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Environmental Health Department <br />AMENDED <br />11/10/2020 <br />Underground Storage Tank Program Inspection Report <br />Date: <br />July 07, 2020 <br /> Facility Address: <br /> 141 E HARNEY LN, LODI <br /> Facility Name: <br /> 76 FUEL ISLAND & CARWASH <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 />Overall Inspection Comments: <br />An inspection report was provided to the facility operator on the day of inspection. The report was amended <br />and replaces the initial report. Onsite for a routine (post installation) monitoring system certification and a routine <br />Underground Storage Tank (UST) inspection. All passed. This facility is not approved to operate please see <br />SR0079417 inspection report dated 7/7/2020. The following items need to be addressed: <br />- Submit and maintain complete and current financial responsibility documents. <br />- The UST Facility Operating Permit Application contains an invalid California Department of Tax and Fee <br />Administration (CDTFA) Underground Storage Tank Account Number. The CDTFA number given during the <br />service request inspection was 238560640. However, CDTFA number 255886720 was observed in CERS. <br />- The monitoring plans incorrectly indicate "no" for training. <br /> -The monitoring plans do not indicate the sensors performing monitoring. <br />-The monitoring plans are missing information under "Name of Second Person Having Responsibility." <br />-A UST Monitoring Site Plan was not submitted. <br />-The Designated Underground Storage Tank Operator Identification Form was not found in CERS. <br />- The Underground Storage Tank Statement of Understanding and Compliance Form was not found in CERS. <br />-An approved copy of the monitoring plans were not available for inspection. <br />- An approved copy of the response plan was not available for inspection. <br />- The designated operator employee training has not been performed. <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 />-Certification of Financial Responsibility Form <br />-Letter from Chief Financial Officer Form <br />-Response Plan Form <br />-Designated Understanding Storage Tank Operator Identification Form <br />-Statement of Understanding and Compliance form <br />-Facility Employee Training Certificate <br />FA0024750 PR0543574 SC001 07/07/2020 <br />EHD 23-01 Rev. 9/16/2020 Underground Storage Tank Program OIRPage 4 of 5 <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjgov.org/EHD