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S0 JOA U 1 Environmental Health Department u ;N i Y I Underground Storage Tank Program Inspection Report Facility Name: Facility Address: Date: CITY GAS&LIQUOR 16470 CAMBRIDGE ST, LATHROP December 17, 2019 Other Violations 2010 See below Unlisted General violation ❑V ❑R ❑COS SUMMARY OF VIOLATIONS (CLASS I,CLASS II,or MINOR-Notice to Comply) Item# Remarks 113 CCR 2638(c), 2638(d) Failure to submit"Monitoring System Certification Form"within 30 days of completion of the test. OBSERVATION:Annual monitoring system certification, leak detector testing, and spill container testing was performed on 12/21/2018 and a test report was submitted on 3/4/2019, 78 days later. REGULATION GUIDANCE:A copy of the test report must be submitted within 30 days of the tests. CORRECTIVE ACTION: Take all necessary precautions to ensure testing and submittal of test reports are performed in a timely manner. This is a minor violation. 124 CCR 2637.2(d&e), 2665(a&b)"Overfill Prevention Equipment Inspection Report Form" not submitted within 30 days of inspection. OBSERVATION: Overfill Prevention Equipment Inspection testing was performed on 12/21/2018 and a test report was submitted on 3/4/2019, 78 days later. REGULATION GUIDANCE:A copy of the test report must be submitted within 30 days of the tests. CORRECTIVE ACTION: Take all necessary precautions to ensure testing and submittal of test reports are performed in a timely manner. This is a minor violation. 201 CCR 2712(b)(1-2)Failure to maintain monitoring, maintenance, and follow up action records. OBSERVATION: Overfill Prevention Equipment Inspection test result was not found on site. REGULATION GUIDANCE: These records shall be maintained on site for at least three years. Monitoring records include: (1)date and time of all monitoring or sampling; (2)monitoring equipment calibration and maintenance records; (3)results of any visual observations; (4)results of sample analysis performed a lab or in the field; (5)logs of all readings of gauges or other monitoring equipment, ground water elevations, or other test results; (6)results of inventory readings and reconciliations. CORRECTIVE ACTION: Immediately locate and maintain all missing maintenance and monitoring records for the last three years on site and submit copies to the EHD. This is a minor violation. FA0000185 PR0231532 SCO01 12/17/2019 EHD 23-01 Rev.9/20/2019 Page 4 of 6 Underground Storage Tank Program OIR 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com