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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.sjgov.org/ehd <br /> Underground Storage Tank Program Inspection Report <br /> Facility Name: T1225 <br /> acility Address: Date: <br /> LODI FOOD & LIQUOR' W Lockeford St, Lodi November 19, 2014 <br /> SUMMARY OF VIOLATIONS <br /> (CLASS 1,CLASS 11,or MINOR-Notice to Comply) <br /> Item# Remarks <br /> 207 CCR 2715 Designated operator did not inspect all required items and/or the inspection reports not completed. <br /> The designated operator failed to document all the alarms from the attached alarm history on the 6-4-14 designated <br /> operator monthly inspection report and failed to check that they were responded to appropriately. The missing alarms <br /> include: 5-25-14 diesel sump alarm. The 9-10-14 designated operator monthly inspection report did not have a copy of <br /> the alarm history attached. During the monthly inspection, the designated operator shall review the alarm history for <br /> the previous month, check that each alarm was documented and responded to appropriately, and attach a copy of the <br /> alarm history with documentation taken in response to any alarms to the monthly report. Ensure that designated <br /> operators performing monthly inspections at this facility are including all of the required information on the reports. This <br /> is a repeat violation, Class II. <br /> The designated operator failed to check and note the correct test dates for the secondary containment test on the <br /> 2-5-14 designated operator monthly inspection report. The secondary containment test date was listed as 2-5. It should <br /> be listed as 2-5-14. During the monthly inspection, the designated operator shall check that all required testing and <br /> maintenance for the UST system have been completed and document the dates they were done. Ensure that <br /> designated operators performing monthly inspections at this facility are including all of the required information on the <br /> reports. This is a repeat violation, Class II. <br /> Overall Inspection Comments: <br /> On site to conduct a routine inspection and witness the annual monitoring system certification testing. This <br /> completed report supersedes the checklist left with the operator on 11-19-14. <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 12-20-14. <br /> Consent to perform the inspection, take photos and collect samples was given by employee, Zulfiqar Khan. This <br /> facility's designated operator is James Williams (ICC expiration date: 6-4-15). The service technician was <br /> Alexander Tate (ICC expiration date: 3-19-15), who had the following manufacturer's certifications: Incon EXP. <br /> DATE 8-12-15 and VMI EXP. DATE 1-29-15. <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 Owner/Operator: Written Agreement (if <br /> applicable), UST Letter from Chief Financial Officer, and Owner Statement of Designated UST Operator <br /> Compliance. <br /> ALLEHD STAFF TIME ASSOCIATED WITH FAILINGTOcoMPLY BYTHEABOVE NOTED DATESVOLLBE BILLED AT THE CURRENT HOURLY RA-I-E. <br /> THIS FACILITY IS SUBJECT TO REINSPECTION AT ANYTIME AT EHD'S CURRENT HOURLY RATE. <br /> Received By(signature v tle: Date: <br /> Received By(printed name): , Inspector: Inspector Phone: <br /> 11 ARTS VELOSO, Senior REHS (209)468-3453 <br /> Page 5 of 5 <br />