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SAN J O A Q U I N Environmental Health Department Underground Storage Tank Program Inspection Report Facility Name: Facility Address: Date: Mossdale Chevron 444 W MOSSDALE RD LATHROP June 13 2019 SUMMARY OF VIOLATIONS (CLASS I, CLASS II, or MINOR-Notice to Comply) Item# Remarks 113 CCR 2638(c), 2638(d) Failure to submit"Monitoring System Certification Form" within 30 days of completion of the test. Annual monitoring system certification, leak detector testing, and spill container testing was performed on 6/13/2018 and a test report was submitted on 12/14/18, 6 months late. A copy of the test report must be submitted within 30 days of the tests. Take all necessary precautions to ensure testing and submittal of test reports are performed in a timely manner. This is a minor violation. 202 CCR 2715(c)(3), 2715(c)(4) Failure to maintain the "Facility Employee Training Certificate" on-site (after October 1, 2018). The designated operator employee training for Ashmeet Kaur was not performed. The designated operator shall train facility employees for which he or she is responsible in the proper operation and maintenance of the UST system once every 12 months. The training shall include, but is not limited to: 1. Operation of the UST system in a manner consistent with the facility's best management practices 2. Employee's role with regard to monitoring equipment as specified in the facility's monitoring plan 3. Employee's role with regard to spills and overfills as specified in the facility's response plan 4. Name of the contact person(s) for emergencies and monitoring equipment alarms Ensure that employees have been trained by the designated operator, maintain the list on site, and submit a copy of the training records to the EHD. This is a minor violation. 204 CCR 2712(i) Current monitoring plan approved by the EHD not found on site. An approved copy of the monitoring plans were not available for inspection. A copy of these plans shall be accessible on site at all times. Immediately locate and retain a copy on site. This is a minor violation. 209 CCR 2716(a-e) Failure to conduct the designated UST operator visual inspection at least once every 30 days. The designated operator failed to check and note the following required items on the visual inspection reports. -CERS ID was not included on the inspection reports. -The 'UNK in sections VII through XI were not explained. -Section VI of the report was missing a signature of the UST owner/operator. -The designated operator monthly inspection reports listed 3-22-16 as the secondary containment test date, however, according to test results on site, secondary containment testing was completed on 3-27-16. -Overfill prevention test information was left blank. During the visual inspection, the designated operator shall check all required testing and maintenance for the UST system have been completed and shall check all required items on the report. Ensure that designed operators performing visual inspections at this facility are including all of the required information on the reports. This is a minor violation. FA0000212 PR0231692 SCO01 06/13/2019 EHD 23-01 Rev.09/28/2018 Page 5 of 7 Underground Storage Tank Program OIR 1868 E. Hazelton Avenue I Stockton, California 952051 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com