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A J OA U I Environmental Health Department <br /> COUNTY <br /> Underground Storage Tank Program Inspection Report <br /> Facility Name: Facility Address: Date: <br /> VAN DE POL ENT INCIPACIFIC PRIDE 351 N BECKMAN RD, LODI June 29, 2020 <br /> Other Violations <br /> 2010 1 See below Unlisted General violation ❑V ❑R n COS <br /> SUMMARY OF VIOLATIONS <br /> (CLASS I,CLASS II,or MINOR-Notice to Comply) <br /> Item# Remarks <br /> 121 CCR 2712(f) Failure to implement corrections and submit written response within 30 days of receiving the report. <br /> OBSERVATION: An inspection was last done on 06/26/2019 and an inspection report was issued identifying <br /> information to be submitted to bring this site into compliance. This information was required to be submitted by <br /> 07/26/2019. This information has not been received resulting in a non-compliant status for this facility. <br /> REGULATION GUIDANCE: An operator that receives an inspection report shall have 30 days to implement the <br /> corrections specified in the inspection report and comply with permit conditions. The corrective action shall include <br /> all of the recommendations made in the report. The operator shall submit a written response that includes a <br /> statement documenting corrective actions taken or proposing corrective actions which will be taken. <br /> CORRECTIVE ACTION: Ensure that a written response documenting corrective actions taken or proposed is <br /> submitted and all corrections implemented within 30 days of receiving an inspection report. <br /> This is a Class II violation. <br /> 202 CCR 2715(c)(3), 2715(c)(4) Failure to maintain the "Facility Employee Training Certificate" on-site (after October 1, <br /> 2018). <br /> OBSERVATION: The Facility Employee Training Certificate dated 12/10/2019 did not include the facility information( <br /> business name, site address,city, zip code) , and CERS ID. <br /> REGULATION GUIDANCE: All site employees must be trained prior to taking responsibility as a facility employee if <br /> after October 1, 2018, or within 30 days of hire if prior to October 1, 2018. The Facility Employee Training <br /> Certificate shall contain accurate information for all employees trained. <br /> CORRECTIVE ACTION: Update the Facility Employee Training Certificate to contain the accurate information and <br /> submit a copy of the updated form to the EHD. <br /> This is a minor violation. <br /> 210 CCR 2716(f) DO monthly reports not maintained on site for 12 months or for 36 months (after October 1, 2018). <br /> OBSERVATION: The February, March and June 2020 designated operator inspection reports were not found on <br /> site. <br /> REGULATION GUIDANCE: Designated operator inspection reports prior to October 1, 2018 shall be retained on <br /> site for twelve months. Designated operator inspection reports on or after October 1, 2018 shall be retained on site <br /> for thirty-six months. <br /> CORRECTIVE ACTION: Locate and ensure that copies of the previous thirty-six months of designated operator <br /> inspection reports are maintained on site. Submit copies of the missing reports to the EHD. <br /> This is a minor violation. <br /> FA0003773 PR0231310 SCO01 06/29/2020 <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 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />