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W San Joaquin County qw <br />Environmental Health Department <br />1868 East Hazelton Avenue, Stockton, California95205-6232 <br />Telephone: (209) 468-3420 Fax. (209) 468-3433 Web. www.sigov.orglehd <br />Underground Storage Tank Program Inspection Report <br />Facility Address: Date: <br />Facility Name: Date: <br />21, 2016 <br />CHEVRON STATION #210997` <br />SUMMARY OF VIOLATIONS <br />(CLASS 1, CLASS II, or MINOR - Notice to Comply) <br />Item # Remarks <br />20'1 CCR 2712(b) Failed to maintain alarm logs and/or, records of follow up actions. <br />Alarm log records for the Q2 alarms on June 16, 2015 were not onsite at the time of inspection. These records shall <br />be maintained on site for at least three years. Monitoring records include. (1) date and time of all monitoring or <br />sampling (2) monitoring equipment calibration an maintenance records; (3) results of any visual observations; (4) <br />results of sample analysis performed a lab or int e field; (5) logs of all readings of gauges or other monitoring <br />equipment, ground water elevations, or other test results, (6) results of inventory readings and reconciliations. <br />Immediately locate and maintain all maintenance and monitoring records for the last three years on site and submit <br />copies to the EHD. Submit proof of correction to the EHD. <br />This is a repeat violation. Class II. <br />Overall Inspection Comments: <br />Onsite to conduct a routine UST inspection and observe monitoring system certification conducted today. A <br />checklist of findings was issued after the testing was completed, the inspector had returned to the site to <br />complete the routine UST inspection. A, full report as issued on 1-21-2016. <br />Complete and submit a copy of the Return to <br />documenting the corrective actions that have <br />paperwork, by 2-21-2016. <br />)fiance Certification form to the EHD with a statement <br />or will be taken for each violation, and any supporting <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 Letter from Chief Financial Officer (if <br />applicable), and the Owner Statement of Designated Operator Compliance. The UST Owner/Operator: Written <br />Agreement, if applicable, can be stored at the facility or uploaded into CERS. <br />AFTER THE COMPLIANCE DATE, EHD WILL BIL <br />THIS FACILI <br />THIS F"-it:ky IS SUBJECT TO REINSP <br />Received By tpnntea name ano u tlel <br />Perla IGomez. Manager <br />(signature): <br />FOR ALL TIME AND ACTIVITIES ASSOCIATED WITH BRINGING <br />'BACK INTO COMPLIANCE. <br />;TION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br />Inspector Inspector (printed name ancn noel: <br />(signature): ELENA MANZO, Senior REHS <br />2t V <br />