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Environmental Health Department <br />Underground Storage Tank Program Inspection Report <br />Date: <br />November 18, 2020 <br /> Facility Address: <br /> 1420 N Tracy Blvd, Tracy <br /> Facility Name: <br /> Sutter Valley Hospitals dba Sutter Tracy <br />SUMMARY OF VIOLATIONS <br />(CLASS I, CLASS II, or MINOR - Notice to Comply) <br />RemarksItem # <br /> 208 CCR 2716(a-e) Failure to comply with the designated operator inspection requirements. <br />1) OBSERVATION: Designated operator reports were not signed within the required time frame. <br />-The designated operator reports were not signed by the owner/operator. <br />REGULATORY GUIDANCE: Within 48 hours of the completion of the designated UST operator visual inspection, <br />the designated operator shall sign and provide the owner or operator with a copy of the inspection report. Within 72 <br />hours of being provided a signed copy of the report, the owner or operator shall provide a description of each <br />corrective action taken or to be taken and shall sign and date the report, acknowledging the identified compliance <br />issues. <br />CORRECTIVE ACTION: Ensure all designated operator inspection reports are completed and signed within the <br />required time frame in the future. <br />-------------------------------------------------------- <br />2) OBSERVATION: The designated operator failed to check and note the correct test dates for the overfill <br />prevention testing on the designated operator inspection reports. Overfill prevention testing was completed on <br />10/3/2018. <br />REGULATION GUIDANCE: During the inspection, the designated operator shall check that all required testing and <br />maintenance for the UST system have been completed and document the dates they were done. <br />CORRECTIVE ACTION: Ensure that designated operators performing inspections at this facility are including all of <br />the required information on the reports. <br />-------------------------------------------------------- <br />3) OBSERVATION: The designated operator failed to check and note all required items on the visual inspection <br />reports. The incorrect and missing information included the following from the inspection reports: <br />-The designated operator answered the question regarding sump sensor locations but did not list which sumps were <br />visually inspected. <br />-The designated operator answered the question regarding UDC sensor locations but site does not have UDCs. <br />REGULATION GUIDANCE: During the visual inspection, the designated operator shall check that all required <br />testing and maintenance for the UST system have been completed and shall check all required items on the report. <br />CORRECTIVE ACTION: Ensure that designated operators performing visual inspections at this facility are including <br />all of the required information on the reports. <br />This is a repeat violation, Class II. <br />Overall Inspection Comments: <br />Complete and submit a copy of the Return to Compliance Certification form to the EHD with a statement <br />documenting the corrective actions that have been or will be taken for each violation, and any supporting <br />paperwork, by 12/18/2020 . <br />To minimize person to person contact EHD is choosing to write the name of person receiving the report instead <br />FA0002562 PR0231736 SC001 11/18/2020 <br />EHD 23-01 Rev. 9/16/2020 Underground Storage Tank Program OIRPage 5 of 6 <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjgov.org/EHD