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SANJ OA U I Environmental Health Department <br /> COUNTY <br /> — <br /> Underground Storage Tank Program Inspection Report <br /> Facility Name: Facility Address: Date: <br /> FLYING J TRAVEL PLAZA X617 1 15237 N Thornton Rd Lodi Aril 23 2019 <br /> The monitoring system certification was conducted on 4/23/19 and was not witnessed by EHD in its entirety. <br /> Looked inside all sumps and car-side UDCs. (Truck-side UDCs are attached to an aboveground tank system.) <br /> Verified sensor locations and piping communication. Fuel filters were not contained within UDCs. Liquid was <br /> observed in the 91 fill sump,87 east (tank 4)fill sump) and 87 east (tank 4) STP sump. According to the work <br /> order provided to the site by the technician, all items passed. <br /> The paperwork inspection was conducted on 4/25/19. A complete report was provided at that time. <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 May 25, 2019. <br /> NOTE: No Owner/Operator Written Agreement or Letter from the Chief Financial Officer sections were submitted <br /> in CERS. The facility is exempt from both requirements and should indicate the reason(s) for the exemptions in <br /> the CERS submittals. <br /> Starting September 1, 2018, all in-office CERS help will be provided at EHD hourly rate($152). To schedule an <br /> appointment, please call (209) 468-3420. <br /> Documents provided: Return to Compliance Certification form, schedule of free CUPA classes <br /> AFTER THE COMPLIANCE DATE, EHD WILL BILL FOR ALL TIME AND ACTIVITIES ASSOCIATED WITH BRINGING THIS <br /> FACILITY BACK INTO COMPLIANCE. <br /> THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE <br /> Received by: Date: April 25, 2019 Inspector: Inspector Phone: <br /> Printed Name and Title: STACY RIVERA, Senior REHS (209)468-3440 <br /> att Duce, General Manager <br /> FA0012979 PRO517272 SCO01 04/23/2019 <br /> EHD 23-01 Rev.09/28/2018 Page 7 of 7 Underground Storage Tank Program OIR <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />