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SAN JOAQUIN <br />COUNTY <br />Environmental Health Department <br />Underground Storage Tank Program Inspection Report <br />Facility Name: <br />Facility Address: <br />Date: <br />ARCO 05450 <br />1617 W FREMONT ST, STOCKTON <br />July 13, 2020 <br />Other Violations <br />2010 <br />See below <br />Unlisted General violation <br />❑ V ❑ R ❑ COS <br />SUMMARY OF VIOLATIONS <br />(CLASS I, CLASS II, or MINOR - Notice to Comply) <br />Item # <br />Remarks <br />104 <br />CCR 2711 UST operating permit application for facility and tank information not submitted or current. <br />OBSERVATION: The UST Facility Operating Permit Application contains an incorrect California Department of Tax <br />and Fee Administration (CDTFA) Underground Storage Tank Account Number. <br />REGULATION GUIDANCE: The application for a permit to operate an underground storage tank shall include the <br />CDTFA registration number issued to the owner of the tank, in accordance with HSC 25286. <br />CORRECTIVE ACTION: Immediately log into the California Environmental Reporting System (CERS), update the <br />required information, and submit for review by the EHD. <br />This is a Class II 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 08/12/2020 <br />To minimize person to person contact EHD is choosing to write the name of person receiving the report instead <br />of having them sign. Starting September 1, 2018, all in -office CERS help will be provided at EHD hourly rate <br />($152). To schedule an appointment, please call (209) 468-3420. <br />Documents provided during inspection: Return to compliance certification form, corrective action statement form <br />and a list of approve CUPA free training classes. <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: Date: July 13, 2020 <br />Inspector: <br />Inspector Phone: <br />Printed Name and Title: <br />PAUL NSO, EHS Trainee <br />(209) 468-3432 <br />Stacey Shipp, Manager <br />FA0003606 PR0231923 SCO01 07/13/2020 <br />EHD 23-01 Rev. 9/20/2019 Page 4 of 4 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 />