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FxairN <br />Lodi Food & Liquor <br />q { Ctl a I �I I Cam s.eden <br />SAN jcm4ulm #" <br />ENVIRONMENTAL HMLTH DEPAITIVIENT <br />0..M05202-3099 <br />ION REPORT CONTINUJ <br />9225 W. Lcick+eford St, Lodi, CA Dessl "m Pion 29,201, <br />on site to conduct a routine inspection and witness to annual momitoring system certification testing. <br />Giass if `,flolations: 104. 108, 201. 204, 206, 206, and 303. <br />j104. Fina%lel responsibility documents have not bcerl submitted to the EH[7. Currant financial <br />I reepcnablity documents art ragWfOd to be submitted annuallyimmediateiy complete anci submit a <br />copy of trio financial responsibility to the EMC), <br />105, Secondary containment testing wa$ last Performed oh 1 -16 -C. -B and was completed on 2-11 - 11, one <br />i month pa&t due. secondary containment testing is required once every 36 months. Take all necessery <br />Toautio!1 to ensure testt'ng Is performed in a timely manner ;'"1` r: orr <br />{ . 13._ C...I. R n1,. f n "- 1-0,n^ale /l 1111 /,.^ <br />i -'&-'condary conteirtrr,erit es ng wee perf®rmed on 7--11 -11 and a test report was suvm"xea EQ Erre <br />5 HD on 516-11, three months oast due: A copy 4f the teat report must oe submitted within 30 days of <br />the test, aloe all n>acessary precautions to ensure that a ^ppy of the test reports are submitted to the <br />EHO 000 30 days, <br />�201asThe rr►aintenanee record and alarm log for the diesel surnp alarm that OC=Ted an 1 10,11 was not <br />foijnd on site, These records shelf be kept on site for at least 3 years, Immediately locate and maintain <br />the rnaintenence record on site and submit copies to the IrHO by 12.29.71 <br />i�?.04;' i�, eslone operator faftd to document an alarm from the attached alarm history on the <br />215-11 Designated operator rnoribily Inspection report and tailed to check that they were responder! tc <br />appropriately. The missing alarm Includes the diesel sump alarm that occurred on 1-10.11. During the <br />morfth?y inspection, the designated operator shall review the alarm history for the Previous month, Check <br />{ t?1at each alarm wa$ documented and responded to appropriately, and a"ch a copy of the alarm history <br />ed <br />with doourrientetion taken In response to any alarms to the mor►th, Iy all o. he requre that Informdesignation <br />operators perfqrming monthly in psctlons at this facility ar . Including all of the required Intar,z,adon on <br />the reports�I —�- ; 7 ,.'1 t �: Y" (�{{�S:' y......, <br />ALL IM STAN T ABVOW �'°%D Ip YO MUM TOC 6 A&W I' 26 <br />r� MIgJ. 91e 1ti9 AT Thr 4+M�@Nr HQtJNI Y ps►y, <br />THIS FACIUTY !S SU CT 10 POWS *ECT" AT AMY TtMIe AT END'* CUFdte"T WOUKY RATE.� <br />6,��3.pZ ttcy991D1ti1 <br />PW I► <br />c U�'T It19>'E{:?ION R��Y <br />