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• 10mn KAISER PERMANENTEO TO: Mr. Muniappa Naidu Senior EHS Specialist San Joaquin County Environmental Health Department 600 East Main St Stockton Ca. 95202 FROM: Scott Bassi Support Services Leader — San Joaquin County Kaiser Manteca Medical Center 1777 West Yosemite Avenue Manteca CA 95337 REGARDING: Corrective Action to UST Inspection Kaiser Manteca Medical Center Dear Sir, #As D. Elam, MD Physician -in -Chief Corwin N. Harper, MHA, CHE Senior Vice President/Area Manager Central Valley Service Area 9/2/2011 RECEIVED sp 0 2 2011 We have reviewed the findings in the County's August 3, 2011 Inspection Report. Our Return to Compliance Certificate is enclosed. Kaiser has addressed the issues with the Underground Storage Tank System at the Manteca Medical Center as follows: Item 2: Secondary Containment testing On October 21, 2009, Kaiser's subcontractor R&D Compliance conducted testing of its secondary containment system immediately following Kaiser's replacement of the two un -permitted pipes, and its repair and replacement of the secondary containment return line and piping sump. Kaiser takes full responsibility for its inadvertent failure to re -test the system within six months following this installation. The secondary containment system passed testing performed in late 2010. To ensure that future testing is completed and submitted to SJCEHS in a timely manner, Kaiser has created a work order in our Electronic Preventive Maintenance System that requires an annual review of the UST system and its associated equipment. This work order includes a review of the previous inspection and the associated record documentation, as well as a check of the last date of tri -annual inspection. Any deficiencies resulting from our reviews will be documented and tracked by the same work order system. As you are perhaps aware, Kaiser Management has recently determined that the Manteca Medical Center will transition fuel storage to an aboveground storage system. Decommissioning of the UST system will be the subject of separate communications with SJECEHS, and will be performed in accordance with all legal requirements. Item 3: UST Tank Forms on File Manteca Medical Center has updated the UST Operating Permit Application after your review on August 3, the date of inspection. The Manteca Medical Center will notify the SJCEHS department if there are any changes in information or work that need to be addressed to the Underground Storage System Item 40: Daily Checks on Leak Monitoring System At the time of the SJCEHS inspection, the Manteca Medical Center did not have an engineering position on call to address the building and equipment rounds for holiday and sick coverage. Immediately following the inspection, Manteca Medical Center administration has authorized the Engineering Department to backfill the vacancy on holidays or sick days with an employee to perform equipment rounds, including monitoring operation and inspection of the underground fuel storage system. There have been no unfilled vacancies since the SJCEHS inspection. Kaiser's Return to Compliance Certificate includes our certification and relevant documentations. Please contact me if you have any questions regarding the enclosed materials. Thank You, jott Bassi Support Services Leader — San Joaquin County Kaiser Manteca Medical Center Stockton Medical Office Manteca Medical Center Tracy Medical Offices Modesto Medical Offices 7373 West Lane, Stockton, CA 95210 1777 W. Yosemite Avenue, Manteca, CA 95337 2185 W. Grant Line Road, Tracy, CA 95377 Post Office Box 577680, Modesto, CA 95357