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San Joaquin County <br />Environmental Health Department <br />1868 East Hazelton Avenue, Stockton, California 95205-6232 <br />Telephone: (209) 468-3420 Fax; (209) 468-3433 Web: www.s'gov.org/ehd <br />Underground Storage Tank Program Inspection Report <br />Facility Name: <br />Facility Address: <br />Date: <br />VILLAGE WEST MARINA <br />6649 EMBARCADERO DR, STOCKTON <br />March 06, 2019 <br />SUMMARY OF VIOLATIONS <br />(CLASS I, CLASS II, or MINOR - Notice to Comply) <br />Item # <br />Remarks <br />115 <br />CCR 2715(a)(1)(B), 2715(a)(3) "Designated Underground Storage Tank Operator Identification Form" not submitted <br />within 30 days. <br />The Underground Storage Tank Statement of Designated Operator Form submitted in CERS on 12/12/18 was on <br />an outdated form. The current version of this form must be uploaded to the California Environmental Reporting <br />System (CERS). Immediately log into the California Environmental Reporting System (CERS) at <br />http://cers.calepa.ca.gov and upload the Statement of Designated Operator Form for this facility. <br />This is a minor violation. <br />118 <br />CCR 2715(a)(1)(A), 2715(a)(2) Failure to submit the "Underground Storage Tank Statement of Understanding and <br />Compliance Form". <br />The Underground Storage Tank Statement of Understanding and Compliance Form uploaded into CERS on <br />12/12/18 was on an outdated form. The current version of this form must be uploaded to the California <br />Environmental Reporting System (CERS). Immediately log into the California Environmental Reporting System <br />(CERS) at http://cers.calepa.ca.gov and upload the Underground Storage Tank Statement of Understanding and <br />Compliance Form for this facility. <br />This is a minor violation. <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 April 10, 2019. <br />"The monitoring system certification was conducted on 3/6/19. The sumps and UDCs were visually inspected <br />by the EHD, but the testing was not witnessed by EHD. The paperwork inspection was conducted today <br />(3/11/19). <br />Starting September 1, 2018, all in -office CERS help will be provided at EHD hourly rate ($152). To schedule an <br />appointment, please call (209) 468-3420. <br />Documents provided: Return to Compliance Certification form, schedule of free CUPA classes <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: Date: March 11, 2019 <br />Inspector: <br />Inspector Phone: <br />/] <br />Printed Name and Title: <br />STACY RIVERA, Senior REHS <br />(209) 468-3440 <br />Tim Fontaine, Harbor Master <br />FA0003830 PR0231098 SCO01 03/06/2019 <br />EHD 23-01 Rev. 09/22/16 Page 4 of 4 Underground Storage Tank Program OIR <br />