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San Joaquin County <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, California 95205-6232 <br /> Telephone: (209)468-3420 Fax; (209)468-3433 Web:www.sjaov.orcI/ehd <br /> Underground Storage Tank Program Inspection Report <br /> Facility Name: Facility Address: Date: <br /> CHEVRON STATION #1731* 3355 E HAMMER LN STOCKTON January 17 2019 <br /> Other Violations <br /> 2010 1 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 /> 118 CCR 2715(a)(1)(A), 2715(a)(2) Failure to submit the "Underground Storage Tank Statement of Understanding and <br /> Compliance Form". <br /> Underground Storage Tank Statement of Understanding and Compliance Form was not found in CERS. This <br /> document was observed in a binder on site. Immediately log into the California Environmental Reporting System <br /> (CERS) at http://cers.calepa.ca.gov and upload the Underground Storage Tank Statement of Understanding and <br /> Compliance Form for this facility. <br /> This is a minor violation. <br /> 320 CCR 2635, 2637.2, 2665, 2712 Failure to comply with the installation, inspection, or record keeping of the overfill <br /> prevention. <br /> Overfill prevention testing has not been completed. This testing was required to be conducted by October 13, 2018. <br /> Immediately schedule this test and provide 48 hours notification to the EHD. <br /> This is a Class II 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 February 16, 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: Return to Compliance Certification form, schedule of free CUPA classes <br /> AFTER THE COMPLIANCE DATE, EHD WILL BILL FOR ALL TIME AND ACTIVITIES ASSOCIATED WITH BRINGING THIS <br /> FACILITY BACK INTO COMPLIANCE. <br /> THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br /> Received by: Date: January 17, 2019 Inspector: Inspector Phone: <br /> Printed Name and Title: STACY RIVERA, Senior REHS (209)468-3440 <br /> Kim Castillo, Manager <br /> FA0008044 PR0508352 SCO01 01/17/2019 <br /> EHD 23-01 Rev.09/22/16 Page 4 Of 4 Underground Storage Tank Program OIR <br />