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A J OA U I Environmental Health Department <br /> COUNTY <br /> Underground Storage Tank Program Inspection Report <br /> Facility Name: Facility Address: Date: <br /> Supervalu 1 1990 N PICCOLI RD, STOCKTON November 19, 2020 <br /> SUMMARY OF VIOLATIONS <br /> (CLASS I,CLASS II,or MINOR-Notice to Comply) <br /> Item# Remarks <br /> 117 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 11/08/18. A test report has not been submitted <br /> to the EHD or the California Environmental Reporting System (CERS). <br /> REGULATION GUIDANCE: A copy of the 'Secondary Containment Testing Report Form' must be submitted within <br /> 30 days of the test. <br /> CORRECTIVE ACTION: Immediately provide this report to the EHD. <br /> This is a repeat violation, Class ll. <br /> 118 CCR 2637.2(d&e), 2665(a&b) Failure to submit the "Overfill Prevention Equipment Inspection Report Form"within <br /> 30 days. <br /> OBSERVATION: Overfill prevention testing was performed on 11/08/18. Atest report has not been submitted to the <br /> EHD or the California Environmental Reporting System (CERS). <br /> REGULATION GUIDANCE: A copy of the 'Overfill prevention Testing Report Form' must be submitted within 30 <br /> days of the test. <br /> CORRECTIVE ACTION: Immediately provide this report to the EHD. <br /> This is a minor violation. <br /> 122 CCR 2712(f) Failure to implement corrections and submit written response within 30 days of receiving the report. <br /> OBSERVATION: An inspection was last done on 11/20/2019 and a complete inspection report was issued on <br /> 5/26/2020 identifying information to be submitted to bring this site into compliance. This information was required to <br /> be submitted by 6/25/2020 . This information has not been received resulting in a non-compliant status for this <br /> facility. <br /> REGULATION GUIDANCE: An operator that receives an inspection report shall have 30 days to implement the <br /> corrections specified in the inspection report and comply with permit conditions. The corrective action shall include <br /> all of the recommendations made in the report. The operator shall submit a written response that includes a <br /> statement documenting corrective actions taken or proposing corrective actions which will be taken. <br /> CORRECTIVE ACTION: Ensure that a written response documenting corrective actions taken or proposed is <br /> submitted and all corrections implemented within 30 days of receiving an inspection report. <br /> This is a Class II violation. <br /> FA0003826 PR0231820 SCO01 11/19/2020 <br /> EHD 23-01 Rev.9/16/2020 Page 5 of 7 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.sjgov.org/EHD <br />