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A J OA U I Environmental Health Department COUNTY Underground Storage Tank Program Inspection Report Facility Name: Facility Address: Date: ARCO AM PM #82602* 2430 JOE POMBO PKWY, TRACY October 17, 2019 Other Violations 2010 1 See below Unlisted General violation ❑V ❑R ❑COS SUMMARY OF VIOLATIONS (CLASS I,CLASS II,or MINOR-Notice to Comply) Item# Remarks 103 HSC 25292.2, 25299.30 Failure to submit and maintain complete and current financial responsibility documents. Financial responsibility documents have not been submitted to the EHD. The most recent financial responsibility documents in CERS are dated 10/11/18. Current financial responsibility documents are required to be submitted annually. Immediately log into the California Environmental Reporting System (CERS) at http://cers.calepa.ca.gov/, and upload the required documents. This is a minor violation. 118 CCR 2715(a)(1)(A), 2715(a)(2) Failure to submit the "Underground Storage Tank Statement of Understanding and Compliance Form". The Current 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. 209 CCR 2716(a-e) Failure to conduct the designated UST operator visual inspection at least once every 30 days. The designated operator failed to check and note all required items on the visual inspection reports. -The 2019 inspection reports included incorrect secondary containment test date (10/12/18). The correct date was 10/12/17. -The inspection report of 8/12/19 and 5/23/19 left section V blank. During the visual inspection, the designated operator shall check that all required testing and maintenance for the UST system have been completed and shall check all required items on the report. Ensure that designated operators performing visual inspections at this facility are including all of the required information on the reports. This is a minor violation. Overall Inspection Comments: Complete and submit a copy of the Return to Compliance Certification form to the EHD with a statement documenting the corrective actions that have been or will be taken for each violation, and any supporting paperwork, by November 16, 2019. Starting September 1, 2018, all in-office CERS help will be provided at EHD hourly rate ($152). To schedule an appointment, please call (209) 468-3420. Documents provided: Return to Compliance Certification form and a list of approved free CUPA classes. FA0007634 PR0506796 SCO01 10/17/2019 EHD 23-01 Rev.9/20/2019 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