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SAN J O A Q U I N Environmental Health Department <br /> Underground Storage Tank Program Inspection Report <br /> Facility Name: Facility Address: TDaULawrence Livermore National Lab - Site 300 15999 W CORRAL HOLLOW RD , TRACY y 29 , 2020 <br /> Other Violations <br /> 2010 See below Unlisted General violation ❑ V ❑ R ❑ COS <br /> SUMMARY OF VIOLATIONS <br /> (CLASS I, CLASS Il, or MINOR - Notice to Comply) <br /> Item # Remarks <br /> 115 CCR 2715(a)( 1 ) (B ), 2715(a)(3) " Designated Underground Storage Tank Operator Identification Form" not submitted <br /> within 30 days. <br /> OBSERVATION : The designated operator identification information submitted on 7/20/2020 is on an outdated form . <br /> REGULATION GUIDANCE : This form must be uploaded to the California Environmental Reporting System (CERS ) . <br /> CORRECTIVE ACTION : Immediately log into the California Environmental Reporting System ( CERS ) at <br /> http ://cers. calepa . ca . gov and upload the notification identifying all the designated operators for this facility . <br /> This is a minor violation . <br /> 209 CCR 2716 (a-e) Failure to conduct the designated UST operator visual inspection at least once every 30 days. <br /> OBSERVATION : The designated operator failed to check and note all required items on the visual inspection <br /> reports. The incorrect and missing information included the following from the inspection reports: <br /> -On the 10/9/2019 report, the " NA" in section X was not explained in section 111 . <br /> REGULATION GUIDANCE : During the visual inspection , the designated operator shall check that all required <br /> testing and maintenance for the UST system have been completed and shall check all required items on the report. <br /> CORRECTIVE ACTION : Ensure that designated operators performing visual inspections at this facility are including <br /> all of the required information on the reports . <br /> This is a repeat violation , Class 11 . <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 8/28/2020. <br /> To minimize person to person contact EHD is choosing to write the name of person receiving the report instead <br /> of having them sign . Starting September 1 , 2018, all in-office CERS help will be provided at EHD hourly rate <br /> ( $ 152 ) . To schedule an appointment, please call ( 209 ) 468-3420 . <br /> Documents provided during inspection : <br /> - EHD class schedule <br /> - Return to compliance certification form <br /> -Corrective Action Statement <br /> FA0003934 PRO231M S0001 07/29/2020 <br /> EHD 23-01 Rev, 9!20/2019 Page 4 of 5 Underground Storage Tank Program OIR <br /> 1868 E . Hazelton Avenue I Stockton , California 95205 T 209 468-3420 F 209 464-0138 1 www .sjoehd . com <br />