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SA 'l7bx��l � Environmental Health Department N3JOAQUIN V_ y�� —COUNTY— Underground OUNTYUnderground Storage Tank Program Inspection Report Facility Name: Facility Address: Date: WINE COUNTRY STATION/7-ELEVEN I 1111 E KETTLEMAN LN, LODI June 26, 2019 SUMMARY OF VIOLATIONS (CLASS I,CLASS II,or MINOR-Notice to Comply) Item# Remarks 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 document one or more of the following: On the 10/25/18, 11/16/18, 12/16/18, 1/18/19, 2/13/19, 3/13/19,4/11/19 and 5/10/19designated operator(DO) inspection report under -Section III The DO failed to add a description to all the components marked N/A or N from section VII through XI. -Section V The owner/operator failed to provide explanation of follow-up actions that will be taken for the statement provided by the DO in section III. -Section VI The OWNER/OPERATOR failed to provide at least one of the following: name, signature, and date within 48 hours of receiving the DO report under the ACKNOWLEDGMENT OF COMPLIANCE ISSUES section. -Section VII The DO fail to mark yes or No for the question"Has each follow-up action of section III from the previous inspection been completed appropriately?" -Section VIII The designated operator failed to attached documentations as required by this section. The DO failed to mar YES, NO or N/A under the question"Has the tank tightness testing been completed within required timeframes?"and"Has the line tightness testing been completed within the required timeframes?" Furthermore the DO did not conduct an inspection with 30 days of the previous inspection.The DO inspected the facility on 12/16/18 and on 1/18/19. The DO report was conducted 33 days after the 12/16/18 inspection and not within 30 days as stated by regulation. During the designated operator inspection,the designated operator shall review the alarm history for the previous month, check that each alarm was documented and responded to appropriately, and attach a copy of the alarm history with documentation taken in response to any alarms to the monthly report. Ensure that designated operators performing inspections at least once every 30 days at this facility and are including all of the required information on the reports. This is a repeat violation, Class II. 210 CCR 2716(f) DO monthly reports not maintained on site for 12 months or for 36 months(after October 1, 2018). The June 2018 and June 2019 designated operator monthly inspection reports were not found on site. Designated operator monthly inspection reports for the previous twelve months shall be retained on site. Locate and ensure that copies of the previous twelve months of designated operator monthly inspection reports are maintained on site. Submit copies to the EHD. This is a repeat violation, Class II. FA0007594 PRO506724 SCO01 06/26/2019 EHD 23-01 Rev.09/28/2018 Page 5 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