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SAN JOAQUIN <br />CCUNT <br />Environmental Health Department <br />Underground Storage Tank Program Inspection Report <br />Facility Name: <br />Facility Address: <br />Date: <br />Verizon Business: KINGCA <br />13850 N DE VRIES RD, LODI <br />August 17, 2021 <br />SUMMARY OF VIOLATIONS <br />(CLASS I, CLASS II, or MINOR - Notice to Comply) <br />Item # <br />Remarks <br />208 <br />CCR 2716(a -e) Failure to comply with the designated operator inspection requirements. <br />OBSERVATION: Designated operator reports were not signed within the required time frame. <br />-The 01/06/2021 designated operator report was signed by the owner/operator on 01/11/2021. <br />-The 02/02/2021 designated operator report was signed by the owner/operator on 02/08/2021. <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 />This is a repeat violation, Class II. <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 September 16, 2021. <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: inspection report, return to compliance certification, corrective action <br />statement and list of free CUPA 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: August 17, 2021 <br />Inspector: <br />Inspector Phone: <br />Printed Name and Title: <br />VICKY VANG-LEE, EH Specialist <br />(209) 616-3028 <br />Emailed to Zachary Feingold, Environmental Contact <br />FA0003848 PR0231547 SCO01 08/17/2021 <br />EHD 23-01 Rev. 9/16/2020 Page 5 of 5 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 />