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0 <br /> SAN aJOAQUIN 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.sipov.org/ehd <br /> CONTINUATION FORM Page: 4 of 4 <br /> OFFICIAL INSPECTION REPORT Date: 07/28/14 <br /> Facility Address: 655 W Clay Street, Stockton, CA Program: UST <br /> SUMMARY OF VIOLATIONS <br /> (CLASS I,CLASS II,or MINOR-Notice to Comply) <br /> MINOR-Notice to Comply: 106 <br /> 106. The monitoring plan on site is not current. The monitoring and response plans must be current <br /> and approved by the EHD. The current monitoring plan didn't reflect the correct monitoring set-up for <br /> the suction system installed in UDC 1/2. Mr. Steve Azevedo loged into CERS and updated the required <br /> information. CORRECTED. <br /> 106. According to CERS upload dated 7-28-2014, the response plan is "Stored at Regulatory <br /> Agency" . Facility operators are now required to upload the following UST program documents <br /> into the California Environmental Reporting System (CERS): UST Monitoring Site Plan, UST <br /> Certification of Financial Responsibility, UST Response Plan, UST Owner/Operator: Written <br /> Agreement (if applicable), UST Letter from Chief Financial Officer, and Owner Statement of <br /> Designated UST Operator Compliance. Immediately log into CERS and upload the required <br /> information. <br /> Complete and submit a copy of the Return to Compliance Certification form with a statement of <br /> how above Violation 106. was corrected by September 8, 2014. <br /> Provided: <br /> -Return to Compliance Certification <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 END'S CURRENT HOURLY RATE. <br /> EHD Ins ctor: Received By: n Title: <br /> ` h <br /> EHD 23-02-003 Rev 04/19/12 CONTINUATION FORM <br />