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SAN JOARU <br />.�_,uN I <br />Environmental Health Department <br />Underground Storage Tank Program Inspection Report <br />Facility Name: <br />Facility Address: <br />Date: <br />UNFI GROCERS DISTRIBUTION, INC <br />1990 N PICCOLI RD, STOCKTON <br />November 10, 2022 <br />Single -Walled Non -Pressurized Piping <br />404 <br />CCR 2643(e), 2661(f) <br />Failure to conduct 0.1 gph test on single -walled gravity piping biennially or post repair (pre -1984) <br />❑ V ❑ R ❑ COS <br />Other Violations <br />2010 <br />See below <br />Unlisted General violation <br />❑ V ❑ R ❑ COS <br />SUMMARY OF VIOLATIONS <br />(CLASS I, CLASS II, or MINOR - Notice to Comply) <br />Item # <br />Remarks <br />107 <br />HSC 25292.2; CCR 2711(a)(11) Failure to submit and maintain complete and current financial responsibility <br />documents. <br />OBSERVATION: Current financial responsibility documents were not found on site. The most recent financial <br />responsibility and insurance documents found on site expired in July 2022. <br />REGULATION GUIDANCE: A copy of current financial responsibility documents are required to be maintained on <br />site. <br />CORRECTIVE ACTION: Immediately obtain a copy of the facility's current financial responsibility documents and <br />maintain a copy on site. <br />This is a repeat violation, Class ll. <br />115 <br />CCR 2638(c), 2638(d) Failure to submit "Monitoring System Certification Form" within 30 days of completion of the <br />test. <br />OBSERVATION: A monitoring system certification and leak detector testing were performed on 11 /8/21. A test <br />report has not been submitted to the EHD or the California Environmental Reporting System (CERS). <br />REGULATION GUIDANCE: A copy of the test report must be submitted within 30 days of the test. <br />CORRECTIVE ACTION: Immediately provide this report to the EHD. <br />This is a Class II violation. <br />116 <br />CCR 2637.1(d), 2637.1(e) Failure to submit the "Spill Container Testing Report Form" within 30 days. <br />OBSERVATION: Spill container testing was performed on 11/8/21. A test report has not been submitted to the EHD <br />or the California Environmental Reporting System (CERS). <br />REGULATION GUIDANCE: A copy of the test report must be submitted within 30 days of the test. <br />CORRECTIVE ACTION: Immediately provide this report to the EHD. <br />This is a Class II violation. <br />FA0003826 PR0231820 SCO01 11/10/2022 <br />EHD 23-01 Rev. 9/20/2019 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.sjcehd.com <br />