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SAN JOAQUIN COUNTY <br /> ONVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, California 95202-3029 <br /> Telephone:(209)468-3420 Fax:(209)468-3433 Web:www.sigov.orq/ehd/unitiii.htmi <br /> CONTINUATION FORM Page: 4 of 4 <br /> OFFICIAL INSPECTION REPORT Date: 5/17/2010 <br /> Facility Address: Country Side Mini Mart 14971 N Hwy 88 Lodi, Ca 95240 Program: UST <br /> SUMMARY OF VIOLATIONS <br /> (CLASS I,CLASS II,or MINOR-Notice to Comply) <br /> #23c 1 observed that the D.O. did not note the L1 87 stp sump fuel alarm of 2-23-10, and the L2 92 stp <br /> sump sensor fuel alarm of 3-3-10 on the 3-16-10 D.O. monthly report. D.O. did not note the L1 87 stp <br /> sump fuel alarm of 2-4-10 and 1-20-10 on the 2-22-10 D.O. monthly report. D.O. also did not note the <br /> L1 87 stp sump fuel alarm of 1-18-10 on the 1-19-10 D.O. monthly report. D.O. must document alarms <br /> that occur on the D.O. monthly report. Correct immediately. Ensure that your D.O. completely and <br /> correctly completes the D.O. monthly report. <br /> # 24, 25, 26 The annual monitoring certification, line leak detector test and spill containment testing <br /> were last performed on 4-29-09. Today's testing is considered late. The annual monitoring system <br /> certification, line leak detector test, and spill containment testing must be conducted every 12 months. <br /> Correct immediately. Ensure that these tests are scheduled to be performed on time from now on. <br /> Complete and submit the return to compliance certification form, corrective action statements for each <br /> violation, and any supporting documentation to this office by 6-17-10. <br /> ALL EHD STAFF TIME ASSOCIATED WITH FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL BE BILLED AT THE CURRENT HOURLY RATE($115). <br /> THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY E AT EHD'S CURRENT HOURLY RATE. <br /> EHD Inspector: Axis Cacapit 1 =4 1 Received Title: <br /> A% <br />