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A NJ O A Q U l N Environmental Health Department <br /> COUNTY— V AMENDED <br /> 2/1/2022 <br /> Underground Storage Tank Program Inspection Report <br /> Facility Name: Facility Address: Date: <br /> COUNTRY CLUB MOBIL CIRCLE K 2575 COUNTRY CLUB BLVD, STOCKTON January 28, 2022 <br /> SUMMARY OF VIOLATIONS <br /> (CLASS I,CLASS II,or MINOR-Notice to Comply) <br /> Item# Remarks <br /> 112 CCR 2638, 26416),2715(f) Failure to have properly qualified service technician test leak detection equipment every <br /> 12 months. <br /> OBSERVATION: The annual monitoring system certification testing were last performed on 1/26/2021 and was due <br /> by 1/31/2022. Testing has not been completed on the 87 annular sensor and is 1 day past due. <br /> REGULATION GUIDANCE: These tests are required once every 12 months. <br /> CORRECTIVE ACTION: Immediately schedule the required tests and provide 48 hours notification to the EHD. <br /> Please be aware that all EHD staff time associated with a follow up inspection will be billed at our current hourly rate <br /> ($152). <br /> This is a Class II violation. <br /> 115 CCR 2638(c), 2638(d) Failure to submit"Monitoring System Certification Form"within 30 days of completion of the <br /> test. <br /> OBSERVATION:Annual monitoring system certification and leak detector testing was performed on 1/26/2021 and <br /> a test report was submitted on 6/18/2021,4 months late. <br /> REGULATION GUIDANCE:A copy of the test report must be submitted within 30 days of the tests. <br /> CORRECTIVE ACTION: Take all necessary precautions to ensure testing and submittal of test reports are <br /> performed in a timely manner. <br /> This is a Class II violation. <br /> 116 CCR 2637.1(d), 2637.1(e)Failure to submit the"Spill Container Testing Report Form"within 30 days. <br /> OBSERVATION:Annual spill container testing was performed on 1/26/2021 and a test report was submitted on <br /> 6/18/2021,4 months late. <br /> REGULATION GUIDANCE:A copy of the test report must be submitted within 30 days of the tests. <br /> CORRECTIVE ACTION: Take all necessary precautions to ensure testing and submittal of test reports are <br /> performed in a timely manner. <br /> This is a Class II violation. <br /> FA0006439 PR0231070 SCO01 01/28/2022 <br /> EHD 23-01 Rev.12/06/2021 Page 5 of 9 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 />