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A NJ O A Q U l N Environmental Health Department COUNTY— Underground Storage Tank Program Inspection Report Facility Name: Facility Address: Date: WINE COUNTRY STATION/7-ELEVEN 1111 E KETTLEMAN LN, LODI June 29, 2023 Single-Walled Non-Pressurized Piping 404 CCR 2643(e),2661(f) Failure to conduct 0.1 gph test on single-walled gravity piping biennially or post repair(pre-1984) ❑V ❑R ❑COS Other Violations 2010 See below Unlisted General violation ❑V ❑R ❑COS SUMMARY OF VIOLATIONS (CLASS I,CLASS II,or MINOR-Notice to Comply) Item# Remarks 208 CCR 2716(a-e) Failure to comply with the designated operator inspection requirements. OBSERVATION: The designated operator failed to check and note all required items on the visual inspection reports.The incorrect and missing information included the following from the inspection reports: -The DO reports did not include UST owner/operator name and date signed. REGULATION GUIDANCE: During the visual inspection,the designated operator shall check that all required testing and maintenance for the UST system have been completed and shall check all required items on the report. CORRECTIVE ACTION: Ensure that designated operators performing visual inspections at this facility are including all of the required information on the reports. This is a repeat violation, Class II. 209 CCR 2715(c)(3), 2715(c)(4) Failure to maintain a copy of the"Facility Employee Training Certificate"on-site. OBSERVATION: The Facility Employee Training Certificate dated 03/31/2023 did not have the training designated UST operator signature. REGULATION GUIDANCE:All site employees must be trained prior to taking responsibility as a facility employee if after October 1, 2018, or within 30 days of hire if prior to October 1, 2018. The Facility Employee Training Certificate shall contain accurate information for all employees trained. CORRECTIVE ACTION: Update the Facility Employee Training Certificate to contain the accurate information and submit a copy of the updated form to the EHD. This is a minor violation. Overall Inspection Comments: Paperwork inspection completed on June/29/2023. Complete and submit a copy of the Return to Compliance Certification form to the EHD with a statement documenting the corrective actions that have been or will be taken for each violation, and any supporting paperwork, by 07/29/2023. To minimize person to person contact EHD is choosing to write the name of person receiving the report instead of having them sign. Starting September 1, 2018, all in-office CERS help will be provided at EHD hourly rate ($156). To schedule an appointment, please call (209)468-3420. FA0007594 PR0506724 SCO01 06/29/2023 EHD 23-01 Rev.12/06/2021 Page 4 of 5 Underground Storage Tank Program OIR 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/EHD