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F- 'I <br />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.sigov.org/ehd <br />Underground Storage Tank Program Inspection Report <br />Facility Name: <br />Facility Address: <br />Date: <br />SHELL FOOD MART <br />2320 N EL DORADO ST, STOCKTON <br />February 11, 2015 <br />SUMMARY OF VIOLATIONS <br />(CLASS I, CLASS 11, or MINOR - Notice to Comply) <br />Item # <br />Remarks <br />207 <br />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 June 2014, July 2014, <br />November 2014, and December 2014 designated operator monthly inspection report and failed to check that they were <br />responded to appropriately. The missing alarms include: <br />Q 1: Premium PLLD Shutdown Alarm on June 2, 2014, July 25, 2014, November 28, 2014 and December 5, 2014. <br />Q 2: Regular Fuel Out on June 14, 2014 and July 10, 2014. <br />L 1: 91 STP Sensor Out Alarm on June 2, 2014. <br />L 5: 87 Annular Space High Liquid and Low Liquid Alarm on June 26, 2014. <br />L 6: DSL Annular Space High Liquid Alarm on July 3, 2014 and twice on July 6, 2014. <br />During the monthly inspection, the designated operator shall review the alarm history for the previous month, check that <br />each alarm was documented and responded to appropriately, and attach a copy of the alarm history with <br />documentation taken in response to any alarms to the monthly report. Ensure that designated operators performing <br />monthly inspections at this facility are including all of the required information on the reports. This is a minor violation. <br />Overall Inspection Comments: <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 March 11, 2015 . <br />Consent to perform the inspection, take photos and collect samples was given by Robert Lutz the Owner. This <br />facility's designated operator is Robert Lutz (ICC expiration date: 12-22-16 ) . The service technician was Dave <br />Winkler (ICC expiration date: 3-3-16 ), who had the following manufacturer's certifications: VR, 2-10-16, VMI, <br />11-10-15, Tank Tester 3-31-17. <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 />NOTE: Verified sensors placed at lowest point. <br />ALL EHD STAFF I IML Ab5UU1A!AU NTH FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL BE BILLED AT THE CURRENT HOURLY RATE. <br />THIS FACILITY IS SOBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br />Received �y (�ture): <br />/r�� <br />Title: ,, <br />V, c. l ji'� s C� c ,—� <br />Date: <br />2-11111-5— <br />Received By (printed name): <br />�``�� <br />Inspector: <br />Inspector Phone: <br />Xc�!`��'i-I m' <br />FATINAH ZAREEF, REHS <br />(209) 953-7311 <br />Page 4 of 4 <br />