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SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East Hazelton Avenue, Stockton, California 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: www.smgov.org/ehd <br />CONTINUATION FORM <br />Page: 5 of 5 <br />OFFICIAL INSPECTION REPORT <br />Date: 07/10/13 <br />Facility Address: Fast Lane Central Valley LLC 116 East Roth Road, Lathrop <br />Program: HW <br />SUMMARY OF VIOLATIONS <br />CLASS I, CLASS II, or MINOR -Notice to Comply) <br />135. Failed to submit a written response within 30 days of receiving an inspection report. An <br />Underground Storage Tank and Hazardous Waste official inspection report documented on 06/20/13 <br />was provided to the Store Manager which a faxed copy was sent to Operations Manager. Neither a <br />written response nor a "Return to Compliance" was received by EHD within the due date by 07/30/13. A <br />Return to Compliance follow up letter for non -submittal for UST and HW was issued and mailed on <br />08/27/12. The certified mail was accepted and signed by the corporate office on 08/29/12. A written <br />response for 2012 year has been yet to be received by EHD. <br />Submit to SJC EHD within 30 days (08/12/13): <br />1. one copy of the completed "Return to Compliance Certification" form for 2013 HW report <br />2. one copy of the completed "Return to Compliance Certification" form for 2012 HW & UST report <br />3. a written corrective action statement for each violation for 2013 HW report <br />4. a written corrective action statement for each violation for 2012 HW & UST report <br />5. requested/ supporting documentation for HW & UST reports <br />Notes: <br />- CERS data incomplete. Missing data on Hazardous Material Inventory, Emergency Response & <br />Training Plans & Underground Storage Tanks & other CUPA data. Facility data is incomplete. If you <br />have any questions, make an appointment with Thuy Tran, Sr. REHS, ph 209-468-8257. <br />- CERS ID: <br />10063345 - Fast Lane Central Valley, Lathrop 10112680 - Fast Lane Gas #2, Healdsburg <br />10114963 - Fast Lane Gas #1, Santa Rosa 10158569 - Fast Lane #4, Truckee <br />- 2012 HW & UST report provided. <br />- 2013 HW & UST photos provided. <br />ALL EHD STAFF TIME ASSOCIATED WITH FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL BE BILLED AT THE CURRENT HOURLY RATE. <br />THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT END'S CURRENT HOURLY RATE. <br />EHD Inspector: <br />Receiv y: <br />Title: <br />Thuy Tran (209) 468-8257 <br />—7y --G <br />EHD 23-02-003 Rev 04/19/12 CONTINUATION FORM <br />