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Environmental Health Department <br />Underground Storage Tank Program Inspection Report <br />Date: <br />October 26, 2020 <br /> Facility Address: <br /> 2430 JOE POMBO PKWY, TRACY <br /> Facility Name: <br /> ARCO AM PM #82602* <br />Other Violations <br /> 2010 □ V □ R □ COSUnlisted General violation See below <br />SUMMARY OF VIOLATIONS <br />(CLASS I, CLASS II, or MINOR - Notice to Comply) <br />RemarksItem # <br /> 208 CCR 2716(a-e) Failure to comply with the designated operator inspection requirements. <br />OBSERVATION: Designated operator reports were not signed within the required time frame. <br />-The 9/19/2020 designated operator report was not signed by the owner/operator. <br />REGULATORY GUIDANCE: Within 48 hours of the completion of the designated UST operator visual inspection, <br />the designated operator shall sign and provide the owner or operator with a copy of the inspection report. Within 48 <br />hours of being provided a signed copy of the report, the owner or operator shall provide a description of each <br />corrective action taken or to be taken and shall sign and date the report, acknowledging the identified compliance <br />issues. <br />CORRECTIVE ACTION: Ensure all designated operator inspection reports are completed and signed within the <br />required time frame in the future. <br />This is a repeat violation, Class II. <br />Overall Inspection Comments: <br />Complete and submit a copy of the Return 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 11/25/2020. <br />To minimize person to person contact EHD is choosing to write the name of person receiving the report instead <br />of having them sign. Starting September 1, 2018, all in-office CERS help will be provided at EHD hourly rate <br />($152). To schedule an appointment, please call (209) 468-3420. <br />Documents provided during inspection: <br />-EHD class schedule <br />-Return to compliance certification form <br />-Corrective Action Statement <br />AFTER THE COMPLIANCE DATE, EHD WILL BILL FOR ALL TIME AND ACTIVITIES ASSOCIATED WITH BRINGING <br />THIS FACILITY BACK INTO COMPLIANCE. <br />THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br /> Received by: Inspector Phone: <br /> SHEWIT WOLDEAREGAY, EH Specialist <br /> Inspector:October 26, 2020 Date: <br />Printed Name and Title: <br />Ranjeer Singh, Owner <br />(209) 616-3063 <br />FA0007634 PR0506796 SC001 10/26/2020 <br />EHD 23-01 Rev. 9/16/2020 Underground Storage Tank Program OIRPage 4 of 4 <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjgov.org/EHD