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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 600 East Main Street, Stockton,California 95202-3029 Telephone:(209)468-3420 Fax:(209)468-3433 Web:www.s*gov.org/ehd/unitiii.htmi CONTINUATION FORM Page: 3 of 3 OFFICIAL INSPECTION REPORT Date: 02/23/11 Facility Address: USA Gas Station #68152 401 W. Kettleman Lane Lodi, CA 95240 Program: UST SUMMARY OF VIOLATIONS CLASS I,CLASS II,or MINOR-Notice to Comply) On site to conduct a routine inspection and witness the annual monitoring system certification testing. 6. Approved copies for page one of the monitoring plan was not found on site. Copies of these plans shall be retained on site at all times. Inspector provided the approved page one of the monitoring plan to the site manager Ricardo Rivera who then made a copy and filed it with the approved page two of the monitoring plan on site. Corrected on site. 13. The 91 bravo float and chain in the 7/8 under dispenser sump, 87 bravo float and chain in the 5/6 under dispenser sump, and 87 bravo float and chain in the 3/4 under dispenser sump failed to stop the flow of product at the dispenser when tested. All monitoring equipment shall be maintained to activate an audible and visual alarm or stop the flow of product at the dispenser when it detects a leak. Technician corrected during the inspection by cleaning off the dirt stuck to the float and retested it pass in the presence of the inspector. Corrected on site. Repeat Violation. 23c. The designated operator Randy Kirby failed to attach the alarm history for the 1-3: super annular space sensor on the 2-17-11 designated operator monthly inspection report. During the monthly inspection, the designated operator shall review the alarm history for the previous month, check that each alarm was documented and responded to appropriately, and attach a copy of the alarm history with documentation taken in response to any alarms to the monthly report. Ensure that designated operators performing monthly inspections at this facility are including all of the required information on the reports including the alarm history report for monitoring system sensors. Complete and submit a copy of the Return to Compliance Certification form with a statement of how each violation was corrected, including supporting documentation, by 3-23-11. vMz i� 17719 Note: The VMI LDT-890 leak detector tester equipment used during today's annual monitoring system certification testing did not have a current certification sticker from the manufacturer affixed to it. The testing of the leak detectors cannot be accepted until documentation from the manufacturer is received verifying that this particular VMI LDT-890 leak detector tester equipment has been certified by the manufacturer and forgot to affix the manufacturer's certification sticker. The identification number assigned to this VMI LDT-890 leak detector tester equipment is Service Station Systems asset #SSS00897. If the requested documentation cannot be provided. A billable re-inspection at EHD's current hourly rate will be required before March 1, 2011 in order for the annual monitoring system certification testing not to be cpnsidered late. 1�ft� se -w-I)A �*' � W k rem i-26 il_ 'Y* e✓ c.a4ArVQ +M6,1 fws WP-M ON y}e 4W toy- TemIsAs W`til be cor"ic��0� �a�e ri 30 lou, r2o��b226-1 . Cevdi�icr,�{i:r� r,� �iI�Anlciu Y i�ilr`�' �� Slclea'� I��el�Ned• rect;w�1 I ALL E D STAFF TIME ASSOCIATED WITH FAILING TO COMPLY BY THE A60VE NOTED KOLL BE BILLED AT THE CURRENT HOURLY RATE($122). THIS FACILITY IS SUBJECT TO REINSPECTION AT AP5,16M.E AT S CURRENT HOURLY RATE. EHD Inspect Received I3y: Title: EHD 23-02-003 Rev 08!10110 CONTINUATION FORM