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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 /> 208 CCR 2716(a-e) Failure to comply with the designated operator inspection requirements. <br /> OBSERVATION: The designated operator failed to document all the alarms from the attached alarm history on the <br /> 12/30/2021 designated operator inspection report and failed to check that they were responded to appropriately. <br /> The missing alarms include: <br /> -T2 91 Overfill Alarm on 12/29/2021. <br /> REGULATION GUIDANCE: During the inspection, the designated operator shall review the alarm history since the <br /> previous inspection, check that each alarm was documented and responded to appropriately, and attach a copy of <br /> the alarm history with documentation taken in response to any alarms to the inspection report. <br /> CORRECTIVE ACTION: Ensure that designated operators performing inspections at this facility are including all of <br /> the required information on the reports. <br /> --------------------------------------------------------------- <br /> --------------------------------------------------------------- <br /> OBSERVATION: The designated operator failed to check and note the correct test dates for the monitoring system <br /> certification and spill container testing on the 3/26/2021 designated operator inspection report.The incorrect dates <br /> were noted as 1/27/2020. The correct date for the monitoring system certification and spill container testing is <br /> 1/26/2021. <br /> REGULATION GUIDANCE: During the inspection, the designated operator shall check that all required testing and <br /> maintenance for the UST system have been completed and document the dates they were done. <br /> CORRECTIVE ACTION: Ensure that designated operators performing inspections at this facility are including all of <br /> the required information on the reports. <br /> --------------------------------------------------------------- <br /> --------------------------------------------------------------- <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 1/28/2021, next inspection performed on 3/26/2021 (57 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 /> --------------------------------------------------------------- <br /> --------------------------------------------------------------- <br /> OBSERVATION: The owner or operator did not provide a description of each corrective action taken or to be taken, <br /> acknowledging the identified compliance issues, on the designated operator inspection reports: <br /> -The 3/26/2021,4/23/21, 11/5/21, 12/3/21, and 12/30/21 designated operator reports were missing the <br /> owner/operator description of corrective actions. <br /> REGULATORY GUIDANCE:Within 48 hours of the completion of the designated UST operator visual inspection, <br /> the designated operator shall sign and provide the owner or operator with a copy of the inspection report. Within 72 <br /> FA0006439 PR0231070 SCO01 01/28/2022 <br /> EHD 23-01 Rev.12/06/2021 Page 7 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 />