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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.sigov.org/ehd/unitiii.htmi CONTINUATION FORM Page: 3 of 3 OFFICIAL INSPECTION REPORT Date: 05/23/11 Facility Address: 444 Mossdale Road, Lathrop Program: UST SUMMARY OF VIOLATIONS (CLASS I, CLASS 11, or MINOR -Notice to Comply) UST Inspection Report 3. Facility lack new tank forms. Any change of information on these forms must be submitted to the EHD within 30 days of the changes. Immediately complete and submit a copy of the facility and tank forms to the EHD. Complete a separate tank form for each tank. 6. Approved copies of the monitoring and response plans were not found on site. Copies of these plans shall be retained on site at all times. Immediately locate and retain a copy on site. 23c. The January, 2011, designated operator monthly inspection report was not found on site. Designated operator monthly inspection reports for the previous twelve months shall be retained on site. Locate and ensure that copies of the previous twelve months of designated operator monthly inspection reports are maintained on site. Submit copies to the EHD within 30 days of receiving this report. The DO for the facility was on site at the time of inspection and provided a reprint of the January, 2011, report. 23d. The designated operator employee training for Jagi and Sandi, hired in November, 2010, was not performed. The designated operator shall train facility employees for which he or she is responsible in the proper operation and maintenance of the UST system once every 12 months. The training shall include, but is not limited to: 1. Operation of the UST system in a manner consistent with the facility's best management practices 2. Employee's role with regard to monitoring equipment as specified in the facility's monitoring plan 3. Employee's role with regard to spills and overfills as specified in the facility's response plan 4. Name of the contact person(s) for emergencies and monitoring equipment alarms Ensure that employees have been trained by the designated operator, maintain the list on site, and submit a copy of the training records to the EHD within 30 days of receiving this report. Notes Complete and submit a copy of the Return to Compliance Certification form with a statement of how each violation was corrected, including supporting documentation, within 30 days of receiving this report. Provided blank tank forms to be fill out by the facility and submitted to this office ALL EHD STAFF TIME ASSOCIATED WITH FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL BE BILLED AT THE CURRENT HOURLY RATE ($122. THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. EHD Inspector: Received By: Title: EHD 23-02-003 Rev 08/10/10 I CONTINUATION FORM