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San Joaquin County <br />Environmental Health Department <br />1868 East Hazelton Avenue, Stockton, California95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: www.sigov.org/ehd <br />Underground Storage Tank Program Inspection Report <br />Facility Name: <br />Facility Address: <br />Date: <br />76 t,. ;,•RT <br />1701 E.YOSEMIir <br />iary29, 2015 <br />SUMMARY OF VIOLATIONS <br />(CLASS 1, CLASS II, or MINOR - Notice to Comply) <br />Item # <br />Remarks <br />HSC 25292.2 Current financial responsibility documents not submitted. <br />Financial responsibility documents have not been submitted to the EHD; the submitted documents are dated <br />11-21-2014. Current financial responsibility documents are required to be submitted annually. Immediately log into <br />the California Environmental Reporting System (CERS) at http://cers.calepa.ca.gov/, and upload the required <br />documents. <br />This is a Class 11 violation. <br />CCR 2632(d)(1)(C) Plot plan/site map not submitted or failed to completely show where monitoring is performed. <br />- <br />71 a�C'Wdle L2 1orz�t,��i iy vite Flo, i ea rs ui submittedsubmitted map doesn't identify the specific locations <br />(sensors, etc.) where monitoring is being performed. A site p,: f must be submitted identifying the locations where <br />monitoring will be performed. Immediately log into the California Environmental Reporting System (CERS) at <br />http://cers.calepa.ca.gov/ and upload a copy of the UST Monitoring Site Plan. <br />`his is a Class Il violation. <br />CCR 2715(a) Failed to inform the EHD of a change of designated operator within 30 days. <br />A neva uesignate(j opeiaior (L)U) was hifed in the begii ilii ig of 201: ipv. t« :;iL,. ,�;i_)arts) and notification was <br />not provided to the EHD within 30 days of the change. Any changes shall be reported to the EHD within 30 days. <br />Immediately log into the California Environmental Reporting System (CERS) at http://cers.calepa.ca.gov and upload <br />the notification identifying all the designated operators for this facility. <br />This is a ming ,,Jnl�tion. <br />CCR 2712(f) Failed to submit a written response within 30 days of receiving an inspection report. <br />w <br />An if was last done on 01 5 2-26-2and an inspection reporE was issue( iuerit1fy;iig itirvt -- -:,)n to be <br />submitted to bring this site into compliance. This information was required to be submitted by 3 ::_ 6-2015. Only <br />partial return to compliance documentation was received, resulting in a non-compliant status for this facility. An <br />operator that receives an inspection report shall have 30 days to submit a written response that includes a <br />statement documenting corrective actions taken or proposing corrective actions which will be taken. Ensure that a <br />written response documenting corrective actions taken or proposed is submitted within 30 days of receiving an <br />inspection report. <br />This is a Class II violation. <br />Received by <br />Inspector: <br />Phone: <br />Date: <br />(initial): <br />; rNA MANZO. Senio <br />�,'20 i <br />Pa 4of7 <br />