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SAN J O A R N Environmental Health Department <br /> i , �V <br /> Underground Storage Tank Program Inspection Report <br /> Facility Name: Facility Address: Date: <br /> S B GAS&MARKET 515 W ELEVENTH ST, TRACY July 05, 2023 <br /> SUMMARY OF VIOLATIONS <br /> (CLASS I,CLASS II,or MINOR-Notice to Comply) <br /> Item# Remarks <br /> 109 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, Renee Arnaiz, began conducting inspections for at least the last 12 <br /> months and notification was 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 minor violation. <br /> 110 CCR 2715(a)(1)(A), 2715(a)(2) Failure to submit the"Underground Storage Tank Statement of Understanding and <br /> Compliance Form". <br /> OBSERVATION: The Underground Storage Tank Statement of Understanding and Compliance Form was not found <br /> in CERS. <br /> REGULATION GUIDANCE: This form must be uploaded to the California Environmental Reporting System (CERS). <br /> CORRECTIVE ACTION: Immediately log into the California Environmental Reporting System (CERS)at <br /> http://cers.calepa.ca.gov and upload the Underground Storage Tank Statement of Understanding and Compliance <br /> Form for this facility. <br /> This is a Class II violation. <br /> 120 CCR 2631, 2640.1,2665, 2711 Failure to submit and/or maintain documentation regarding compatibility for UST <br /> system components. <br /> OBSERVATION:A statement of compatibility for the bio-diesel B20 has not been submitted for the underground <br /> storage tank, spill container, leak detector, overfill prevention equipment, secondary containment(sumps)and <br /> piping. <br /> REGULATION GUIDANCE: Since the independent testing organization for the underground storage tank, spill <br /> container, leak detector, overfill prevention equipment, secondary containment(sumps)and piping did not include a <br /> statement of compatibility for bio-diesel B20 to be stored in the above listed components, a written, affirmative <br /> statement of compatibility for the bio-diesel B20 from the manufacturer shall be submitted. <br /> CORRECTIVE ACTION: Immediately submit an affirmative statement of compatibility or replace the underground <br /> storage tank, spill container, leak detector, overfill prevention equipment, secondary containment(sumps)and <br /> piping with a component that meets all applicable Title 23 requirements for a UST system. <br /> This is a minor violation. <br /> FA0003539 PR0231400 SCO01 07/05/2023 <br /> EHD 23-01 Rev.12/06/2021 Page 6 of 9 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 />