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SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East Hazelton Avenue, Stockton, California 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: www.smgov.org/ehd <br />UNDERGROUND STORAGE TANK (UST) PROGRAM INSPECTION REPORT CONTINUED <br />Facility Count Club Fd & Fuel Facility 1856 W Country Club Blvd Date:Inspection <br />Name: Country Food Address: <br />Jun 5, 2014 <br />VIOLATIONS <br /># C1 C2 M Code Section HSC = CA Health and Safe Code; CFR = Code of Federal Regulations <br />C1 = Class 1 violation; C2 = Class 2 violation; M = Minor violation <br />ping (continue) <br />702 CCR 2643(e) Biennial tightness test of gravity piping not performed (pre -January 1, 1984) (M1) <br />703 CCR 2643(d) Triennial line test for conventional suction piping not performed (pre -January 1, 1984) (M7) <br />v. rViolationst, <br />999 Other: See attached "Continuation — Official Inspection Report" for violation(s) not listed above. <br />SUMMARY OF VIOLATIONS <br />CLASS I, CLASS II, or MINOR -Notice to Comply) <br />Class I Violations: 101, 109, 119, 120, 317 <br />Class II Violations: 102, 104, 105, 106, 110, 111, 201, 202, 204, 205, 206 <br />Immediately contact this office to discuss disposition of the UST system at this address. <br />101 & 102. Fees for the annual permit to operate the UST system have not been paid. No person may <br />own or operate an UST unless a permit for its operation has been issued by the local agency to the <br />owner or operator of the UST system. Immediately contact the EHD accounting office to make <br />arrangements for payment to obtain a permit to operate a UST system. <br />104. Financial responsibility documents have not been submitted to the EHD. Current financial <br />responsibility documents are required to be submitted annually. Immediately submit a copy of the <br />financial responsibility documents to the EHD. Alternatively, log into CERS, upload the required <br />information, and submit for review by the EHD. Complete by July 6, 2014. <br />105. UST Facility Operating Permit Application is not current in CERS. Any change of information <br />must be updated in CERS within 30 days of the changes. Immediately log into CERS, update the <br />required information, and submit for review by the EHD. Complete a separate tank form for each tank. <br />106 & 202. Current approved copies of the monitoring and response plans were not found on site. <br />The monitoring and response plans must be current and approved by the EHD. Immediately log into <br />CERS, update the monitoring plan information, and submit for review by the EHD. Complete a <br />monitoring plan record for each tank. Maintain an approved copy on site. <br />109, 110, & 111. Annual monitoring system certification, leak detector testing, and spill container <br />testing were last performed on February 25, 2013 and was due by February 2014. Testing has not been <br />completed and is 4 months past due. These tests are required once every 12 months. Immediately <br />schedule these tests and provide 48 hours notification to the EHD. Please be aware that a follow up <br />inspection will be charged at our current hourly rate. <br />ALL EHD STAFF TIME ASSOCIATED WITH FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL BE BILLED AT THE CURRENT HOURLY RATE. <br />THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br />Inspector: Receiveli By: Title: <br />EHD 23-02 Rev 04/19/ Page 3 UST INSPECTION REPORT <br />