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S A N J 0 A Q I I I Irl Environmental Health Department <br /> CCUNT <br /> Underground Storage Tank Program Inspection Report <br /> Facility Name: Facility Address: Date: <br /> CHEVRON STATION#1731* 3355 E HAMMER LN, STOCKTON January 27, 2022 <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 /> 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, leak detector testing, and spill container testing was <br /> performed on 1/15/2021 and a test report was submitted on 6/17/2021, approximately 5 months late. <br /> REGULATION GUIDANCE:A copy of the test report must be submitted within 30 days of the tests. <br /> Take all necessary precautions to ensure testing and submittal of test reports are performed in a timely manner. A <br /> corrective action statement was provided to the EHD during the inspection. Violation was corrected on site. <br /> This is a minor violation. <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 designated operator conducted an inspection on 1/11/2022. The designated operator report for a <br /> different Chevron station was printed to be kept on site. The report contained the incorrect facility,tank, and test <br /> date information. <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 /> Ensure that designated operators performing visual inspections at this facility are including all of the required <br /> information on the reports. A corrective action statement was provided to the EHD during the inspection. Violation <br /> was corrected on site. <br /> This is a repeat violation, Class ll. <br /> Overall Inspection Comments: <br /> The violations noted during the inspection were corrected on site. <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: list of free training classes. <br /> The report was emailed to Operator Teena Townsell at<uscsi1731 @chevron stores.com>. <br /> FA0008044 PR0508352 SCO01 01/27/2022 <br /> EHD 23-01 Rev.12/06/2021 Page 4 of 5 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 />