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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.sogov.org/ehd <br />Underground Storage Tank Program Inspection Report <br />Facility Name: <br />Facility Address: <br />Date: <br />TESORO SHELL 68153 <br />2448 W KETTLEMAN LN LODI <br />May 28 2015 <br />SUMMARY OF VIOLATIONS <br />(CLASS I, CLASS II, or MINOR - Notice to Comply) <br />Item # <br />Remarks <br />204 <br />CCR 2712(1) Current monitoring plan approved by the EHD not found on site. <br />An accurate approved copy of the monitoring plans were not available for inspection. A copy of these plans shall be <br />accessible on site at all times. Immediately locate and retain a copy on site. <br />This is a minor 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 6/27/2015 . <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 />Note: Diesel annular space sensor was tested and passed. The sensor came out of alarm after testing. When <br />technician put sensor back into the interstitial space it went into alarm and would not clear. The sensor was <br />replaced on site. Please see the UST retrofit verification form for more details. <br />ALL EHD STAFF TIME ASSOCIATED WITH FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL BE BILLED AT THE CURRENT HOURLY RATE. <br />THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br />Received By <br />Received By (printed name and title): <br />Date: <br />(signature): .ti��� <br />Grace Keller, Manager <br />52-I <br />Inspector ) <br />Inspector (printed name and title): <br />Inspector Phone: <br />(signaturek <br />MICHELLE HENRY, Senior REHS <br />(209) 468-3454 <br />Page 4 of 4 <br />