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S0 JOA U 1 Environmental Health Department <br /> u ;N i Y I <br /> Underground Storage Tank Program Inspection Report <br /> Facility Name: Facility Address: Date: <br /> Plaza liquor and Gas 2420 W TURNER RD, LODI October 09, 2019 <br /> Other Violations <br /> 2010 See below Unlisted General violation ❑V ❑R ❑COS <br /> SUMMARY OF VIOLATIONS <br /> (CLASS I,CLASS II,or MINOR-Notice to Comply) <br /> Item# Remarks <br /> 113 CCR 2638(c), 2638(d) Failure to submit"Monitoring System Certification Form"within 30 days of completion of the <br /> test. <br /> Annual monitoring system certification and leak detector testing was performed on 10/11/18 and a test report was <br /> submitted on 11/28/18, 1 month late. A copy of the test report must be submitted within 30 days of the tests. Take <br /> all necessary precautions to ensure testing and submittal of test reports are performed in a timely manner. <br /> This is a minor violation. <br /> 123 CCR 2637.1(d), 2637.1(e)Failure to submit the"Spill Container Testing Report Form"within 30 days after the test. <br /> Annual spill container testing was performed on 10/11/18 and a test report was submitted on 11/28/18, 1 month late. <br /> A copy of the test report must be submitted within 30 days of the tests. Take all necessary precautions to ensure <br /> testing and submittal of test reports are performed in a timely manner. <br /> This is a minor violation. <br /> 124 CCR 2637.2(d&e), 2665(a&b)"Overfill Prevention Equipment Inspection Report Form" not submitted within 30 days <br /> of inspection. <br /> Annual overfill testing was performed on 8/24/18 and a test report was submitted on 11/16/18, 2 months late. A <br /> copy of the test report must be submitted within 30 days of the tests. Take all necessary precautions to ensure <br /> testing and submittal of test reports are performed in a timely manner. <br /> This is a minor violation. <br /> 209 CCR 2716(a-e) Failure to conduct the designated UST operator visual inspection at least once every 30 days. <br /> The designated operator inspections for the following months were performed more than 30 days after the previous <br /> inspection: <br /> - Initial inspection on 1/11/19, next inspection performed on 2/11/19(31 days) <br /> - Initial inspection on 3/11/19, next inspection performed on 4/11/19(31 days) <br /> - Initial inspection on 8/30/19, next inspection performed on 9/30/19(31 days) <br /> The designated operator visual inspections shall be conducted within 30 days or less of the previous inspection. <br /> Ensure that all designated operator inspections are performed within the required time frames. <br /> This is a minor violation. <br /> FA0004139 PR0231382 SCO01 10/09/2019 <br /> EHD 23-01 Rev.9/20/2019 Page 4 of 5 Underground Storage Tank Program OIR <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />