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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 600 East Main Street, Stockton, California 95202-3029 Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: www.sigov.org ehd/unitiii.html CONTINUATION FORM Page: 3 of 4 OFFICIAL INSPECTION REPORT Date: 06/09/10 Facility Address: 701 E. CHARTER WAY, STOCKTON Program: UST SUMMARY OF VIOLATIONS CLASS I, CLASS II, or MINOR -Notice to Comply) ROUTINE AND MONITORING SYSTEM CERTIFICATION UST INSPECTION REPORT #3. CURRENT UNIFIED PROGRAM CONSOLIDATED FORMS NOT ON FILE WITH THE EHD (FACILITY AND TANK FORM). UPON REVIEWING THE FILE FOR THIS FACILITY, REVISED FACILITY AND TANK FORMS COULD NOT FOUND. SUBMIT COPIES OF THE CURRENT FACILITY AND TANK FORMS (ONE PAGE PER TANK) FOR THIS FACILITY. I WILL EMAIL COPIES TO YOU. SUBMIT BY JULY 9, 2010. #4. CURRENT FINANCIAL RESPONSIBILITY DOCUMENTS ON FILE WITH THE EHD. REPEAT VIOLATION. UPON REVIEWING THE FILE FOR THIS FACILITY, CURRENT FINANCIAL RESPONSIBILITY DOCUMENTS WERE NOT ON FILE. SUBMIT COPIES OF THE UPDATED FINANCIAL RESPONSIBILTY DOCUMENTS TO THE EHD ANNUALLY. SUBMIT BY JULY 9, 2010. #5. MONITORING PROGRAM (MONITORING & RESPONSE PLANS) IS NOT CURRENT OR APPROVED BY THE EHD. REPEAT VIOLATION. UPON REVIEWING THE FILE FOR THIS FACILITY, MONITORING AND RESPONSE PLANS WERE SUBMITTED PREVIOUSLY BUT NOT APPROVED BECAUSE OF INCOMPLETE INFORMATION. SUBMIT THE CURRENT MONITORING AND RESPONSE PLANS TO THE EHD FOR APPROVAL. SUBMIT BY JULY 9, 2010. #6. MONITORING AND/OR RESPONSE PLAN IS NOT ONSITE. REPEAT VIOLATION. UPON REVIEWING THE RECORDS ONSITE, APPROVED MONITORING & RESPONSE PLANS WERE NOT FOUND. SUBMIT COMPLETED MONITORING & RESPONSE PLANS TO THE EHD FOR APPROVAL AND PLACE APPROVED COPIES IN THE RECORDS ONSITE. #18. SPILL CONTAINER NOT INSTALLED, FAILED TO CONTAIN A MINIMUM CAPACITY OF FIVE GALLONS, OR FAILED TO PROVIDE A MEANS TO KEEP THE SPILL CONTAINER EMPTY. THE DIRECT BURY SPILL CONTAINER IS NOT CURRENTLY FUNCTIONAL ON THE 91 (PREMIUM) UST. IMMEDIATELY, DISCONTINUE DEPOSITION OF PETROLEUM INTO THIS TANK UNTIL THE COMPONENT IS REPAIRED/REPLACED BY A PROPERLY LICENSED, TRAINED, AND CERTIFIED CONTRACTOR UNDER PERMIT BY THE SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT. A PERMIT APPLICATION IS REQUIRED TO BE SUBMITTED WITHIN TWO ALL EHD STAFF TIME ASSOCIATED WITH FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL BE BILLED AT THE CURRENT HOURLY RATE ($115). THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. EHD I ector: Received By: Title: EHD 23-02-003 Rev 06/01/10 CONTINUATION FORM