL�RATE <br /> THIS FACILITY IS SU9JECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br /> r mnpabc Recehed EY Ift: <br /> EHO 2302 kQ.v 0/2 Page OSS INSPECTION REPORT <br />