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A NJ O A Q U l N Environmental Health Department <br /> COUNTY— <br /> Underground Storage Tank Program Inspection Report <br /> Facility Name: Facility Address: Date: <br /> ADELFO'S ARCO AM/PM 3443 CHEROKEE RD, STOCKTON December 28, 2021 <br /> SUMMARY OF VIOLATIONS <br /> (CLASS I,CLASS II,or MINOR-Notice to Comply) <br /> Item# Remarks <br /> 203 CCR 2712(b)(1-2)Failure to maintain monitoring records for 36 months and maintenance records for 60 months. <br /> OBSERVATION: The following maintenance and monitoring records for the last three years were not found on site: <br /> -The 12/20/2019 overfill prevention equipment inspection form. <br /> REGULATION GUIDANCE: These records shall be maintained on site for at least three years. Monitoring records <br /> include: (1)date and time of all monitoring or sampling; (2)monitoring equipment calibration and maintenance <br /> records; (3)results of any visual observations; (4)results of sample analysis performed a lab or in the field; (5)logs <br /> of all readings of gauges or other monitoring equipment, ground water elevations, or other test results; (6)results of <br /> inventory readings and reconciliations. <br /> CORRECTIVE ACTION: Immediately locate and maintain all missing maintenance and monitoring records for the <br /> last three years on site and submit copies to the EHD. <br /> This is a repeat violation, Class II. <br /> 208 CCR 2716(a-e)Failure to comply with the designated operator inspection requirements. <br /> OBSERVATION: Designated operator reports were not signed and did not contain corrective actions for compliance <br /> issues within the required time frame. <br /> -The 12/22/21, 10/4/21, 9/7/21, 8/9/21 designated operator reports were not signed by the owner/operator. <br /> -The 10/4/21, 9/7/21, 8/9/21, 6/7/21, and 2/26/21 designated operator reports did not contain a description of each <br /> corrective action taken or to be taken on identified compliance issues. <br /> REGULATORY GUIDANCE:Within 48 hours of the completion of the designated UST operator visual inspection, <br /> the designated operator shall sign and provide the owner or operator with a copy of the inspection report. Within 72 <br /> hours of being provided a signed copy of the report,the owner or operator shall provide a description of each <br /> corrective action taken or to be taken and shall sign and date the report, acknowledging the identified compliance <br /> issues. <br /> CORRECTIVE ACTION: Ensure all designated operator inspection reports are completed and signed within the <br /> required time frame in the future. <br /> -------------------------------------------------------------------------------------- <br /> OBSERVATION: The designated operator failed to check and note the correct test dates for the overfill prevention <br /> equipment inspection and the monitoring system certification on the designated operator inspection reports. The <br /> correct date for the overfill prevention equipment inspection is 12/20/2019, and for the monitoring system <br /> certification is 12/21/2020. <br /> REGULATION GUIDANCE: During the inspection, the designated operator shall check that all required testing and <br /> maintenance for the UST system have been completed and document the dates they were done. <br /> CORRECTIVE ACTION: Ensure that designated operators performing inspections at this facility are including all of <br /> the required information on the reports. <br /> This is a repeat violation, Class II. <br /> FA0024482 PR0542573 SCO01 12/28/2021 <br /> EHD 23-01 Rev.12/06/2021 Page 5 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.sjgov.org/EHD <br />