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S A N J D AR I N Environmental Health Department <br /> UU ;'�j i Y <br /> Underground Storage Tank Program Inspection Report <br /> Facility Name: Facility Address: Date: <br /> 7-ELEVEN INC#32190 4943 S HWY 99 , STOCKTON April 28, 2023 <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 /> 208 CCR 2716(a-e) Failure to comply with the designated operator inspection requirements. <br /> OBSERVATION: The following were not attached to the designated operator inspection reports: <br /> -The DO report of 4/13 and 3/17/2023 did not include work orders relating to liquid that was removed from the 87, <br /> 89 and 91 fill and vapor containers and repairs of 89 and 91 fill container drain valves. <br /> REGULATION GUIDANCE: The designated operator visual inspection report shall include: <br /> -a copy of documentation demonstrating action taken in response to each compliance issue identified during the <br /> previous inspection <br /> -a copy of the alarm history since the previous inspection <br /> -a copy of documentation demonstrating action taken in response to each alarm since the previous inspection <br /> -a list of each alarm since the previous inspection for which there is no documentation of the alarm condition and <br /> action taken in response <br /> CORRECTIVE ACTION: Ensure all required documents are attached to future designated operator inspection <br /> reports. <br /> This is a minor violation. <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 05/28/2023. <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 /> ($156). To schedule an appointment, please call (209)468-3420. <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: April 28, 2023 Inspector: Inspector Phone: <br /> Printed Name and Title: PAUL NSO, EH Specialist (209)616-3049 <br /> Sean Augustine, Environmental Contact. <br /> FA0007458 PR0506488 SCO01 04/28/2023 <br /> EHD 23-01 Rev.12/06/2021 Page 4 of 4 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 />