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SAN J U A Q U I N Environmental Health Department <br /> COUNTY <br /> Underground Storage Tank Program Inspection Report <br /> Facility Name: Facility Address: FD�MANTECA CHEVRON 1245 N MAIN ST, MANTECA 19, 2021 <br /> Single-Walled Non-Pressurized Piping <br /> 404 CCR 2643(e),2661(f) Failure to conduct 0.1 gph test on single-walled gravity piping biennially or post repair(pre-1984) ❑V ❑R ❑COS <br /> Other Violations <br /> 2010 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 /> 107 HSC 25292.2; CCR 2711(a)(11)Failure to submit and maintain complete and current financial responsibility <br /> documents. <br /> OBSERVATION: Financial responsibility documents have not been submitted to the EHD. <br /> REGULATION GUIDANCE: Current financial responsibility documents are required to be submitted annually. <br /> CORRECTIVE ACTION: Immediately log into the California Environmental Reporting System (CERS)at <br /> http://cers.calepa.ca.gov/, and upload the required documents. <br /> This is a minor violation. <br /> 208 CCR 2716(a-e) Failure to comply with the designated operator inspection requirements. <br /> 1)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 /> -The DO(designated operator)reports of 5/27/2020, 8/28/2020, 09/24/2020,10/22/2020 , 2/11/2020,12/17/2020 and <br /> 3/12/2021,the OWNER/OPERATOR failed to provide a name, signature, and date within the time frame of <br /> receiving the DO report under the ACKNOWLEDGMENT OF COMPLIANCE ISSUES section. <br /> -The DO report of 01/14/2021, did not include the owner/operator name. <br /> Te DO report of 02/11/2021 and 3/12/2021 left the follow up section from previous inspection blank. <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 /> 2)OBSERVATION:The designated operator inspections for the following months were performed more than 30 <br /> days after the previous inspection: <br /> - Initial inspection on 05/27/2020, next inspection performed on 8/28/2020(93 days)between the two dates. <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 minor violation. <br /> FA0024040 PR0541906 SCO01 05/19/2021 <br /> EHD 23-01 Rev.9/16/2020 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.sjgov.org/EHD <br />