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A dOAQU1N Environmental Health Department <br /> COUNTY <br /> CP22 - UST FULL Inspection Report <br /> Facility Name: Facility Address: Date: <br /> SHOP N GO 3 14511 PACIFIC AVE, STOCKTON February 05 2025 <br /> SUMMARY OF VIOLATIONS <br /> (CLASS I,CLASS Il,or MINOR-Notice to Comply) <br /> Item# Remarks <br /> http://cers.calepa.ca.gov/ and upload a copy of the UST Monitoring Site Plan. <br /> This is a repeat violation (Class 2) Violation. <br /> 7 CA Code of Regulations 2715(a)(1)(B), 2715(a)(3)2010003-Owner/Operator submitted DO form and/or informed the <br /> CUPA of any change(s)within 30 days(TCR 10). <br /> OBSERVATION:A Designated Underground Storage Tank Operator Identification Form was not submitted. <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 repeat violation (Class 2) Violation. <br /> 8 CA Code of Regulations 2715(a)(1)(A), 2715(a)(2)2010016-"Underground Storage Tank Statement of Understanding <br /> and Compliance Form"submitted (TCR 10). <br /> OBSERVATION:The Underground Storage Tank Statement of Understanding and Compliance Form was not found in <br /> 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 repeat violation (Class 2) Violation. <br /> 10 CA Code of Regulations 2638(c), 2638(d)2030074-Annual Monitoring System Certification Form to the CUPA within <br /> 30 days of completion of the test. <br /> OBSERVATION:Annual monitoring system certification and leak detector testing was performed on 2/12/2024 and a <br /> test report was submitted on 3/20/2024, 7 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 performed <br /> in a timely manner. <br /> This is a repeat violation (Class 2) Violation. <br /> 13 CA Code of Regulations 2637.1(d),2637.1(e)2010017- Spill bucket testing results submitted to the UPA within 30 <br /> days of testing. <br /> OBSERVATION:Annual spill container testing was performed on 2/12/2024 and a test report was submitted on <br /> 3/20/2024, 7 days late. <br /> REGULATION GUIDANCE:A copy of the test report must be submitted within 30 days of the tests. <br /> FA0002480 PR0231216 SCO01 02/05/2025 <br /> EHD Rev.12/06/2021 Page 6 of 9 CP22-UST FULL 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 />