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SANJ OA U I Environmental Health Department COUNTY — underground Storage Tank Program Inspection Report Facility Name: Facility Address: Date: Pacific Service Station 6131 PACIFIC AVE, STOCKTON August 05, 2019 Other Violations 2010 1 See below Unlisted General violation V ❑R ❑COS SUMMARY OF VIOLATIONS (CLASS I,CLASS II,or MINOR-Notice to Comply) Item# Remarks 103 HSC 25292.2, 25299.30 Failure to submit and maintain complete and current financial responsibility documents. Financial responsibility documents have not been submitted to the EHD. The most recent financial responsibility documents in CERS are dated 6/11/18. Current financial responsibility documents are required to be submitted annually. Immediately log into the California Environmental Reporting System (CERS) at http://cers.calepa.ca.gov/, and upload the required documents. This is a minor violation. 105 CCR 2632(d)(1), 2634(d) Failed to have an approved UST monitoring plan. The monitoring plan is not current and/or not approved by the EHD. -The monitoring plans for all three tanks incorrectly list the monitoring panel for the tank, as a TLS 350. The panel on site is a SIMPLICITY. -The monitoring plans for all three tanks left blank the UDC panel Manufacturer and panel model # The monitoring plan must be uploaded to the California Environmental Reporting System (CERS). Immediately log into CERS, make the necessary changes, and submit for review by the EHD. This is a minor violation. 121 CCR 2712(f) Failed to submit a written response within 30 days of receiving an inspection report. An inspection was last done on August 28, 2018 and an inspection report was issued identifying information to be submitted to bring this site into compliance. This information was required to be submitted by September 27, 2018 . This information has not been received resulting in a non-compliant status for this facility. An operator that receives an inspection report shall have 30 days to submit a written response that includes a statement documenting corrective actions taken or proposing corrective actions which will be taken. Ensure that a written response documenting corrective actions taken or proposed is submitted within 30 days of receiving an inspection report. This is a Class II violation. 202 CCR 2715(c)(3), 2715(c)(4) Failure to maintain the "Facility Employee Training Certificate" on-site (after October 1, 2018). The Facility Employee Training Certificate did not included the designated operator date of training (section IV). All site employees must be trained prior to taking responsibility as a facility employee if after October 1, 2018, or within 30 days of hire if prior to October 1, 2018. The Facility Employee Training Certificate shall contain accurate information for all employees trained. Update the Facility Employee Training Certificate to contain the accurate information and submit a copy of the updated form to the EHD. This is a minor violation. FA0002324 PR0231223 SCO01 08/05/2019 EHD 23-01 Rev.09/28/2018 Page 4 of 6 Underground Storage Tank Program OIR 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com