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Environmental Health Department SAN JOAQUIN ✓L3z 2� - - C 0 lJ tU .f Y . . .-- Underground Storage Tank Program Inspection Report Facility Name : Facility Address : Date : SHELL I-5 717 W EIGHTH ST , STOCKTON March 12 , 2020 Other Violations 2010 See below Unlisted General violation ❑ V ❑ R ❑ COS SUMMARY OF VIOLATIONS (CLASS I , CLASS II , or MINOR - Notice to Comply) Item # Remarks 103 HSC 25292 .21 25299 . 30 Failure to submit and maintain complete and current financial responsibility documents . OBSERVATION : The current Financial responsibility documents have not been submitted to the EHD . The most recent financial responsibility documents in CERS are dated 02/5/2019 . REGULATION GUIDANCE : Current financial responsibility documents are required to be submitted annually . CORRECTIVE ACTION : Immediately log into the California Environmental Reporting System (CERS ) at http ://cers , calepa . ca . gov/, and upload the required documents . This is a minor violation . 202 CCR 2715 (c) (3 ) , 2715 (c)(4 ) Failure to maintain the " Facility Employee Training Certificate" on -site (after October 1 , 2018 ) . OBSERVATION : The Facility Employee Training Certificate form out dated . REGULATION GUIDANCE : All site employees must be trained prior to taking responsibility as a facility employee if after October 1 , 2018 , or within 30 days of hire if prior to October 1 , 2018 . The Facility Employee Training Certificate shall contain accurate information for all employees trained . CORRECTIVE ACTION : Update the Facility Employee Training Certificate to contain the accurate information and submit a copy of the updated form to the EHD . This is a minor violation . 209 CCR 2716 (a-e ) Failure to conduct the designated UST operator visual inspection at least once every 30 days . OBSERVATION : The designated operator failed to check and note all required items on the visual inspection reports . The incorrect and missing information included the following from the inspection reports : -The DO'S inspection reports of 02/10/20 , 01 /10/20 , 11 /12 /19 , 10/11 /19 , 9/12/19 , 8/12/19 , 7/12/19 , 6/13/9 , 5/13/19 , 4/10/19 and 3/13/19 did not include the owner/operator name , date and signature . - The DO'S reports failed to add a description in section III to all components marked N /A or N from section VII through XI . REGULATION GUIDANCE : During the visual inspection , the designated operator shall check that all required testing and maintenance for the UST system have been completed and shall check all required items on the report . CORRECTIVE ACTION : Ensure that designated operators performing visual inspections at this facility are including all of the required information on the reports . This is a minor violation . FA0015274 PR0522448 S0001 03/12/2020 EHD 23-01 Rev. 9/20/2019 Page 4 of 6 Underground Storage Tank Program OIR 1868 E . Hazelton Avenue Stockton , California 95205 1 T 209 468 -3420 F 209 464 -0138 1 www . sjcehd . com