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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, California 95202-3029 <br /> Telephone:(209)468-3420 Fax:(209)468-3433 Web:www.sLgov.org/ehd/unitiii.ht!i!l <br /> CONTINUATION FORM Page: 3 of 3 <br /> OFFICIAL INSPECTION REPORT Date: 02/28/11 <br /> Facility Address: Oasis Plaza 800 S. Cherokee Ln. Lodi, CA 95240 Program: UST <br /> SUMMARY OF VIOLATIONS <br /> CLASS I,CLASS II,or MINOR-Notice to Comply) <br /> On site to conduct a routine inspection and witness the annual monitoring system certification testing. <br /> 2. Secondary containment testing was scheduled to be performed on 3-16-09 and a test report was <br /> submitted to the EHD on 10-26-09, 7 months late. A copy of the test report must be submitted within 30 <br /> days of the test. Ensure to submit a copy of the test report to the EHD within 30 days of the test(s). <br /> 4. Financial responsibility documents have not been submitted to the EHD. Current financial <br /> responsibility documents are required to be submitted annually. Most recent Letter from chief financial <br /> officer was dated 1-16-10 and a current one should have been received by 1-16-11. It is over 1 month <br /> late. Complete and submit a copy of the financial responsibility immediately. <br /> 24. Annual monitoring system certification, leak detector testing, and spill container testing was <br /> performed on 2-25-10 and a test report was submitted to the EHD on 3-26-10, one day late. A copy of <br /> the test report must be submitted within 30 days of the tests. Ensure to submit a copy of the test report <br /> to the EHD within 30 days of the test(s). <br /> Complete and submit a copy of the Return to Compliance Certification farm with a statement of how <br /> each violation was corrected, including supporting documentation, by 3-28-11. <br /> ALL EHD STAFF TIME ASSOCIATED WITH FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL BE BILLED AT THE CURRENT HOURLY RATE($122). <br /> THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br /> EHD Inspector: Received By: Title: <br /> �X� rZ7f <br /> EHD 23-02-003 Rev 0610110 CONTINUATION FORM <br />