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San Joaquin County AMENDED <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, California 95205-6232 <br /> Telephone: (209)468-3420 Fax: (209)468-3433 Web:www.sigov.org/ehd <br /> Underground Storage Tank Program Inspection Report <br /> Facility Name: Facility Address: Date: <br /> FOOD 4 LESS FUEL CENTER* 3408 MANTHEY RD, STOCKTON December 21, 2015 <br /> SUMMARY OF VIOLATIONS <br /> (CLASS I,CLASS II,or MINOR-Notice to Comply) <br /> Item # Remarks <br /> 103 HSC 25292.2 Current financial responsibility documents not submitted. <br /> Financial responsibility documents have not been submitted to the EHD. The most current Certification of Financial <br /> Responsibility and Letter from Chief Financial Officer are dated 11/21/14 Current financial responsibility documents <br /> are required to be submitted annually. Immediately log into the California Environmental Reporting System (CERS) <br /> at http://cers.calepa.ca.gov/, and upload the required documents. <br /> This is a minor violation. <br /> 104 CCR 2711 UST Operating Permit Application for Facility and Tank information not submitted or current. <br /> UST Facility Operating Permit Application and UST Tank Information forms for the 87 and 91 product USTs are not <br /> current in CERS. The Business Owner/Operator Identification form and Facility form are lacking the name and title <br /> of the Primary Emergency Contact; and the title of the Name of Signer, Casey Paoletti, needs to be added to the <br /> Business Owner/Operator Identification. The UST Facility Operating Permit Application needs the Tank Operator's <br /> name and phone number; the tank owner type should be changed from County Agency to Non-government; the <br /> Financial Responsibility Mechanism should only have one mechanism so change Insurance to"No", and the <br /> Applicant Name, Casey Poaletti, is lacking Casey's title. Tank ID#TA0515604 and TA0515605 need the following <br /> corrections: The Fill Components Installed should have"yes"for Spill Bucket and Striker Plate/Bottom Protector; <br /> confirm whether the Vent Primary Containment is steel or fiberglass, and the Applicant Certification needs the <br /> current person's name and title(Contact is not an appropriate title.) Any change of information must be updated in <br /> CERS within 30 days of the changes. Immediately log into CERS, update the required information, and submit for <br /> review by the EHD. <br /> This is a Class II violation. <br /> 106 CCR 2632 Monitoring and response plans not current or approved by the EHD. <br /> The response plan is not current and/or not approved by the EHD and has not been uploaded to California <br /> Environmental Reporting System (CERS). The response plan must be uploaded to the CERS. Immediately log into <br /> CERS, upload the completed form, and submit for review by the EHD. Ensure a copy is available for inspection at <br /> any time. <br /> The monitoring plan is not current and/or not approved by the EHD. The Leak Sensor Model number should be <br /> corrected to VR794390-460, not 420; the automatic tank gauging information needs to be provided; Periodic System <br /> Testing should have"yes"for Secondary Containment Testing; and the Personnel Responsibilities should name the <br /> correct person and provide the person's title, Contact is not a title. Under Tank Monitoring is Performed Using the <br /> Following Methods, enter"yes"for continuous electronic tank monitoring. Also update the Applicant Certification <br /> name and title. The monitoring plan must be uploaded to the California Environmental Reporting System(CERS). <br /> Immediately log into CERS, make the necessary changes, and submit for review by the EHD. Ensure a copy is <br /> available for inspection at any time. <br /> This is a minor violation. <br /> Received by Inspector: Phone: Date: <br /> (initial): VICKI MCCARTNEY, Senior REHS (209)468-9852 12/21/2015 <br /> Page 4 of 6 <br />