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San Joaquin <br />600 s .c®Environmental Health Department <br />East Main Street <br />Stockton, California95202-3029 <br />:o <br />RiaeP este: www.sjgov.org1ehd <br />er 29, 2011 Phone: (209) 468-3420 <br />Fax: (209) 464-0138 <br />Mike Karvelot <br />4567 Enterprise St. <br />Fremont, CA 94538-7605 <br />RE: Quik Stop Market #148 205 W. Lockeford St. Lodi, CA 95240 <br />DIRECTOR <br />Donna Heran, REHS <br />PROGRAM COORDINATORS <br />Robert McClellon, REHS <br />Jeff Carruesco, RENS, RDI <br />Kasey Foley, REHS <br />Linda Turkatte, REHS <br />San Joaquin County Environmental Health Department (EHD) performed a combined routine underground storage <br />tank and hazardous waste generator inspection on August 5, 2011 at the above referenced site. <br />An inspection report was issued identifying information to be submitted to bring this site into compliance. This <br />information was required to be submitted by September 5, 2011. This information has not been received resulting in <br />a non-compliant status for this facility. <br />Failure to correct the violations will result in continuing/additional violations. <br />Note: All EHD staff time associated with failing to comply, including the issuance of this letter, is billed at the <br />current hourly rate ($125). Failure to submit the completed information immediately may result in a re- <br />inspection or further legal action. <br />The missing underground storage tank information includes: <br />Current UST Facility form (former Form A) F Current UST Tank form (former Form B) <br />Annual Monitoring Certification <br />Monitoring and Response plans <br />1- Certification of Financial Responsibility and 1- <br />Letter from Chief Financial Officer <br />r Designated Operator employee training r <br />records <br />p Certification of Return to Compliance (Signed <br />and dated) <br />Annual monitoring certification, leak detector <br />and spill bucket test results <br />Maintenance and monitoring logs <br />Permit submitted to repair or replace failed <br />equipment <br />Statement of Designated Operator <br />Statement of how each violation was or will <br />be corrected <br />Missing hazardous waste generator information includes: <br />{! Active EPA identification number r Contingency plan <br />Most forms may be accessed from our web site address, http://www.sjgov.org/EHD/unitiii.html. If you have any <br />questions, please call Aris Cacapit, REHS at (209) 468-3453. <br />Sm erely, <br />1_"W C_� <br />Aris Cacapit, REHS <br />Registered Environmental Health Specialist <br />Spill Prevention Countermeasure Control Plan <br />Consolidated Manifest Receipt(s) <br />(SPCC) <br />Bill(s) of Lading <br />Hazardous Waste training records <br />r <br />Certification of Return to Compliance (Signed <br />p <br />Statement of how each violation was or will <br />and dated) <br />be corrected <br />Universal Waste Receipts <br />17V <br />Uniform Hazardous Waste Manifest(s) <br />Most forms may be accessed from our web site address, http://www.sjgov.org/EHD/unitiii.html. If you have any <br />questions, please call Aris Cacapit, REHS at (209) 468-3453. <br />Sm erely, <br />1_"W C_� <br />Aris Cacapit, REHS <br />Registered Environmental Health Specialist <br />