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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: 5 of 5 OFFICIAL INSPECTION REPORT Date: 07/28/10 Facility Address: AMENDED REPORT 6421 Capitol Ave. Lodi, CA 95242 Program: UST SUMMARY OF VIOLATIONS CLASS I,CLASS II,or MINOR-Notice to Comply) #23c The designated operator failed to document all the alarms on the designated operator monthly inspection reports. The missing alarms include- L11 87 slave fill sump fuel alarm on 6-16-10 and L13 dispenser 1/2 fuel alarm on 8-13-09. During the monthly inspection, the designated operator shall review the alarm history for the previous month, check that each alarm was documented and responded to appropriately, and attach a copy of the alarm history with documentation taken in response to any alarms to the monthly report. Ensure that designated operators performing monthly inspections at this facility are including all of the required information on the reports. #23c The designated operator failed to check and note the correct test dates for the secondary containment testing on the Sept. 2009 through July 2010 designated operator monthly inspection reports. The date of 8-14-09 was listed on these reports for the secondary containment tests. Sept. 2009 through Nov.2009 should have listed 7-10-06. Dec. 2009 through July 2010 should have listed 12-7-09. During the monthly inspection, the designated operator shall check that all required testing and maintenance for the UST system have been completed and document the dates they were done. Ensure that designated operators performing monthly inspections at this facility are including all of the required information on the reports. #23d The designated operator employee training for Kiumars Khajevandi was last performed on 3-16-09 according to the D.O. training log and is four months past due. Kiumars Khajevandi was working alone at the gas station. The designated operator shall train facility employees for which he or she is responsible in the proper operation and maintenance of the UST system once every 12 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 to the EHD by 8-28-10. Complete and submit a copy of the Return to Compliance Certification form with a statement of how each violation was corrected, including supporting documentation, by 8-28-10. 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 Insp r: � .,� Received By: Title: In��Y �1 �' G�� EHD 23-02-003 Rev 06/0 /10 \ CONTINUATION FORM