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S0 JOA U 1 Environmental Health Department <br /> U ;� i I <br /> Underground Storage Tank Program Inspection Report <br /> Facility Name: Facility Address: Date: <br /> QUIK STOP MARKET#3138 1153 LINCOLN BLVD, TRACY October 28, 2019 <br /> SUMMARY OF VIOLATIONS <br /> (CLASS I,CLASS II,or MINOR-Notice to Comply) <br /> Item# Remarks <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 failed to check and note all required items on the visual inspection reports. <br /> -The"NA"in sections VII through XI were not explained. <br /> -Section VI of the report was missing the date, name, and signature of the UST owner/operator. <br /> -The designated operator documented visual inspections of all UDCs but left the question regarding UDC sensor <br /> location blank. <br /> -Secondary containment test date was incorrectly stated as 6/28/2018. <br /> -Overfill prevention testing information was left blank. <br /> -The 2/19/2019 report was missing the date of the designated UST operator's inspection. <br /> During the visual inspection,the designated operator shall check that all required testing and maintenance for the <br /> UST system have been completed and shall check all required items on the report. Ensure that designated <br /> operators performing visual inspections at this facility are including all of the required information on the reports. <br /> This is a repeat violation, Class Il. <br /> Overall Inspection Comments: <br /> The monitoring system certification was conducted on 8/6/2019 and was not witnessed by EHD. The paperwork <br /> inspection was conducted today, 10/28/2019. Complete and submit a copy of the Return to Compliance <br /> Certification form to the EHD with a statement documenting the corrective actions that have been or will be <br /> taken for each violation, and any supporting paperwork, by 11/27/2019. <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 during inspection: <br /> -Return to compliance certification <br /> -Corrective Action Statement <br /> -EHD class schedule <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: October 28, 2019 Inspector: Inspector Phone: <br /> Printed Name and Title: SHEWIT WOLDEAREGAY, EH Specialist (209)468-0216 <br /> Pargat Litt, FRANCHISEE <br /> FA0003122 PR0231413 SCO01 10/28/2019 <br /> EHD 23-01 Rev.9/20/2019 Page 5 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 />