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• <br />San Joaquin County SEP 17 7W <br />Ertvimrtmentai Health Dopadmant, <br />1898 East Hazeiton Avenue, Stockton, Califtozrita 95205-6232. ENVIRONMENTAL <br />Tbtephgnet (2-09)468_. p.Fax: (209)46"33 Wab: wftsiaay.orght4 HEALTH DEPARTME <br />Facllibr Ad&ft pi�be: <br />VeAwn. nesv-lQNGCA _. J3850NDEVRIESRD. LODISe to ber 03.2016 <br />1 <br />207-' CCR 2718 Designated operator did not Inspect all regtiirad Items andlor'the Inspection reports .not completed. <br />The designated operator failed to check and note the correct test dates for the monitoring system certification testing <br />on the 4-2-15 dagigniatod opere`tur monthly Inspection report and for the spill container testing on the 5-26-16 <br />designated operator monthly inspection report. The monitoring system certification testing date was listed as 8-11-4 <br />and the spill containor toss date.was ligted as 9-1-14. These test dates should have been listed as 941-14. During the <br />monthly inspection, the designated operator shall check that all required testing and maintenange for the UST system <br />have been completed and document the dates they were done. Ensure that designated operators performing monthly <br />inspections at this facility are including all of the required information on the reports. <br />This is a repeat violptlon, Class iL <br />Overall Inspection Comments: <br />On $.Re to conduct a routine! Inspection and witness the annual monitoring system certification testing. <br />Complete and submit a copy of the Retum 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 10-3-16. <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 Flan, 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 />AIL EW STAFF ME A350CIAND WWM 'BYTHEABMNMEDUATUVALLBEBI=DATTHIECUMIENTtKMLYMTE- <br />THIS FACILITY Is SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br />Received By <br />Received By (printednaive aiut title): Dnte:q <br />(signature): <br />(�� <br />Jonathan Pakele, Verizon Associate 14 <br />Inspector <br />Inspector (p me name and t e): Inspector Phone: <br />(signature): <br />ARTS VELOSO, Senior REHS (209) 468-3453 <br />Page 4 of 4 <br />