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SAN J 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 /> SAFEWAY FUEL CENTER#2600 1 1987 W ELEVENTH ST, TRACY June 18 20 19 <br /> SUMMARY OF VIOLATIONS <br /> (CLASS I,CLASS II,or MINOR-Notice to Comply) <br /> Item# Remarks <br /> 104 CCR 2711 UST operating permit application for facility and tank information not submitted or current. <br /> UST Tank Information forms for the 87 product, the 91 product and the Diesel product are not current in CERS. The <br /> 91 product, and 87 product states secondary containment to be"fiberglass"for vapor and vent piping however single <br /> wall vent and vapor piping was observed at the time of inspection. Furthermore the diesel product states secondary <br /> containment to be"fiberglass"for vent piping however single wall vent piping was observed at the time of inspection. <br /> Any change of information must be updated in CERS within 30 days of the changes. Immediately log into CERS, <br /> update the required information, and submit for review by the EHD. <br /> This is a repeat violation, Class II. <br /> 202 CCR 2715(c)(3), 2715(c)(4) Failure to maintain the"Facility Employee Training Certificate"on-site(after October 1, <br /> 2018). <br /> "Facility Employee Training Certificate"attached to the 1/25/19, 5/15/19 and 6/11/19 was found on site missing the <br /> business name, address, city, zip code, name of the designated operator, signature from the DO and date of <br /> training.All site employees must be trained prior to taking responsibility as a facility employee if after October 1, <br /> 2018,or within 30 days of hire if prior to October 1,2018.The"Facility Employee Training Certificate"shall contain <br /> accurate information for all employees trained. Update the"Facility Employee Training Certificate"to contain the <br /> accurate information and submit a copy of the updated form to the EHD. <br /> This is a minor violation. <br /> 210 CCR 2716(f)DO monthly reports not maintained on site for 12 months or for 36 months(after October 1, 2018). <br /> The designated operator failed to document the following: <br /> On the 10/5/18,11/2/18, 11/28/18, 12/28/18, 1/25/19, 2/21/19, 3/21/19,4/16/19, 5/15/19, and 6/11/19 designated <br /> 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 /> On the 6/11/19 DO report, a work order is reference to but the work order was not attached to the DO report as <br /> requested under section VIII of the DO report. <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 repeat violation, Class ll. <br /> FA0013503 PR0517565 SCO01 06/18/2019 <br /> EHD 23-01 Rev.09/28/2018 Page 4 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 />