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SAN JOAQUIN <br />CCUNT <br />Environmental Health Department <br />AMENDED <br />1/30/2023 <br />Underground Storage Tank Program Inspection Report <br />Facility Name: <br />Facility Address: <br />Date: <br />COUNTRY CLUB MOBIL CIRCLE K <br />2575 COUNTRY CLUB BLVD, STOCKTON <br />January 18, 2023 <br />Single -Walled Non -Pressurized Piping <br />404 <br />CCR 2643(e), 2661(f) <br />Failure to conduct 0.1 gph test on single -walled gravity piping biennially or post repair (pre -1984) <br />❑ V ❑ R ❑ COS <br />Other Violations <br />2010 <br />See below <br />Unlisted General violation <br />❑ V ❑ R ❑ COS <br />SUMMARY OF VIOLATIONS <br />(CLASS I, CLASS II, or MINOR - Notice to Comply) <br />Item # <br />Remarks <br />101 <br />HSC 25284; CCR 2711(d) Failure to obtain a permit to operate from the EHD including but not limited to unpaid <br />permit fees. <br />OBSERVATION: Fees for the annual 2023 permit to operate the UST system have not been paid. <br />REGULATION GUIDANCE: No person may own or operate an UST unless a permit for its operation has been <br />issued by the local agency to the owner or operator of the UST system. <br />CORRECTIVE ACTION: Payment was received by the EHD on 1/25/2023. A 2023 UST operating permit has been <br />issued. <br />This is a Class I violation. <br />107 <br />HSC 25292.2; CCR 2711(a)(11) Failure to submit and maintain complete and current financial responsibility <br />documents. <br />OBSERVATION: Current financial responsibility documents were not found on site. <br />REGULATION GUIDANCE: A copy of current financial responsibility documents are required to be maintained on <br />site. <br />CORRECTIVE ACTION: Immediately obtain a copy of the facility's financial responsibility documents and maintain a <br />copy on site. <br />This is a repeat violation, Class 11. <br />109 <br />CCR 2715(a)(1)(B), 2715(a)(3) Failure to submit "Designated Underground Storage Tank Operator Identification <br />Form" within 30 days. <br />OBSERVATION: A new designated operator, Amy Winkler, has been conducting inspections and notification was <br />not provided to the EHD within 30 days of the change. <br />REGULATION GUIDANCE: The owner or operator shall submit a "Designated Underground Storage Tank Operator <br />Identification Form" no later than 30 days after any change in the designated UST operator(s). <br />CORRECTIVE ACTION: Immediately log into the California Environmental Reporting System (CERS) at <br />http://cers.calepa.ca.gov and upload the notification identifying all the designated operators for this facility. <br />This is a Class II violation. <br />FA0006439 PR0231070 SCO01 01/18/2023 <br />EHD 23-01 Rev. 12/06/2021 Page 4 of 10 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 />