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SAN JOAQUIN <br />COUNTY— <br />Environmental <br />OU 1TY <br />Environmental Health Department <br />Underground Storage Tank Program Inspection Report <br />Facility Name: <br />Facility Address: <br />Date: <br />7 -ELEVEN INC #20632 <br />4627 DA VINCI DR, STOCKTON <br />February 05, 2020 <br />Other Violations <br />2010 1 <br />See below <br />Unlisted General violation <br />❑ V ❑ R ❑ COS <br />SUMMARY OF VIOLATIONS <br />(CLASS I, CLASS II, or MINOR - Notice to Comply) <br />Item # <br />Remarks <br />110 <br />CCR 2637(e), 2637(f) Failed to submit "Secondary Containment Testing Report Form" within 30 days after the test. <br />OBSERVATION: Secondary containment testing was performed on 10/10/2018 and a test report was submitted on <br />7/29/2019, 8 MONTHS months late. <br />REGULATION GUIDANCE: A copy of the test report must be submitted within 30 days of the tests. <br />CORRECTIVE ACTION: Take all necessary precautions to ensure testing and submittal of test reports are <br />performed in a timely manner. <br />This is a minor violation. <br />Overall Inspection Comments: <br />An inspection checklist was provided to the facility operator at the time of inspection. The EHD has completed <br />the paper work inspection and written a complete report on 02/28/2020 which replaces the initial checklist report. <br />Complete and submit a copy of the Return to Compliance Certification form to the EHD with a statement <br />documenting the corrective actions that have been or will be taken for each violation, and any supporting <br />paperwork, by March 28, 2020. <br />Starting September 1, 2018, all in -office CERS help will be provided at EHD hourly rate ($152). To schedule an <br />appointment, please call (209) 468-3420. <br />Documents provided: Return to compliance certification form, Corrective action statement form and a list of <br />schedule free CUPA classes. <br />AFTER THE COMPLIANCE DATE, EHD WILL BILL FOR ALL TIME AND ACTIVITIES ASSOCIATED WITH BRINGING <br />THIS FACILITY BACK INTO COMPLIANCE. <br />THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br />Received by: Date: February 28, 2020 <br />Inspector: <br />Inspector Phone: <br />Printed Name and Title: <br />PAUL NSO, EHS Trainee <br />(209) 468-3432 <br />Dave Hara, Cashier <br />FA0002541 PR0231074 SCO01 02/05/2020 <br />EHD 23-01 Rev. 9/20/2019 Page 4 of 4 Underground Storage Tank Program OIR <br />1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />