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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.s'gov.org/ehd/unitiii.html CONTINUATION FORM Page: 4 of 4 OFFICIAL INSPECTION REPORT Date: 06/02/11 Facility Address: Safeway #2600 1987 West 11th Street, Tracy Program: UST SUMMARY OF VIOLATIONS CLASS I,CLASS II,or MINOR-Notice to Comply) 23d. The Designated Operator (DO) failed to verify that all employees have received annual refresher training every 12 months. Maria L. and William K. were both last trained on 03/10/10. Maria recently had her annual refresher training on 04/19/11. William has yet to receive training as of today. Ensure the DO trains employees every twelve months. The training shall include, but is not limited to: 1. Operation of the UST system in a manner consistent with the facility's best management practices 2. Employee's role with regard to monitoring equipment as specified in the facility's monitoring plan 3. Employee's role with regard to spills and overfills as specified in the facility's response plan 4. Name of the contact person(s) for emergencies and monitoring equipment alarms Ensure that employees have been trained by the designated operator, maintain the list on site, and submit a copy of the training records. Submit to SJC EHD within 30 days (07/04/11): 1. one copy of the completed "Return to Compliance Certification" form 2. a written corrective action statement for the above violations 3. requested/ supporting documentation Notes: - Next tri-annual secondary containment testing due 12/2011. ALL EHD STAFF TIME ASSOCIATED WITH FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL BE BILLED AT THE CURRENT HOURLY RATE($122). THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. EHD In ector: Received By: Title: EHD 23-02-003 Rev 08/10/10 CONTINUATION FORM