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A NJ O A Q U l N Environmental Health Department <br /> COUNTY— <br /> Underground Storage Tank Program Inspection Report <br /> Facility Name: Facility Address: Date: <br /> TIWANA GAS& FOOD 1210 E HAMMER LN, STOCKTON June 05, 2023 <br /> SUMMARY OF VIOLATIONS <br /> (CLASS I,CLASS II,or MINOR-Notice to Comply) <br /> Item# Remarks <br /> 117 CCR 2637(e), 2637(f)Failed to submit"Secondary Containment Testing Report Form"within 30 days after the test. <br /> OBSERVATION: Repair Secondary containment testing was performed on 12/14/2022 and a test report was <br /> submitted on 1/26/2023, 14 days late. <br /> REGULATION GUIDANCE:A copy of the test report must be submitted within 30 days of the tests. <br /> CORRECTIVE ACTION: Take all necessary precautions to ensure testing and submittal of test reports are <br /> performed in a timely manner. <br /> This is a minor violation. <br /> 208 CCR 2716(a-e)Failure to comply with the designated operator inspection requirements. <br /> 1). OBSERVATION:Work orders related to liquid removed from the fill sumps were not attached to the designated <br /> operator inspection reports of 4/20/23 and 5/16/23 or found on site. <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 /> ------------------------------------------------------------------------------------------------------------------------------- <br /> 2). OBSERVATION:The designated operator failed to note in section V follow up action taken to correct issues <br /> listed in section III, report dated 4/20/23 and 5/16/2023. <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 /> CORRECTIVE ACTION: Ensure that designated operators performing visual inspections at this facility are including <br /> all of the required information on the reports. <br /> This is a repeat violation, Class II. <br /> Overall Inspection Comments: <br /> An inspection checklist was provided to the facility operator on the day of inspection. A complete report was <br /> finished on 6/6/2023 and replaces the initial checklist. <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 /> FA0003730 PR0231125 SCO01 06/05/2023 <br /> EHD 23-01 Rev.12/06/2021 Page 5 of 6 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 />