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Environmental Health Department <br />Underground Storage Tank Program Inspection Report <br />Date: <br />February 07, 2023 <br /> Facility Address: <br /> 4511 PACIFIC AVE, STOCKTON <br /> Facility Name: <br /> SHOP N GO 3 <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 />1) OBSERVATION: Financial responsibility documents have not been submitted to the EHD. The most recent <br />financial responsibility documents in CERS are dated 1/15/2022. <br />REGULATION GUIDANCE: Current financial responsibility documents are required to be submitted annually. <br />CORRECTIVE ACTION: Immediately log into the California Environmental Reporting System (CERS) at <br />http://cers.calepa.ca.gov/, and upload the required documents. <br />------------------------------------------------ <br />2) 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 II. <br /> 202 CCR 2712(i) Failure to retain a paper or electronic copy of the permit to operate at the facility. <br />OBSERVATION: A current copy of the UST operating permit was not found on site. The most recent permit on site <br />was dated 2022. <br />REGULATION GUIDANCE: A copy of the UST operating permit and all attachments and conditions shall be <br />retained at the facility. <br />CORRECTIVE ACTION: Immediately obtain a copy of the 2023 permit and retain it on site. <br />This is a Class II violation. <br />FA0002480 PR0231216 SC001 02/07/2023 <br />EHD 23-01 Rev. 12/06/2021 Underground Storage Tank Program OIRPage 4 of 6 <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjgov.org/EHD