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SAN J O A R N Environmental Health Department <br /> i , �V <br /> Underground Storage Tank Program Inspection Report <br /> Facility Name: Facility Address: Date: <br /> Fast Lane Central Valley 116 Roth Rd, Lathrop June 13, 2022 <br /> Single-Walled Non-Pressurized Piping <br /> 404 CCR 2643(e),2661(f) Failure to conduct 0.1 gph test on single-walled gravity piping biennially or post repair(pre-1984) ❑V ❑R ❑COS <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 /> 109 CCR 2715(a)(1)(B), 2715(a)(3) Failure to submit"Designated Underground Storage Tank Operator Identification <br /> Form"within 30 days. <br /> OBSERVATION:A new designated operator, Harold Largo Jr began conducting inspections on 12/22/2020 and <br /> notification was not provided to the EHD within 30 days of the change. <br /> REGULATION GUIDANCE: The owner or operator shall submit a"Designated Underground Storage Tank Operator <br /> Identification Form"no later than 30 days after any change in the designated UST operator(s). <br /> CORRECTIVE ACTION: Immediately log into the California Environmental Reporting System (CERS)at <br /> http://cers.calepa.ca.gov and upload the notification identifying all the designated operators for this facility. <br /> This is a repeat violation, Class II. <br /> 110 CCR 2715(a)(1)(A), 2715(a)(2) Failure to submit the"Underground Storage Tank Statement of Understanding and <br /> Compliance Form". <br /> OBSERVATION: The new Underground Storage Tank Statement of Understanding and Compliance Form was not <br /> found in CERS. <br /> REGULATION GUIDANCE: This form must be uploaded to the California Environmental Reporting System (CERS). <br /> CORRECTIVE ACTION: Immediately log into the California Environmental Reporting System (CERS)at <br /> http://cers.calepa.ca.gov and upload the Underground Storage Tank Statement of Understanding and Compliance <br /> Form for this facility. <br /> This is a Class II violation. <br /> 111 CCR 2637, 2638(e), 2643(g)Failed to notify the EHD 48 hours prior to conducting testing. <br /> OBSERVATION: Dispenser#17/18 was replaced on 06/23/2022 without providing notification to the EHD at least <br /> 48 hours in advance. <br /> REGULATION GUIDANCE: Notification shall be provided to the CUPA at least 48 hours in advance of testing or <br /> repairs. <br /> CORRECTIVE ACTION: Immediately take necessary action to notify EHD for any UST component repair or <br /> replacement within 48-hours. <br /> This is a Class II violation. <br /> FA0015977 PR0523684 SCO01 06/13/2022 <br /> EHD 23-01 Rev.12/06/2021 Page 4 of 8 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 />