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S A N J 0 A Q I I I Irl Environmental Health Department <br /> CCUNT <br /> Underground Storage Tank Program Inspection Report <br /> Facility Name: Facility Address: Date: <br /> WOODBRIDGE AM PMS 18806 N LOWER SACRAMENTO RD, April 24, 2023 <br /> SUMMARY OF VIOLATIONS <br /> (CLASS I,CLASS II,or MINOR-Notice to Comply) <br /> Item# Remarks <br /> 107 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. <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 financial responsibility documents and maintain a <br /> copy on site. <br /> OBSERVATION: Financial responsibility documents have not been submitted to the EHD. The most recent <br /> financial responsibility documents in CERS are dated 4/22/22 and list the incorrect business owner information. <br /> REGULATION GUIDANCE: Current financial responsibility documents are required to be submitted annually. <br /> CORRECTIVE ACTION: Immediately log into the California Environmental Reporting System (CERS)at <br /> http://cers.calepa.ca.gov/, and upload the required documents. <br /> This is a Class II violation. <br /> 108 CCR 2620(b); HSC 25284(a)(3) Failure to implement or maintain a written agreement between the UST owner and <br /> operator. <br /> OBSERVATION: The annual operating permit is not issued to the current operator and there is no written <br /> agreement between the person who was issued the permit and the operator to monitor the UST system. <br /> REGULATION GUIDANCE: If a permit is issued to a person other than the operator of the tank, that person shall <br /> enter into a written agreement with the operator of the tank to monitor the UST system. <br /> CORRECTIVE ACTION: Immediately upload the written agreement to the California Environmental Reporting <br /> System (CERS)and submit for review by the EHD. <br /> This is a Class II violation. <br /> FA0003607 PR0232388 SCO01 04/24/2023 <br /> EHD 23-01 Rev.12/06/2021 Page 7 of 10 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 />