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SAN" J D�l+ �� I 11411" Environmental Health Department COUNTY— Underground �l O U N T Y-- Underground Storage Tank Program Inspection Report Facility Name: Facility Address: Date: LODI MUNI SERVICE CENTER 1 1331 S HAM LN LODI jlseptember 20 2019 Single-Walled Non-Pressurized Piping 401 CCR 2636(a)(3), Suction piping not properly sloped or incorrectly located check valve ❑V ❑R ❑COS 2641(b) 402 CCR 2643(d) Failure to conduct monitoring/maintain records for single-walled conventional suction(pre-1984) ❑V ❑R ❑COS 403 CCR 2643(d),2661(f) Failure to conduct 0.1 gph test for single-walled conventional suction systems(pre-Jan 1984) ❑V ❑R ❑COS 404 CCR 2643(e),2661(f) 0.1-gph line test for single-walled gravity piping not performed biennialy or post repair(pre-1984) ❑V ❑R ❑COS 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 118 CCR 2715(a)(1)(A), 2715(a)(2) Failure to submit the"Underground Storage Tank Statement of Understanding and Compliance Form". The Underground Storage Tank Statement of Understanding and Compliance Form was not found in CERS. This form must be uploaded to the California Environmental Reporting System (CERS). Immediately log into the California Environmental Reporting System (CERS)at http://cers.calepa.ca.gov and upload the Underground Storage Tank Statement of Understanding and Compliance Form for this facility. This is a minor violation. 124 CCR 2637.2(d&e), 2665(a&b)"Overfill Prevention Equipment Inspection Report Form"not submitted within 30 days of inspection. Overfill prevention testing was performed on 10/12/2018. A test report has not been submitted to the EHD or the California Environmental Reporting System (CERS). A copy of the"Overfill Prevention Equipment Inspection Report Form" must be submitted within 30 days of the test. Immediately provide this report to the EHD. 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). No training log was available for designated operator training.Training documents were found onsite dated August 2019.These records did not include dire dates or trainer name.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. Update the Facility Employee Training Certificate to contain the accurate information. This is a minor violation. FA0003961 PR0231332 SCO01 09/20/2019 EHD 23-01 Rev.08/27/2019 Page 4 of 5 Underground Storage Tank Program OIR 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com