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SAN J 0 A Q I I I Irl Environmental Health Department CCUNT Underground Storage Tank Program Inspection Report Facility Name: Facility Address: Date: PG&E: Stockton Service Center T4040 West Ln, Stockton September 24, 2021 Other Violations 2010 See below Unlisted General violation ❑V ❑R ❑COS SUMMARY OF VIOLATIONS (CLASS I,CLASS II,or MINOR-Notice to Comply) Item# Remarks 208 CCR 2716(a-e) Failure to comply with the designated operator inspection requirements. OBSERVATION: The following monthly designated operator inspection report issues were observed: -The designated operator failed to check and note the correct test dates for the overfill prevention and secondary containment testing. -An outdated form was used from 10/2020 through 02/2021. REGULATION GUIDANCE: During the inspection, the designated operator shall check that all required testing and maintenance for the UST system have been completed and document the dates they were done. The results of the designated UST operator(s)visual inspection shall be recorded on the"Designated Underground Storage Tank Operator Visual Inspection Report"located in Appendix XIII (California Code of Regulations Title 23) CORRECTIVE ACTION: The test dates were corrected on site. Ensure that designated operators performing inspections at this facility are including all of the required information on the reports and ensure that the inspections are documented on the most current form. This is a minor violation. 209 CCR 2715(c)(3), 2715(c)(4) Failure to maintain a copy of the"Facility Employee Training Certificate"on-site. OBSERVATION: The Facility Employee Training Certificate is not being used to record the designated operator employee trainings. The facility had documentation of the designated operator training dated 1/15/21, however, it was not on the state form. REGULATION GUIDANCE: On and after October 1, 2018, upon completion of the facility employee training,the designated UST operator(s)shall provide a signed"Facility Employee Training Certificate,"located in Appendix XII (California Code of Regulations Title 23),to the owner or operator for facility employees that have received training. The certificates shall be maintained on-site or off-site at a readily accessible location, if approved by the local agency, and provided to the local agency upon request. CORRECTIVE ACTION: Document all designated operator employee trainings on the"Facility Employee Training Certificate"and provide the EHD with a copy. This is a minor violation. Overall Inspection Comments: Complete and submit a copy of the Return to Compliance Certification form to the EHD with a statement documenting the corrective actions that have been or will be taken for each violation, and any supporting paperwork, by October 24, 2021. To minimize person to person contact EHD is choosing to write the name of person receiving the report instead of having them sign. Starting September 1, 2018, all in-office CERS help will be provided at EHD hourly rate ($152). To schedule an appointment, please call (209)468-3420. FA0006445 PR0231963 SCO01 09/24/2021 EHD 23-01 Rev.9/16/2020 Page 4 of 5 Underground Storage Tank Program OIR 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/EHD