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San Joaquin County <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, California 95205-6232 <br /> Telephone: (209)468-3420 Fax: (209) 468-3433 Web:www.sjgov.org/ehd <br /> Underground Storage Tank Program Inspection Report <br /> Facility Name: Facility Address: Date: <br /> TRACY PE I I ;AR i hiuk u. _Y <br /> SUMMARY OF VIOLATIONS <br /> (CLASS I,CLASS ll,or MINOR-Notice to Comply) <br /> Item# Remarks <br /> 207 CCR 2715 Designated operator did not inspect all required items and/or the inspection reports not completed. <br /> The designated operator failed to check jid iijta a wrreCt test dates for the secondary LUNIL01 I I g r:C:); « y u:. <br /> the past 12 designated operator monthly inspection reports. The DO listed the test date as 2/21/2014. The DO also <br /> did not print out complete alarm history reports for the months of March-October 2014. The only liquid sensor that <br /> was printed out was L-1. During the monthly inspection, the designated operator shall check that all required testing <br /> and maintenance for the UST system have been completed and document the dates they were done. The DO shall <br /> also review the alarm history for the previous month, check that each alarm was documented and responded to <br /> appropriately, and attach a copy of the alarm history with documentation taken in response to any alarms to the <br /> monthly report. Ensure that designated operators performing monthly inspections at this facility are including all of <br /> the required information on the reports. This is a Class II violation. <br /> Overall Inspection Comments: <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 /> paperwork, by March 29, 2015 . <br /> Consent to perform the inspection, take photos and collect samples was given by Jay (Jatinder Singh), cashier. <br /> This facility's designated operator is Eric Meeker, (ICC expiration date: 7/2016 ) . The service technician was <br /> Jarrod Cooke (ICC expiration date: 4/2015 ), who had the following manufacturer's certifications: Veeder-Root, <br /> exp 5/2016 and VMI, exp 2/2017 . <br /> Please be aware that as of January 1, 2014, facility operators are required to upload the following UST program <br /> documents into the California Environmental Reporting System (CERS): UST Monitoring Site Plan, UST <br /> Certification of Financial Responsibility, UST Response Plan, UST Owner/Operator: Written Agreement (if <br /> applicable), UST Letter from Chief Financial Officer, and Owner Statement of Designated UST Operator <br /> Compliance. <br /> THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br /> Recei y(signature): Title: Date: <br /> S <br /> v y(printed name): ns r: inspecto hone. <br /> C1vf i` MICHELLE HENRY, Senior R HS <br /> ece (209) 468-3454 <br /> Page 4 of 4 <br />