COMPLIANCE INFO_2015-2018 - Laserfiche WebLink

Home Browse Search

SAKAMIN Environmental Health Department -1 kCOUNTY-- h 9 n. "rq� raRl � V , � ;; 1 11 yl- nsp pj,n pp 0 Facility Name: Facility Phone: Date: LODI MEMORIAL HOSPITAL (209)334-3411 October 26,2017 Facility Address: CERS ID: 975 S FAIRMONT AVE, LODI, CA 95240 10180611 Inspection Contact: Title: Phone: Randy Roehrich Maintenance Manager (209)339-7667 Inspection Type: Program: ROUTINE INSPECTION-Operating Permit 12351 -LIST FACILITY-2481 COMPLIANT Consent For: Consent Given By: Z Inspection N Photos El Samples Randy Roehrich, Maintenance Manager Service Technician Onsite: Exp.Date: Designated Operator: Exp.Date: Felix Ramirez 11/22/2018 Randy Roehrich 07/16/2018 Service Technician Manufacturer's Training: Veeder Root, 07/06/18; Franklin Fueling, 11/17/18;Tank Tester, 05/31/20 CCR=California Code of Regulations HSC=Health and Safety Code CFR=Code of Federal Regulations V=Violation R=Repeat violation COS=Corrected on site during inspection v- T1 Al Z! 77 X 4 -C 101 HSC 25284 No permit to operate o V o R o COS 102 HSC 25284(a)(3) No written agreement between tank owner and tank operator to monitor the tank system Ei V o R Ei COS 103 HSC 25292.2 Current financial responsibility documents not submitted m V m R m COS 104 CCR 2711 UST operating permit application for facility and tank information not submitted or current Ei V o R Ei COS 105 CCR 2632(d)(1) Failed to have an approved UST monitoring plan ■V m R w COS 106 CCR 2632(d)(2) Failed to have an approved UST response plan Ei V o R o COS 107 CCR 2632(d)(1)(C) Plot plan/site map not submitted or failed to completely show where monitoring is performed in V o R a COS 108 CCR 2637(f),2638(e) Failed to notify the EHD 48 hours prior to conducting testing o V Ei R o COS 109 CCR 2637 Failed to test secondary containment o V Ei R c COS 110 CCR 2637(e) Failed to submit secondary containment test report within 30 days u V o R o COS 111 CCR 2638(a) Failed to test monitoring and leak detection equipment annually ii V o R o COS 112 HSC 25284.2 Failed to test spill containers annually o V o R o COS 113 CCR 2638(d) Failed to submit monitoring system certification test report within 30 days o V Ei R Ei COS 114 CCR 2636(f) Failed to perform 0.1 gph annual line test for pressurized piping without fail safe or shut down o V Ei R o COS 115 CCR 2715(a) Failed to inform the EHD of designated operator identification or change within 30 days u V o R Ei COS 116 CCR 2715 Designated operator,service tech or installer did not possess current ICC certification ci V o R o COS 117 CCR 2663 Failed to inspect a lined or repaired steel tank within 10 years of lining and every 5 years after c V Ei R o COS 118 j CCR 2663 Failed to submit tank lining certification within 30 days or to conduct proper tests c V ii R o COS 119 HSC 25299 Documents were falsified or misrepresented o V o R o COS 120 CCR 2635(d) Failed to submit UST Certification of Installation/Modification o V o R [i COS 121 CCR 2712(f) Failed to submit a written response within 30 days of receiving an inspection report Ei V ii R Ei COS 122 CCR 2631 Q) Failure to submit UST system component statement of compatibility for substance stored Ei V ii R c COS Z 201 CCR 2712(b) Failed to maintain alarm logs and/or records of follow up actions Ei V ii R o COS 202 CCR 2712(b) Failed to maintain cathodic protection test records on site for at least 6 1/2 years o V o R Ei COS FA0000513 PR0231331 SCO01 10/2612017 EHD 23-01 Rev.09/22116 Page 1 of 6 Underground Storage Tank Program OIR 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com