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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 /> Verizon Business: LDIKCA 2500 W Turner Rd, Lodi March 30, 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 /> 208 CCR 2716(a-e) Failure to comply with the designated operator inspection requirements. <br /> OBSERVATION: The designated operator failed to document the alarm from the attached alarm history on the <br /> 6/21/2021 designated operator inspection report and failed to check that it was responded to appropriately. The <br /> missing alarm was a gross leak test alarm (6/21/2021). <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 /> OBSERVATION: The following were not attached to the designated operator inspection reports: <br /> -8-17-2021 report was missing the Incon line leak detector alarm history <br /> -4-27-2021 report was missing the Incon and Pneumercator alarm history <br /> REGULATION GUIDANCE: The designated operator visual inspection report shall include: <br /> -a copy of documentation demonstrating action taken in response to each compliance issue identified during the <br /> previous inspection <br /> -a copy of the alarm history since the previous inspection <br /> -a copy of documentation demonstrating action taken in response to each alarm since the previous inspection <br /> -a list of each alarm since the previous inspection for which there is no documentation of the alarm condition and <br /> action taken in response <br /> CORRECTIVE ACTION: Ensure all required documents are attached to future designated operator inspection <br /> reports. <br /> This is a repeat violation, Class II. <br /> Overall Inspection Comments: <br /> Complete and submit a copy of the Return to Compliance Certification form to the EHD with a statement <br /> documenting the corrective actions that have been or will be taken for each violation, and any supporting <br /> paperwork, by April 29, 2022. <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: return to compliance form, list of free training classes <br /> Report emailed to Zachary Feingold at<zachary.d.feingold@verizon.com>. <br /> FA0003846 PR0232507 SCO01 03/30/2022 <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 />