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COMPLIANCE INFO_2013-2018
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COMPLIANCE INFO_2013-2018
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Last modified
5/19/2021 1:54:59 PM
Creation date
6/3/2020 9:50:52 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2013-2018
RECORD_ID
PR0231614
PE
2361
FACILITY_ID
FA0000086
FACILITY_NAME
San Joaquin General Hospital
STREET_NUMBER
500
Direction
W
STREET_NAME
HOSPITAL
STREET_TYPE
Rd
City
French Camp
Zip
95231
CURRENT_STATUS
01
SITE_LOCATION
500 W Hospital Rd
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0231614_500 W HOSPITAL_2013-2018.tif
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EHD - Public
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• SAN JOAQUIN COUNTY • <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East Hazelton Avenue, Stockton, California 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: www.sagov.org/ehd <br />UNDERGROUND STORAGE TANK (UST) PROGRAM INSPECTION REPORT <br />Facility: SJ General Hospital <br />p� <br />Name <br />Facility <br />Address: 500 W. Hospital, French Camp <br />VIOLATIONS <br />Inspection <br />Date: Aug 22, 2014 <br />Facility <br />Jesse Escotto <br />Title: <br />Facilities Mangr <br />HSC = California Health and Safety Code; CCR = California Code of Regulations <br />e' <br />-3257 <br />Contact: <br />Inspection <br />Type: Routine X Monitoring System Certification CI Installation Ll Complaint - ID#: <br />Other: <br />(Authority HSC 25289) At 6i&c cA C%, <br />eer"Z Qsn Un j�� Aoo' <br />Consentfor: $Inspection D Sampling XPhotos Granted by: `-Se%e C <br />Title: %��\�A-,-ES hAnn�l- <br />Monitoring aU a OPW itouch Tank( <br />Panel: g g <br />piping <br />System: �QPressurized []Suction ❑ Gravity <br />Overfill <br />prevention: <br />XMechanical ❑ Audible/visual <br />UST6 <br />monitor the tanks stem <br />- <br />- - - - - - - <br />Current financial responsibility documents not on file with the Environmental Health Department (EHD) <br />105 <br />------ <br />------ <br />106 <br />--Product --- <br />----diesel ---- <br />- - - - - - - <br />- - - - - - - <br />- - - - - - <br />108 <br />CCR 2637 <br />Secondary containment: (a) test not performed; (e) test report not submitted within 30 days; (f) test notification <br />not provided to the EHD at least 48 hours prior to conducting the test <br />Designated ICC Exp. <br />Operator: Jesse Berumen Date: '7._ ;tS - / <br />Violations: ❑ M1 -Release Detection <br />❑ M2 -Release Prevention 11M3 -Both <br />On Site Service , ICC Exp. Manufacture ' <br />ZDate: �� � ~1-�►� <br />l �P552 �C`u`pMQ4 <br />Technician: Trainin <br />M . Q i -oro -aa s <br />1 <br />- - -7 - am ► <br />Inspector: Rec ' I py: Title: <br />Jeffrey Wong (209) 468-0335 <br />EHD 23-02 Rev 04/19/12 Page 1 UST INSPECTION REPORT <br />VIOLATIONS <br /># <br />C1 C2 M <br />HSC = California Health and Safety Code; CCR = California Code of Regulations <br />Code Section <br />C1 = Class 1 violation; C2 = Class 2 violation; M = Minor violation <br />101 <br />HSC 25284 <br />No permit to operate <br />102 <br />HSC 25404.5 <br />Annual operating fees not paid <br />103 <br />HSC 25284(a)(3) <br />No written agreement between the person that the operating permit was issued to and the tank operator to <br />monitor the tanks stem <br />104 <br />HSC 25292.2 <br />Current financial responsibility documents not on file with the Environmental Health Department (EHD) <br />105 <br />CCR 2711 <br />Current Unified Program Consolidated Forms not on file with the EHD (Facility and tank form) <br />106 <br />CCR 2632(b) <br />Monitoring Program (Monitoring & Response Plans) is not current or approved by the EHD <br />107 <br />CCR 2632(d)(1)(C) <br />Plot plan/site map not submitted or fails to completely show where monitoring is performed <br />108 <br />CCR 2637 <br />Secondary containment: (a) test not performed; (e) test report not submitted within 30 days; (f) test notification <br />not provided to the EHD at least 48 hours prior to conducting the test <br />Monitoring equipment certification: (a) not performed annually; (d) test report not submitted within 30 days; <br />109 <br />CCR 2638 <br />(e) test notification not provided to the EHD at least 48 hours prior to conducting an installation, repair, <br />replacement, calibration, or certification <br />110 <br />HSC 25291(f) <br />Annual line leak detector test not performed (M1) <br />111 <br />HSC 25284.2 <br />Annual spill containment testing not performed <br />112 <br />CCR 2636(f)(4) <br />Annual line tightness test not performed if positive shutdown or fail safe not present (M7) <br />113 <br />CCR 2715(a) <br />Failed to inform the EHD of a change of designated operator within 30 days <br />114 <br />CCR 2715(b) <br />Designated operator does not possess a current ICC CA UST System Operator certification <br />115 <br />CCR 2660(k) <br />Repair for tank or piping not tested for tightness after completion of the repair pursuant to (M2) <br />permit conditions <br />116 <br />HSC 25292.5 <br />Enhanced leak detection (ELD) testing not performed on a system located within 1000' of public well, or <br />failures not repaired and retested <br />117 <br />CCR 2661 <br />Permit to repair UST system not obtained <br />118 <br />HSC 25286(a) <br />Operational permit not amended when UST storage and/or monitoring system changed <br />119 <br />HSC 25298(b) <br />Permit to temporarily close UST system not obtained <br />120 <br />HSC 25298(c) <br />Permit to close UST system not obtained <br />On Site Records <br />Maintenance & monitoring records not maintained 3 years, cathodic protection records for 6'/z years, written <br />performance claims pertaining to release detection systems for 5 years, or records of repairs, linings, and <br />201 <br />CCR 2712(b) <br />upgrades for the life of the tank. Monitoring records include: (1) date and time of all monitoring or sampling; <br />(2) monitoring equipment calibration and maintenance records; (3) results of any visual observations; (4) <br />results of sample analysis performed a lab or in the field; (5) logs of all readings of gauges or other monitoring <br />equipment, round water elevations, or other test results; 6 results of inventory readings and reconciliations <br />202 <br />CCR 2712(i) <br />Monitoring plan, response plan, and/or operating permit and all conditions not onsite <br />Unauthorized release that: (c) did not escape secondary containment and cleaned up within eight hours (M1) <br />203 <br />CCR 2650 <br />was not recorded; (e) escaped secondary containment, not cleaned up after eight hours, or a sudden loss of <br />product was not reported to the EHD within 24 hours <br />Inspector: Rec ' I py: Title: <br />Jeffrey Wong (209) 468-0335 <br />EHD 23-02 Rev 04/19/12 Page 1 UST INSPECTION REPORT <br />
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