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May 11, 2007 <br />• San Joaquin County 0 <br />Environmental Health Department <br />600 East Main Street <br />Stockton, California 95202-3029 <br />ATTN: TIME OIL <br />JACKPOT FOOD MART <br />PO BOX 24447 <br />SEATTLE, WA 98124-0447 <br />RE: Jackpot Food Mart <br />14000 E. Hwy 88 <br />Lockeford, CA 95237 <br />Website: www.sjgov.org/ehd <br />Phone: (209)468-3420 <br />Fax: (209)464-0138 <br />FALL COPY <br />Donna Heran, REHS <br />ASSISTANT DIRECTOR <br />Laurie Cotulla, RENS <br />PROGRAM COORDINATORS <br />Carl Borgman, REHS <br />Mike Huggins, REHS, RDI <br />Margaret Lagorio, REHS <br />Robert McClellon, REHS <br />Jeff Carruesco, REHS, RDI <br />Kasey Foley, REHS <br />San Joaquin County Environmental Health Department (EHD) performed a combined routine underground storage <br />tank and hazardous waste generator inspection on April 3, 2007 at the above referenced site. <br />An inspection report was issued to you along with a request for pertinent information that was necessary in order to <br />bring this site into compliance. You were required to submit this information by May 3, 2007. This information has <br />not been received. <br />Failure to correct the violations will result in continuing/additional violations. Failure to submit the completed <br />hazardous waste information immediately may result in a re -inspection billed at EHD's hourly rate, which is <br />currently $95.00, or further legal action. <br />The missing underground storage tank information includes: <br />Active EPA identification number <br />r <br />r <br />Current UST Facility form (former Form A) <br />r <br />Current UST Tank form (former Form B) <br />r <br />Annual Monitoring Certification <br />r' <br />Annual monitoring certification, leak detector <br />Exception report for signed off manifest not <br />and spill bucket test results <br />r <br />Monitoring and Response plans <br />r <br />Maintenance and monitoring logs <br />p, <br />Certification of Financial Responsibility and <br />r <br />Permit submitted to repair or replace failed <br />Statement of how each violation was or will <br />Letter from Chief Financial Officer <br />(Signed and dated) <br />equipment <br />r <br />Designated Operator employee training <br />F' <br />Statement of Designated Operator <br />Uniform Hazardous Waste Manifest(s) <br />records <br />r <br />Certification of Return to Compliance <br />r <br />Statement of how each violation was or will <br />(Signed and dated) <br />be corrected <br />Missing hazardous waste generator information includes <br />r <br />Active EPA identification number <br />r <br />Contingency plan <br />r <br />Spill Prevention Countermeasure Control <br />r <br />Consolidated Manifest Receipt(s) <br />Plan (SPCC) <br />Exception report for signed off manifest not <br />r <br />Hazardous Waste training records <br />received <br />r- <br />Certification of Rearm to Compliance <br />r <br />Statement of how each violation was or will <br />(Signed and dated) <br />be corrected <br />r <br />Universal Waste Receipts <br />F <br />Uniform Hazardous Waste Manifest(s) <br />