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SAN J 0 A Q I I I Irl Environmental Health Department <br /> CCUNTY <br /> Underground Storage Tank Program Inspection Report <br /> Facility Name: Facility Address: [D�teTESORO(SPEEDWAY)68153 2448 W KETTLEMAN LN, LODI 10, 2021 <br /> Other Violations <br /> 2010 See below Unlisted General violation ❑V ❑R ❑COS <br /> SUMMARY OF VIOLATIONS <br /> (CLASS I,CLASS II,or MINOR-Notice to Comply) <br /> Item# Remarks <br /> 208 CCR 2716(a-e) Failure to comply with the designated operator inspection requirements. <br /> OBSERVATION: The designated operator failed to check and note the correct test dates for the secondary <br /> containment testing on the June 2020 to May 2021 designated operator inspection reports. The"date last <br /> performed"for the secondary containment test was recorded on the monthly reports as 01/27/2020. Per the EHD's <br /> record, the secondary containment test was performed on 05/08/2020, 06/11/2020, and 12/14/2020. <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 ll. <br /> Overall Inspection Comments: <br /> An inspection checklist was provided to the facility operator at the time of the inspection and monitoring system <br /> certification. A paperwork inspection was performed on 06/03/2021 and a complete inspection report was <br /> provided on 06/03/2021. <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 July 3, 2021. <br /> Documents provided: inspection report, return to compliance certification and corrective action statement. <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: May 10, 2021 Inspector: Inspector Phone: <br /> Printed Name and Title: VICKY VANG-LEE, EH Specialist (209)616-3028 <br /> Grace Keller, Store Manager <br /> FA0003855 PR0231948 SCO01 05/10/2021 <br /> EHD 23-01 Rev.9/16/2020 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.sjgov.org/EHD <br />