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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 1868 East Hazelton Avenue, Stockton, California 95205-6232 Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: www.sigov.or /q ehd CONTINUATION FORM Page: 4 of 4 OFFICIAL INSPECTION REPORT Date: 08/12/14 Facility Address: 1553 Colony Drive, Ripon Program: UST SUMMARY OF VIOLATIONS CLASS I, CLASS II, or MINOR -Notice to Comply) MINOR -Notice to Comply: 106, 108 106. The monitoring plan uploaded to the California Environmental Reporting System is not current. The monitoring and response plans must be current and approved by the EHD. Immediately log into CERS, update the required information per the provided comments, and submit for review by the EHD. Complete a separate record for each tank. Maintain an approved copy on site. Monitoring plans were updated while onsite and uploaded into CERS. CORRECTED. 106. The response plan dA uploaded to the CERS lacks a signature. The monitoring and response plans must be complete, current and approved by the EHD. Immediately log into CERS, upload the completed form, and submit for review by the EHD. Maintain an approved copy on site. Response plan was signed and uploaded into CERS. CORRECTED. 108. Secondary containment testing (associated with permit SR00692236) was performed on May 29, 2014 and a test report was submitted to the EHD on July 28, 2014- A copy of the test report must be submitted within 30 days of the test. Ensure that all future reports are submitted to the EHD in a timely manner. Complete and submit a copy of the Return to Compliance Certification form with a statement of how each violation was corrected, including supporting documentation, by September 12, 2014 Provided: -Return to Compliance Certification Form Notes: 1. Discussed necessary repair permit requirements 2. Facility operators are required to upload the following UST program documents into the California Environmental Reporting System (CERS): UST Monitoring Site Plan, UST Certification of Financial Responsibility, UST Response Plan, UST Owner/Operator: Written Agreement (if applicable), UST Letter from Chief Financial Officer, testing reports, and Owner Statement of Designated UST Operator Compliance. ALL EHD STAFF TIME ASSOCIATED WITH FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL BE BILLED AT THE CURRENT HOURLY RATE. THIS FACILITY IS SUBJECT TO REINSPECTION ATA E AT EHD'S CURRENT HOURLY RATE. EHD Inspector: Receiv y: Title: Elena Manzo (209) 953-7699 EHD 23-02-003 Rev 04119/12 / CONTINUATION FORM