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SAN J 0 A Q I I I Irl Environmental Health Department <br /> CCUN r <br /> Underground Storage Tank Program Inspection Report <br /> Facility Name: Facility Address: Date: <br /> WOODBRIDGE AM PMS 18806 N LOWER SACRAMENTO RD, April 24, 2023 <br /> SUMMARY OF VIOLATIONS <br /> (CLASS I,CLASS II,or MINOR-Notice to Comply) <br /> Item# Remarks <br /> 102 CCR 2711 Failure to submit a complete and accurate application for a permit to operate a UST. <br /> OBSERVATION: The UST Facility Operating Permit Application is lacking the California Department of Tax and Fee <br /> Administration (CDTFA) Underground Storage Tank Account Number. <br /> REGULATION GUIDANCE: The application for a permit to operate an underground storage tank shall include the <br /> CDTFA registration number issued to the owner of the tank, in accordance with HSC 25286. <br /> CORRECTIVE ACTION: Immediately log into the California Environmental Reporting System (CERS), update the <br /> required information, and submit for review by the EHD. <br /> OBSERVATION: The UST Facility Operating Permit is not current in CERS.The ownership changes have not been <br /> made. <br /> REGULATION GUIDANCE:Any change of information must be updated in the California Environmental Reporting <br /> System (CERS)within 30 days of the changes. <br /> CORRECTIVE ACTION: Immediately log into CERS, update the required information, and submit for review by the <br /> EHD. <br /> OBSERVATION: UST Tank Information forms are not current in the California Environmental Reporting System <br /> (CERS). The facility name is not current. <br /> REGULATION GUIDANCE:Any change of information must be updated in CERS within 30 days of the changes. <br /> CORRECTIVE ACTION: Immediately log into CERS, update the required information, and submit for review by the <br /> EHD. <br /> This is a Class II violation. <br /> FA0003607 PR0232388 SCO01 04/24/2023 <br /> EHD 23-01 Rev.12/06/2021 Page 5 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 />