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S b N J 0 A Q U I N Environmental Health Department <br /> COUNTY <br /> Underground Storage Tank Program Inspection Report <br /> Facility Name: Facility Address: Date: <br /> TIGER EXPRESS STORES 1399 E YOSEMITE AVE, MANTECA June 04, 2019 <br /> SUMMARY OF VIOLATIONS <br /> (CLASS I,CLASS II,or MINOR-Notice to Comply) <br /> Item# Remarks <br /> 210 CCR 2716(f) DO monthly reports not maintained on site for 12 months or for 36 months (after October 1, 2018). <br /> On the 10/25/18 designated operator(DO)inspection report under <br /> -Section III <br /> The DO failed to add a description to all the components marked N/A or N from section VII through XI <br /> -Section I <br /> The DO failed to write the CERS ID <br /> -Section IX <br /> The DO failed to mark Yes, No or N/A to the question"Are all sensors in under-dispenser containment located to <br /> detect a leak at the earliest opportunity?" <br /> The DO failed to mar YES, NO or N/A under the question"Are all sensors in containment sumps inspected located to <br /> detect a leak at the earliest opportunity?" <br /> -Section XI <br /> The DO failed to mark Yes or No to the question"Have all individuals performing facility employee duties received <br /> the required facility employee training within the past 12 months?" <br /> On the 12/15/18 designated operator(DO)inspection report under <br /> -Section III <br /> The DO failed to add a description to all the components marked N/A from section VII through <br /> -Section X <br /> The DO failed to state the correct date for overfill prevention equipment inspection testing. He stated that it was not <br /> done, however it was done on 11/15/18. <br /> Furthermore the alarm history stated 12/15/18 however the DO report stated 12/26/18. <br /> On the 3/29/19 designated operator(DO)inspection report under <br /> -Section VI <br /> The OWNER/OPERATOR failed to provide at least one of the following: name, signature, and date within 48 hours <br /> of receiving the DO report under the ACKNOWLEDGMENT OF COMPLIANCE ISSUES section. <br /> -Section VII <br /> The DO fail to mark yes or No for the question"Has each follow-up action of section III from the previous inspection <br /> been completed appropriately?" <br /> On the 4/29/19 designated operator(DO)inspection report under <br /> -Section VI <br /> The OWNER/OPERATOR failed to provide at least one of the following: name, signature, and date within 48 hours <br /> of receiving the DO report under the ACKNOWLEDGMENT OF COMPLIANCE ISSUES section. <br /> During the designated operator inspection,the designated operator shall review the alarm history for the previous <br /> month, check that each alarm was documented and responded to appropriately, and attach a copy of the alarm <br /> history with documentation taken in response to any alarms to the monthly report. Ensure that designated operators <br /> performing inspections at least once every 30 days at this facility and are including all of the required information on <br /> the reports. <br /> This is a repeat violation, Class II. <br /> FA0000914 PR0231464 SCO01 06/04/2019 <br /> EHD 23-01 Rev.09/28/2018 Page 6 of 8 Underground Storage Tank Program OIR <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />