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SAN J O A R N Environmental Health Department <br /> i y �V <br /> Underground Storage Tank Program Inspection Report <br /> Facility Name: Facility Address: Date: <br /> ESCALON MINI MART 1097 YOSEMITE AVE, ESCALON December 18, 2020 <br /> SUMMARY OF VIOLATIONS <br /> (CLASS I,CLASS II,or MINOR-Notice to Comply) <br /> Item# Remarks <br /> CORRECTIVE ACTION: Ensure all future designated operator inspections are recorded on the most current form. <br /> OBSERVATION: The following were not attached to the designated operator inspection reports: <br /> -alarm history printout for 6/14/21 <br /> -work order for the March 2021 UDC 7/8 sensor replacement <br /> -list of alarms(including 91 STP sump 12/22/20, dispenser 7/8 3/22/21, and dispenser 5/6 3/27/21) <br /> REGULATION GUIDANCE: The designated operator visual inspection report shall include: <br /> -a copy of documentation demonstrating action taken in response to each compliance issue identified during the <br /> previous inspection <br /> -a copy of the alarm history since the previous inspection <br /> -a copy of documentation demonstrating action taken in response to each alarm since the previous inspection <br /> -a list of each alarm since the previous inspection for which there is no documentation of the alarm condition and <br /> action taken in response <br /> CORRECTIVE ACTION: Ensure all required documents are attached to future designated operator inspection <br /> reports. <br /> This is a repeat violation, Class Il. <br /> 209 CCR 2715(c)(3), 2715(c)(4) Failure to maintain a copy of the"Facility Employee Training Certificate"on-site. <br /> OBSERVATION:A single Facility Employee Training Certificate was incorrectly used for multiple dates, in August <br /> 2020 and August 2021. The certificate had no CERS ID, no dates of assuming responsibility as a facility employee, <br /> and incorrect initial training dates. <br /> REGULATION GUIDANCE:All site employees must be trained prior to taking responsibility as a facility employee if <br /> after October 1, 2018, or within 30 days of hire if prior to October 1, 2018. The Facility Employee Training <br /> Certificate shall contain accurate information for all employees trained. <br /> CORRECTIVE ACTION: Update the Facility Employee Training Certificate to contain the accurate information and <br /> submit a copy of the updated form to the EHD. <br /> This is a Class II violation. <br /> FA0000279 PR0231497 SCO01 12/18/2020 <br /> EHD 23-01 Rev.9/20/2019 Page 9 of 11 Underground Storage Tank Program OIR <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />