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A NJ O A Q U l N Environmental Health Department <br /> COUNTY— <br /> Underground Storage Tank Program Inspection Report <br /> Facility Name: Facility Address: Date: <br /> KISHIDA, GEORGE INC 1725 ACKERMAN DR, LODI November 13, 2020 <br /> SUMMARY OF VIOLATIONS <br /> (CLASS I,CLASS II,or MINOR-Notice to Comply) <br /> Item# Remarks <br /> 208 CCR 2716(a-e) Failure to comply with the designated operator inspection requirements. <br /> OBSERVATION: The designated operator failed to check and note all required items on the visual inspection <br /> reports.The incorrect and missing information included the following from the inspection reports: <br /> •alarm history was not attached <br /> •no owner/operator signature, name and date <br /> •no DO name, ICC certification number and ICC expiration date <br /> •"yes"was marked for"7. Inspection History-has each follow-up action of section 3 from previous DO UST <br /> Inspection Report been completed appropriately? (attach documentation verifying appropriate service to this report)" <br /> but there were no follow-up actions on the previous report/no documentation was attached. <br /> REGULATION GUIDANCE: During the visual inspection,the designated operator shall check that all required <br /> testing and maintenance for the UST system have been completed and shall check all required items on the report. <br /> CORRECTIVE ACTION: Ensure that designated operators performing visual inspections at this facility are including <br /> all of the required information on the reports. <br /> OBSERVATION: The designated operator inspections for the following months were performed more than 30 days <br /> after the previous inspection: <br /> • Initial inspection on 6/24/2020, next inspection performed on 8/19/2020 (56 days). <br /> REGULATION GUIDANCE: The designated operator visual inspections shall be conducted within 30 days or less of <br /> the previous inspection. <br /> CORRECTIVE ACTION: Ensure that all designated operator inspections are performed within the required time <br /> frames. <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 12/13/2020 . <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: Official Inspection Report, Return to Compliance Form <br /> FA0003756 PR0231309 SCO01 11/13/2020 <br /> EHD 23-01 Rev.9/16/2020 Page 6 of 7 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.sjgov.org/EHD <br />