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S A J O A Q U I N Environmental Health Department <br /> COUNTY <br /> Underground Storage Tank Program Inspection Report <br /> Facility Name: Facility Address: Date: <br /> Sutter Valley Hospitals dba Sutter Tracy 1420 N Tracy Blvd, Tracy November 06, 2019 <br /> File Review <br /> 122 CCR 2631,2640.1, Failure to submit and/or maintain documentation regarding compatibility for UST system components ❑V ❑R ❑COS <br /> 2665,2711 <br /> 123 CCR 2637.1(d), Failure to submit the"Spill Container Testing Report Form"within 30 days after the test ❑V ❑R ❑COS <br /> 2637.1(e) <br /> 124 CCR 2637.2(d&e), "Overfill Prevention Equipment Inspection Report Form"not submitted within 30 days of inspection ❑V ❑R ❑COS <br /> 2665(a&b) <br /> n Site Records <br /> 201 CCR 2712(b)(1-2) Failure to maintain monitoring,maintenance,and follow up action records ❑V ❑R ❑COS <br /> 202 CCR 2715(c)(3), Failure to maintain the"Facility Employee Training Certificate"on-site(after October 1,2018) ❑V ❑R ❑COS <br /> 2715(c)(4) <br /> 203 CCR 2712(b)(6) Failure to maintain records of repairs,lining,and upgrades on site,for the life of the UST ❑V ❑R ❑COS <br /> 204 CCR 2712(i) Current monitoring plan approved by the EHD not found on site ❑V ❑R ❑COS <br /> 205 CCR 2712(1),2634(e) Failure to submit a current UST Response Plan and have it available onsite ❑V ❑R ❑COS <br /> 206 CCR 2712 Failure to comply with UST operating permit conditions ❑V ❑R ❑COS <br /> 207 HSC 25294 Failed to record unauthorized release from primary containment ❑V ❑R ❑COS <br /> 208 CCR 2650(e),2652 Failed to notify the EHD of a reportable unauthorized release and/or prepare a report ❑V ❑R ❑COS <br /> 209 CCR 2716(a-e) Failure to conduct the designated UST operator visual inspection at least once every 30 days ■V ❑R ❑COS <br /> 210 CCR 2716(f) DO monthly reports not maintained on site for 12 months or for 36 months(after October 1,2018) ❑V ❑R ❑COS <br /> 211 CCR 2715(c)(2) No employee present that were trained in the operation and maintenance of the UST system by a DO ❑V ❑R ❑COS <br /> 212 CCR 2715(c)(2) Unstaffed facility failed to have or implement a training program approved by the UPA ❑V ❑R ❑COS <br /> 213 HSC 25281.5(b)(2) Unburied fuel piping at marinas not visually inspected at least daily or log not kept ❑V ❑R ❑COS <br /> 214 HSC 25281.5(b)(3) Unburied emergency generator fuel piping not visually inspected at least monthly or log kept ❑V ❑R ❑COS <br /> 215 CCR 2712(i) Failure to retain a copy of the permit to operate at the facility ❑V ❑R ❑COS <br /> UST System Observations <br /> 301 HSC 25292.1(a) UST system is not operated to prevent unauthorized release,including spills and overfills ❑V ❑R ❑COS <br /> 302 HSC 25291(b) UST system incapable of detecting leak from primary into secondary containment(pre-Jul 2003) ❑V ❑R ❑COS <br /> 303 HSC 25290.2(d) Monitoring system not maintained to detect entry into secondary containment(Jul 2003-Jun 2004) ❑V ❑R ❑COS <br /> 304 HSC 25290.1(d) Monitoring system not maintained to detect entry into secondary containment(after Jul 2004) ❑V ❑R ❑COS <br /> 305 HSC 25290.1(e) VPH monitoring of the interstitial spaces of the UST system is not maintained ❑V ❑R ❑COS <br /> 306 CCR 2630(d),2641(a) Monitoring equipment is not installed or maintained to detect a leak at the earliest opportunity ❑V ❑R ❑COS <br /> 307 CCR 2631(g),2632(c) Monitoring system of the interstitial space of a double walled system not maintained ❑V ❑R ❑COS <br /> 308 CCR 2632(c),2634(d), Failed to maintain a continuous monitoring system that activates an audible and visual alarm ❑V ❑R ❑COS <br /> 2636(f) <br /> 309 CCR 2636(f)(1) Monitoring in sump/UDC failed to activate an audible and visual alarm or stop the flow product ❑V ❑R ❑COS <br /> 310 CCR 2636(f)(4) Piping is not fail-safe outside UDCs or fails to stop flow of product at dispenser inside UDCs ❑V ❑R ❑COS <br /> 311 CCR 2638(a),26410) Failed to properly program,calibrate,operate,or maintain leak detection equipment ❑V ❑R ❑COS <br /> 312 CCR 2638(f),2641(i) Failed to affix a tag sticker on monitoring equipment certified,repaired,or replaced ❑V ❑R ❑COS <br /> FA0002562 PR0231736 SCO01 11/06/2019 <br /> EHD 23-01 Rev.9/20/2019 Page 2 of 6 Underground Storage Tank Program OIR <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 ' 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />