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SAN 1 O A Q U I N Environmental Health Department <br /> COUNTY <br /> Underground Storage Tank Program Inspection Report <br /> Facility Name: Facility Address: Date: <br /> Verizon Business: MANTECA 2551 E LOUISE AVE, MANTECA April 03, 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 document the following: <br /> On the 10/17/18 designated operator(DO)inspection report under <br /> -Section III <br /> The DO failed to add a description to all the components marked N/A or N from section VII through XI. <br /> -Section VI <br /> The OWNER/OPERATOR failed to provide a name, signature, and date within 48 hours of receiving the DO report <br /> under the ACKNOWLEDGMENT OF COMPLIANCE ISSUES section. <br /> -Section VII <br /> The DO fail to mark yes or No for the question"Has each follow-up action of section III from the previous inspection <br /> been completed appropriately?" <br /> Furthermore The alarm history was printed out had the date of/10/17/18 and the DO report stated that the <br /> inspection was conducted on 10/16/18 <br /> On the 11/9/18 designated operator(DO)inspection report under <br /> -Section III <br /> The DO failed to add a description to all the components marked N/A or N from section VII through XI. <br /> -Section VI <br /> The OWNER/OPERATOR failed to provide a name, signature, and date within 48 hours of receiving the DO report <br /> under the ACKNOWLEDGMENT OF COMPLIANCE ISSUES section. <br /> -Section XI <br /> The DO failed to mark Yes or No to the question"Have all individuals performing facility employee duties received <br /> the required facility employee training within the past 12 months?" <br /> Furthermore the DO did not conduct an inspection with 30 days of the previous inspection. The DO inspected the <br /> facility on 10/16/18 and on 11/19/18. The DO report was conducted 34 days after the 10/16/18 inspection and not 30 <br /> days as stated by regulation. <br /> On the 12/14/18, 1/08/19, 2/5/19 and 3/5/19 designated operator(DO)inspection report under <br /> -Section III <br /> The DO failed to add a description to all the components marked N/A or N from section VII through XI <br /> -Section VI <br /> The OWNER/OPERATOR failed to provide a name, signature, and date within 48 hours of receiving the DO report <br /> under the ACKNOWLEDGMENT OF COMPLIANCE ISSUES section. <br /> During the designated operator inspection,the designated operator shall review the alarm history for the previous <br /> month, check that each alarm was documented and responded to appropriately, and attach a copy of the alarm <br /> history with documentation taken in response to any alarms to the monthly report. Ensure that designated operators <br /> performing inspections at least once every 30 days at this facility and are including all of the required information on <br /> the reports. <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 May3rd, 2019. <br /> FA0003849 PR0231659 SCO01 04/03/2019 <br /> EHD 23-01 Rev.09/28/2018 Page 5 of 6 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 />