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� � ' Environmental Health Department <br /> Facility Name; Facility Address: Date; <br /> 99 SHELL'' 7700 MORELAND ST, STOCKTON August 2.4, 20 1 <br /> Item A Remarks <br /> 208 CCR 2716(a-e)Failure to comply with the designated o erator i s e uireme ts. <br /> 1) OBSERVATION: Design'a a operator reports were not signed within the required time frame. 'T Isf <br /> -The 9i8/2020 designated operator report was no 'signed by the owrnr,operator. <br /> REGULATORY GUIDANCE:lnlithin 48 hours of the completion of the designated UST operator visual inspection, <br /> the designated operator shall sign and provide the owner or erator with a co of the ins ection r�pgrt. 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 Com121l811c� <br /> issues. i <br /> CORRECTIVE ACTION: Ensure all designated operator inspection reports are completed and signed within the <br /> required time frame in the future. e Til e—C <br /> H " v3 C ice_ v �..p--� Pte' <br /> 'a. 1 dv S E 4 o jz tr eb-9-7"14-:7-0 <br /> 7`t.r� ��o <br /> o kr "' a. b U er -ro c o.✓ t i f� �►r a E-t A-IV e,% � SN <br /> 1 a � 4w c 14"rV Pr 4ti�"1�1GOV 4.0 VV �t7 S.O <br /> 2' OBSERVATION:The do at d er for ed toNctl .k._and..ngte all required Items on the visual inspection ..4-0 V e <br /> reports. The incorrect and missing info ation ind�uaed the following from"tYi inpec"%ion repos` Jr. <br /> -The designated operator answered the question regarding sump sensor locations but did nmot list which sus wefe <br /> visuaiied. `�" <br /> REGULATION GUIDANCE: During the(visual Inspection,the designated operator shall check that all required <br /> testing and maintenance for the UST s�stem have been com'_'j3kfet01 n shall chec all r®pulls rem on the report. <br /> CORRECTIVE ACTION:'Ensure that d signaled operators performing visual inspections at this facility are including <br /> all of the required information on the re�orts. .,,. <br /> This is a repeat violation, CI ss II I �ft V Z; �^' Brae' IF� <br /> 209 CCR 2715(c)(3),2715(c)(4)Failure to maintain a copy of the"Facility Ern loyee Training Certificate"on-site. <br /> OBSERVATION:The Facility Employee Training Certificate dated 8/3/201 is missing initial training dates. <br /> REGULATION GUIDANCE:All site em loyees must be trained prior to taking responsibility as a facility employee if <br /> after October 1, 2018, or within 30 days of hire if prior to October 1, 2018- The Facility Employee Training <br /> Certificate shall contain accurate inforrr afion for all employees trained- <br /> CORRECTIVE <br /> rained_ <br /> i <br /> CORRECTI yE ACTION: Update the F� litty Employee Training Certificate.to..eorttain the,accurate information,and _ <br /> ci .... <br /> submit a co of the updated form too. D. <br /> (�•. <br /> �Y � -S• to . <br /> This is a glass II violation. <br /> { M h L x01D V L To E-4 ti--�J R Cis t` <br /> L i eS D J)Lf 12q <br /> (4 t_ ,� t Y-0 �- <br /> CV% rrL. ; --rt�'I.. v u' oi../1�t. w k I+L• — FO 1 0231818 SCO 1 08124rD21 <br /> ENO 23-61 Rev.9/16/2620 <br /> Page 5 of 6 Underground Storage Tan Program Dln <br /> R e c e 1 v e d T i m eHS a p, 14. 'e2 0 21 6 . 27 ANW o, 6 9 0 5-)205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.orgfEHD <br />