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San Joaquinpounty <br /> OPQuf •CEnvironmental Health l e ar„t <br /> ment DIRECTOR <br /> Donna Heran,REHS <br /> s 600 East Main Street <br /> Stockton California 95202-3029 PROGRAM cooRDlxasoRs <br /> Robert McClellon,REHS <br /> Jeff Carruesco,REHS,RDI <br /> Website:www.sjgov.org/ehd Kasey Foley,REHS <br /> d 11 Phone: (209)468-3420 Linda Turkatte,RENS <br /> Allen Faass,Maintenance&Compliance Fax: (209)464-0138 <br /> 7180 Koll Center Pkwy,Suite 100 <br /> Pleasanton,CA 94566 <br /> RE: Circle K 2705448,3202 W Hammer Lane,Stockton,CA 95209 <br /> San Joaquin County Environmental Health Department(EHD)performed a combined routine underground storage <br /> tank and hazardous waste generator inspection on February 16,2011 at the above referenced site. <br /> An inspection report was issued identifying information to be submitted to bring this site into compliance.This <br /> information was required to be submitted by March 16,2011. This information has not been received resulting in a <br /> non-compliant status for this facility. <br /> Failure to correct the violations will result in continuing/additional violations. <br /> Note: All EHD staff time associated with failing to comply,including the issuance of this letter,is billed at the <br /> current hourly rate($122). Failure to submit the completed information immediately may result in a re- <br /> inspection or further legal action. <br /> The missing underground storage tank information includes: <br /> r Current UST Facility form(former Form A) r Current UST Tank form(former Form B) <br /> 177' Annual Monitoring Certification r Annual monitoring certification,leak detector <br /> and spill bucket test results <br /> r Monitoring and Response plans r Maintenance and monitoring logs <br /> �—+ Certification of Financial Responsibility and Permit submitted to repair or replace failed <br /> Letter from Chief Financial Officer equipment <br /> Designated Operator employee training <br /> records r Statement of Designated Operator <br /> )R• Certification of Return to Compliance(Signed Statement of how each violation was or will <br /> and dated) be corrected <br /> Missing hazardous waste generator information includes: <br /> r Active EPA identification number r Contingency plan <br /> r Spill Prevention Countermeasure Control Plan <br /> (SPCC) Consolidated Manifest Receipt(s) <br /> rj Bill(s)of Lading [ Hazardous Waste training records <br /> - Certification of Return to Compliance(Signed Statement of how each violation was or will <br /> and dated) be corrected <br /> 17 Universal Waste Receipts Uniform Hazardous Waste Manifest(s) <br /> Most forms may be accessed from our web site address,http://www.sjgov.org/EHD/unitiii.hbnl. If you have any <br /> questions,please call Garrett Backus,REHS at(209)468-2986. <br /> Sincerely,` <br /> 'Garrett Backus,REHS <br /> Registered Environmental Health Specialist <br />