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Environmental Health Department <br />Underground Storage Tank Program Inspection Report <br />Date: <br />October 27, 2020 <br /> Facility Address: <br /> 1434 W Yosemite Ave, Manteca <br /> Facility Name: <br /> H&S Energy Products,#3034 <br />SUMMARY OF VIOLATIONS <br />(CLASS I, CLASS II, or MINOR - Notice to Comply) <br />RemarksItem # <br /> 209 CCR 2715(c)(3), 2715(c)(4) Failure to maintain a copy of the "Facility Employee Training Certificate" on-site. <br />OBSERVATION: The facility employee training dated 10/5/2020 was completed on the old training form. <br />REGULATION GUIDANCE: All site employees must be trained prior to taking responsibility as a facility employee if <br />after October 1, 2018, or within 30 days of hire if prior to October 1, 2018. The Facility Employee Training <br />Certificate shall contain accurate information for all employees trained. <br />CORRECTIVE ACTION: Update the Facility Employee Training Certificate to contain the accurate information and <br />submit a copy of the updated form to the EHD. <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 11/26/2020. <br />To minimize person to person contact EHD is choosing to write the name of person receiving the report instead <br />of having them sign. Starting September 1, 2018, all in-office CERS help will be provided at EHD hourly rate <br />($152). To schedule an appointment, please call (209) 468-3420. <br />Documents provided during inspection: <br />-EHD class schedule <br />-Return to compliance certification form <br />-Corrective Action Statement <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: Inspector Phone: <br /> SHEWIT WOLDEAREGAY, EH Specialist <br /> Inspector:October 27, 2020 Date: <br />Printed Name and Title: <br />Jason Webb, Store Manager <br />(209) 616-3063 <br />FA0003739 PR0231465 SC001 10/27/2020 <br />EHD 23-01 Rev. 9/16/2020 Underground Storage Tank Program OIRPage 7 of 7 <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjgov.org/EHD