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COMPLIANCE INFO_2013-2018
Environmental Health - Public
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2300 - Underground Storage Tank Program
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PR0231488
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COMPLIANCE INFO_2013-2018
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Last modified
8/12/2021 12:06:22 PM
Creation date
6/23/2020 6:49:38 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2013-2018
RECORD_ID
PR0231488
PE
2361
FACILITY_ID
FA0003910
FACILITY_NAME
H&M - BW #98
STREET_NUMBER
2501
STREET_NAME
JACKSON
STREET_TYPE
AVE
City
ESCALON
Zip
95320
CURRENT_STATUS
01
SITE_LOCATION
2501 JACKSON AVE
P_LOCATION
06
P_DISTRICT
005
QC Status
Approved
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SJGOV\rtan
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FilePath
\MIGRATIONS\UST\UST_2361_PR0231488_2501 JACKSON_2013-2018.tif
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EHD - Public
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0 0 <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 />CONTINUATION FORM <br />Page: 4 of 4 <br />OFFICIAL INSPECTION REPORT <br />Date: 08/06/14 <br />Facility Address: 2501 Jackson Ave, Escalon <br />Program: UST <br />SUMMARY OF VIOLATIONS <br />CLASS I, CLASS II, or MINOR -Notice to Comply) <br />205. The December 2013 and May 2014 designated operator monthly inspection reports were not found <br />on site. Designated operator monthly inspection reports for the previous twelve months shall be <br />retained on site. Locate and ensure that copies of the previous twelve months of designated operator <br />monthly inspection reports are maintained on site. Submit copies to the EHD by September 7, 2014. <br />MINOR- Notice to Comply: 105, 106, 109, 999 <br />105. UST Tank Information forms for tanks TA0507895 and TA0507897 are not current in CERS. Any <br />change of information must be updated in CERS within 30 days of the changes. Immediately log into <br />CERS, update the required information per the submittal comments provided in CERS, and submit for <br />review by the EHD. Complete a separate tank form for each tank. <br />106. The monitoring plan for TA0507896 tank is not current and not approved by the EHD. The <br />monitoring and response plans must be current and approved by the EHD. Immediately log into CERS, <br />update the required information per the submittal comments provided in CERS, and submit for review by <br />the EHD. Complete a separate record for each tank. <br />109. Annual monitoring system certification, leak detector testing, and spill container testing was <br />conducted on 8-8-2013 and a test report was submitted to the EHD on 10-4-2013. A copy of the test <br />report must be submitted within 30 days of testing. Ensure that future test reports are submitted to the <br />EHD within the requisite time frame. <br />999. According to the California Environmental Reporting System (CERS) upload, dated 4/1/2014, <br />the existing Owner Statement of Designated Operator is being stored at facility. Facility <br />operators are now required to upload the following UST program documents into the California <br />Environmental Reporting System (CERS): UST Monitoring Site Plan, UST Certification of <br />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 <br />Operator Compliance. Immediately log into CERS and upload the required information <br />Complete and submit a copy of the Return to Compliance Certification form with a statement of how <br />each violation was corrected, including supporting documentation, by September 7, 2014. <br />Provided: <br />-Return to Compliance Certification <br />-Schedule of Free Classes <br />ALL EHD STAFF TIME ASSOCIATED WITH FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL BE BILLED AT THE CURRENT HOURLY RATE. <br />THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br />EHD Inspector: <br />Received By: <br />Title: <br />Elena Manzo (209) 953-7699 <br />EHD 23-02-003 Rev 04/19/12 CONTINUATION FORM <br />
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