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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.sigov.org/ehd <br /> CONTINUATION FORM Page: 4 of 4 <br /> OFFICIAL INSPECTION REPORT Date: 05/19/14 <br /> Facility Address: 8115 S. EI Dorado St., Stockton Program: UST <br /> SUMMARY OF VIOLATIONS <br /> CLASS I,CLASS II,or MINOR-Notice to Comply) <br /> Complete and submit a copy of the Return to Compliance Certification to the EHD by June 19, 2014 <br /> along with a statement documenting the corrective actions that have been or will be taken for each <br /> violation and any supporting paperwork. <br /> Notes: <br /> - According to maintenance records on site, a cold start of the monitoring panel was performed on <br /> Thursday, April 3, 2014. A permit was obtained on Tuesday, April 8, 2014. Permits are required to be <br /> obtained with one business day of all emergency repairs. <br /> - No sensor functionality testing was conducted after the cold start. Functionality was verified 46 days <br /> later, during the annual monitoring system certification conducted today. <br /> - The permit approval letter for the cold start states "inspections for emergency work must be scheduled <br /> within five days of permit approval." The permit was approved on April 18, 2014. The inspection was <br /> conducted 31 days after the date of approval. <br /> Note: Facility operators are required to upload the following UST program documents into the <br /> California Environmental Reporting System (CERS): UST Monitoring Site Plan, UST Certification of <br /> Financial Responsibility, UST Response Plan, UST Owner/Operator: Written Agreement (if applicable), <br /> UST Letter from Chief Financial Officer, and Owner Statement of Designated UST Operator <br /> Compliance. After January 1, 2015, noncompliance with this requirement will be a violation. <br /> Provided: Return to Compliance Certification form <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 REINSPEC ION AT ME AT EHD'S CURRENT HOURLY RATE. <br /> EHD Inspector: ived By: Title: <br /> Stacy Rivera (209) 468-3440 S1 <br /> EHD 23-02-003 Rev 04/19/12 CONTINUATION FORM <br />