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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.sigov.org/ehd <br />Underground Storage Tank Program Inspection Report <br />Facility Name: <br />Facility Address: Date: <br />TRACY SHELL* <br />3725 N TRACY BLVD, TRACY January 25, 2017 <br />SUMMARY OF VIOLATIONS <br />(CLASS I, CLASS 11, or MINOR -Notice to Comply) <br />Item # <br />Remarks <br />319 <br />CCR 2635(b) No spill bucket, failed to contain five gallons, or failed to provide a means to keep it empty. <br />The 89 -product UST spill container failed the one hour hydrostatic test. All LISTS shall be equipped with a spill <br />container that has a minimum capacity of five gallons and a drain valve that allows drainage of the collected spill into <br />the primary container or provide a means to keep the container empty. The service technician changed the adapter <br />and cap, like for like and the 89 product spill container passed the one hour hydrostatic test. <br />This was corrected on site. <br />This is a minor violation. <br />Overall Inspection Comments: <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 February 24, 2017. <br />Please be aware that as of January 1, 2014, facility operators are required to upload the following UST program <br />documents into the California Environmental Reporting System (CERS): UST Monitoring Site Plan, UST <br />Certification of Financial Responsibility, UST Response Plan, UST Letter from Chief Financial Officer (if <br />applicable), and the Owner Statement of Designated Operator Compliance. The UST Owner/Operator: Written <br />Agreement, if applicable, can be stored at the facility or uploaded into CERS. <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: January 25, 2017 <br />Inspector: <br />Inspector Phone: <br />q� <br />A pV Printed Name and Title: <br />VICKI MCCARTNEY, Senior REHS <br />(209) 468-9852 <br />Polly Wells, Cashier <br />FA0003780 PR0231417 SCO01 01/25/2017 <br />EHD 23-01 Rev. 09/22/16 Page 6 of 6 Underground Storage Tank Program OIR <br />