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San Joaquin County NW Environmental Health Department 1868 East Hazelton Avenue, Stockton, California95205-6232 Telephone. (209) 468-3420 Fax. (209) 468-3433 Web.,www.sjQ_ ov.o[g/ehd Underground Storage Tank Program Inspection Report Facility Name: Facility Address: Date: ILM MEMORIAL HOPil'AL WOW AVE L-OD1 Octobei,08, 2015 LIST System Observations 319 HSC 25291(e) Water in secondary containment not removed,analyzed,and properly disposed of(pre-Jul 2003) o V o R c COS 320 HSC 25290.1(c3), Secondary containment not constructed to prevent water intrusion w V m R o COS 25290.2(c3) 321 CCR 2636(c)(1) All releases in secondary piping do not flow to a collection sump Ei V o R o COS 322 COR 2636(f)(2) Line leak detector not installed Ei V o R Ei COS 323 CCR 2636(f)(2) Leak detector failed to detect a 3.0 gph leak at 10 psi o V o R o COS 324 CCR 2635(b) No spill bucket installed or failed to provide a means to keep it empty Ei V o R ii COS 325 OCR 2635(b) Spill container failed to contain a minimum capacity of five gallons o V o R ci COS 326 CCR 2635(b)(2) Overfill prevention system not present or failed to meet overfill requirements Ei V o R Ei COS 327 CCR 2635(b)(2) Overfill prevention was overridden Ei V o R ii COS 328 HSC 25283.5 Unburied below grade UST failed to meet exemption status o V o R o COS 329 CCR 2717.1(g) Tampered with red tag o V Ej R o COS 330 CCR 2717.1(f) Deposited petroleum into a red tagged UST o V o R o COS 331 HSC 25299(f)(2) Tampered with or disabled leak detection devices or alarms o V o R o COS 332 COR 2631.1 LIST system not compatible with the substance stored o V o R o COS 333 HSC 25298(b) Failed to comply with temporary closure requirements Ei V o R Ei COS 334 HSC 25298(c) Failed to comply with permanent closure requirements ❑V o R o COS Non-Pressurized Piping 401 CCR 2636(a)(3) Suction piping not properly sloped or incorrectly located check valve Ei V o R o COS 402 COR 2643(4) Daily monitoring of suction pipe(pre-Jan 1984)not performed Ei V o R o COS 403 CCR 2643(4) Triennial 0.1 gph line test for conventional suction piping not performed(pre-January 1984) o V o R o COS 404 CCR 2643(e) Biennial 0.1 gph test for gravity piping not performed(pre-January 1984) o V Ei R ii COS Other Violations 2010 See below Unlisted Administration/Documentation violation o V o R o COS 2030 See below Unlisted Operations/Maintenance violation o V o R Ei COS 2060 See below Unlisted Design/Construction violation Ei V o R o COS SUMMARY OF VIOLATIONS (CLASS 1,CLASS 11,or MINOR-Notice to Comply) Item# Remarks 105 HSC 25286(c) Current BOE number not submitted. USIf ,,,icilify Operafing Pei-mit Application, BOE nur-ibe,, is closed, This fF.,uhilly needs ,. BOE nurriber thall is not Closed. Irrianediately log 4,ft CERS, upd,�te the reCjUif-ed information, and subin-tit for review by H E-EI-41). 7-his', i's a i-nwiof, violation". Received by Inspector: Phone: Date: (initial): ARfS VE-LOSO, Senior PEHS '12091', 468-3,`4! 110/0 81i 0 15 Page 3 of 6