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Environmental Health Department <br />CP22 - AST Non-Qualified Inspection Report <br />Date: <br />May 28, 2024 <br /> Facility Address: <br /> 3112 LOOMIS RD, STOCKTON <br /> Facility Name: <br /> LDS - STOCKTON BISHOPS STOREHOUSE <br /> □ OUT □ R □ COS4045 - Release/Leaks/Spills - General Local Ordinance 86 <br /> □ OUT □ R □ COS4050 - Abandonment/Illegal Disposal/Unauthorized Treatment - General See below 87 <br /> □ OUT □ R □ COS4055 - Abandonment/Illegal Disposal/Unauthorized Treatment - General Local Ordinance 88 <br />SUMMARY OF VIOLATIONS <br />(CLASS I, CLASS II, or MINOR - Notice to Comply) <br />RemarksItem # <br />Code of Fed Regulations 112.7(e), 112.8(c)(6) 4010021 - Written Inspection/testing procedures kept, inspection/testing <br />records signed, kept for 3 years. <br />OBSERVATION: The facility failed to comply with the following requirements: Keep written procedures and records of <br />inspections and integrity tests for at least three years. The facility failed to maintain records of inspections and tests <br />in accordance with written procedures that the certifying engineer developed for the facility, including integrity tests, <br />signed by the appropriate supervisor or inspector. The inspection forms used onsite are not the forms included in the <br />Spill Prevention, Control, and Countermeasure (SPCC) Plan. The following records were missing on site: <br />- 2022 Annual Inspection <br />- STI 20 Year Integrity Test <br />REGULATION GUIDANCE: 112.7(e) Conduct inspections and tests required by this part in accordance with written <br />procedures that you or the certifying engineer develop for the facility. <br />CORRECTIVE ACTION: This was corrected on site. Copies of records were obtained during the inspection, printed, <br />and placed into their SPCC Plan binder. <br />This is a repeat violation (Class 2) Violation. <br /> 57 <br />Code of Fed Regulations 112.20(e) 4010044 - Substantial Harm Criteria certification maintained at the facility as <br />required. <br />OBSERVATION: The facility failed to complete and maintain (at the facility) the Substantial Harm Criteria certification <br />form. <br />REGULATION GUIDANCE: CFR 112.20 (e) If the owner or operator of a facility determines pursuant to paragraph (a)(2) <br />of this section that the facility could not, because of its location, reasonably be expected to cause substantial harm to <br />the environment by discharging oil into or on the navigable waters or adjoining shorelines, the owner or operator shall <br />complete and maintain at the facility the certification form contained in appendix C to this part and, in the event an <br />alternative formula that is comparable to one contained in appendix C to this part is used to evaluate the criterion in <br />paragraph (f)(1)(ii)(B) or (f)(1)(ii)(C) of this section, the owner or operator shall attach documentation to the certification <br />form that demonstrates the reliability and analytical soundness of the comparable formula and shall notify the Regional <br />Administrator in writing that an alternative formula was used. <br /> CORRECTIVE ACTION: This was corrected on site. A Substantial Harm Criteria certification form was completed , <br />printed and placed in their SPCC Plan binder. <br />This is (Minor) Violation. <br /> 78 <br />Overall Inspection Comments: <br />All observed violations were corrected on site. No additional follow up is required. <br />To minimize person to person contact EHD is choosing to write the name of person receiving the report instead of <br />FA0003790 PR0535482 SC001 05/28/2024 <br />EHD Rev. 12/06/2021 CP22 - AST Non-Qualified OIRPage 5 of 6 <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjgov.org/EHD