Laserfiche WebLink
0 <br />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.sjaov.org/ehd <br />Inspection Report <br />Facility Name: <br />Facility Phone: <br />Date: <br />KAISER PERMANENTE <br />1(209) 476-5817 <br />January 07, 2015 <br />Facility Address: <br />EPA ID: <br />CERS ID: <br />7373 WEST LN, STOCKTON, CA 95210 <br />1 <br />10180977 <br />Facility Contact: Contact Phone: <br />Contact during inspection, if <br />DARRYL GARDNER (209) 476-3077 <br />different from facility contact: <br />Inspection type: <br />Program: <br />12361 <br />ROUTINE INSPECTION - Operating Permit <br />- UST FACILITY <br />CCR = California Code of Regulations HSC = Health and Safety Code CFR = Code of Federal Regulations <br />V = Violation R = Repeat violation COS = Corrected on site during inspection <br />0 <br />SUMMARY OF VIOLATIONS <br />(CLASS 1, CLASS 11, or MINOR - Notice to Comply) <br />Item # Remarks <br />Overall Inspection Comments: <br />Consent to perform the inspection, take photos and collect samples was given by Darryl Gardner the Chief <br />Engineer . This facility's designated operator is Gabriel Martin (ICC expiration date: 6-5-16 ) . The service <br />technician was David Walker (ICC expiration date: 1-2-16 ), who had the following manufacturer's certifications: <br />VR, 11-20-16 . <br />Please be aware that as of January 1, 2014, facility operators are required to upload the following UST program <br />documents into the California Environmental Reporting System (CERS): UST Monitoring Site Plan, UST <br />Certification of Financial Responsibility, UST Response Plan, UST Owner/Operator: Written Agreement (if <br />applicable), UST Letter from Chief Financial Officer, and Owner Statement of Designated UST Operator <br />Compliance. <br />L . <br />THI FA ILITY S SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br />Reckived (sign tureTitle:r/)Date: <br />ON <br />t lir' _ Zdfw(� <br />-� <br />Receiv y (printed n ): <br />Inspector: <br />Inspector Phone: <br />! <br />FATINAH ZAREEF, REHS <br />(209) 953-7311 <br />v 1 - LI? 1 of 1 <br />