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San Joaquin County <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, California95205-6232 <br /> Telephone. (209) 468-3420 Fax: (209) 468-3433 Web.www.sioov.org/ehd <br /> Underground Storage Tank Program Inspection Report <br /> Facility Name: Facility Address: Date: <br /> SUMMARY OF VIOLATIONS <br /> ICLASS I,CLASS II,or MINOR-Notice to Comply) <br /> Item# Remarks <br /> 106 CCR 2632 Monitoring and response plans not current or approved by the EHD. <br /> The monitoring pian is not current and not approved oy the EHD. Zsi, 89, y1 monitoring plans list the tanK leak <br /> sensor model as 420. These should be listed as 460. 87, 89, and 91 lists UDC monitoring stops flow of product at <br /> dispenser as Yes. This should be listed as No for each tank. The 91 monitoring plan lists the piping sump sensor as <br /> 208. This should be listed as 352. The monitoring plan must be uploaded to the California Environmental Reporting <br /> System(CERS). Immediately log into CERS, make the necessary changes, and submit for review by the EHD. <br /> This is a minor violation. <br /> Overall Inspection Comments: <br /> On site to conduct a routine unu _ y: d witness the annual monitoring <br /> certification testing. <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 2-19-2016. <br /> Please be aware that as of January 1, 2014, facility operators are required to upload the following UST prograrr <br /> documents into the California Environmental Reporting System (CERS): UST Monitoring Site Plan, UST <br /> Certification of Financial Responsibility, UST Response Plan, UST Letter from Chief Financial Officer (if <br /> applicable), and the Owner Statement of Designated Operator Compliance. The UST Owner/Operator: Writter <br /> greement, if applicable, can be stored at the facility or uploaded into CERS. <br /> FTER THE COMPLIANCE DATE, EHD WILL BILL FOR ALL TIME AND ACTIVITIES ASSOCIATE- ..: ;:, c'........... <br /> THIS FACILITY BACK INTO COMPLIANCE. <br /> T41S FACILITY IS SUBJECT TO REINSPECTION .AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br /> Received By �—� Received By(printed name and title): Date: <br /> (signature): Sandia ' � F....l Station Manager <br /> Inspector inspector(printed name and title): Inspector Phone: <br /> (signature): ARTS '- jz - <br /> Page 4 of 4 <br />