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SAN J O A O [ IN <br /> R E C E I V E D FEB 0 61019 Environmental Health Department <br /> U ISI II' y ' v <br /> Underground Storage Tank Program Inspection Report <br /> Facility Name: Facility Address : Date: <br /> CHEVRON STATION #209167 1234 E YOSEMITE AVE , MANTECA February 06, 2019 <br /> SUMMARY OF VIOLATIONS <br /> (CLASS I, CLASS ll, or MINOR - Notice to Comply) <br /> Item # Remarks <br /> 121 CCR 2712(f) Failed to submit a written response within 30 days of receiving an Inspection report <br /> An inspection was last done on 2/1 / 18 and an inspection report was issued identifying information to be submitted to <br /> bring this site into compliance on 2/12/18 This information was required to be submitted by 3/14/18. This <br /> information was received on 4/23/18, over a month late , resulting in a non-compliant status for this facility. An <br /> operator that receives an inspection report shall have 30 days to submit a written response that includes a <br /> statement documenting corrective actions taken or proposing corrective actions which will be taken . Ensure that a <br /> written response documenting corrective actions taken or proposed is submitted within 30 days of receiving an <br /> inspection report <br /> This is a Class it violation <br /> Overall Inspection Comments : <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 March 8th , 2019 . <br /> Document reviewed : Monitoring system certification test results from 2016 , 2017 , 2018 Secondary containment <br /> 2017 , corrosion protection test results , employee training , response plan, maintenance records, monitoring plan , <br /> financial responsibility documents and designated operator monthly inspection reports from February 2018- <br /> February 2019 . <br /> Documents provided : Return to compliance certification <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 /> AFTER THE COMPLIANCE DATE, EHD WILL BILL FOR ALL TIME AND ACTIVITIES ASSOCIATED WITH BRINGING <br /> THIS FACILITY BACK INTO COMPLIANCE, <br /> THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD' S CURRENT HOURLY RATE. <br /> Received by <br /> Date: February 06 , 2019 Inspector Inspector Phone; <br /> Printed Name and Title: ZUNA BARKER , REHS (209) 953-7311 <br /> Teresa Kennedy, Manager <br /> FA0012532 PR0516248 SCO01 021062019 <br /> EHD 23-01 Rev 09/2812018 Page 4 of 4 Underground Storage Tank Program OIR <br /> 1868 E. Hazelton Avenue Stockton, California 95205 T 209 468-3420 I F 209 464-0138 1 www. sjcehd . com <br />