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Environmental Health Department <br />Underground Storage Tank Program Inspection Report <br />Date: <br />November 01, 2022 <br /> Facility Address: <br /> 620 W DR MARTIN LUTHER KING JR BLVD, <br /> Facility Name: <br /> CHARTER WAY SHELL* <br />Single-Walled Non-Pressurized Piping <br /> 404 □ V □ R □ COSFailure to conduct 0.1 gph test on single-walled gravity piping biennially or post repair (pre-1984)CCR 2643(e), 2661(f) <br />Other Violations <br /> 2010 □ V □ R □ COSUnlisted General violation See below <br />SUMMARY OF VIOLATIONS <br />(CLASS I, CLASS II, or MINOR - Notice to Comply) <br />RemarksItem # <br /> 107 HSC 25292.2; CCR 2711(a)(11) Failure to submit and maintain complete and current financial responsibility <br />documents. <br />OBSERVATION: Complete financial responsibility documents have not been submitted to the EHD. The most <br />recent financial responsibility documents in CERS are dated 11/3/2021 but were missing the facility name and <br />address. <br />REGULATION GUIDANCE: Current financial responsibility documents are required to be submitted annually. <br />CORRECTIVE ACTION: This was corrected on site. <br />This is a repeat violation, Class II. <br /> 122 CCR 2712(f) Failure to implement corrections and submit written response within 30 days of receiving the report. <br />OBSERVATION: An inspection was last done on 11/3/2021 and an inspection report was issued identifying <br />information to be submitted to bring this site into compliance. This information was required to be submitted by <br />12/3/2021. This information was received 1 month late by the EHD. <br />REGULATION GUIDANCE: An operator that receives an inspection report shall have 30 days to implement the <br />corrections specified in the inspection report and comply with permit conditions. The corrective action shall include <br />all of the recommendations made in the report. The operator shall submit a written response that includes a <br />statement documenting corrective actions taken or proposing corrective actions which will be taken. <br />CORRECTIVE ACTION: Ensure that a written response documenting corrective actions taken or proposed is <br />submitted and all corrections implemented within 30 days of receiving an inspection report. <br />This is a repeat violation, Class II. <br />FA0003738 PR0231058 SC001 11/01/2022 <br />EHD 23-01 Rev. 9/16/2020 Underground Storage Tank Program OIRPage 4 of 5 <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjgov.org/EHD