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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.sjgov.org/ehd <br /> Unrgll*oltc ' cts e'' anl rdra Inslcfin R + rl ,a :s, i', <br /> „z .. M7,5, <br /> 5 p <br /> Facility Name: Facility Address: Date: <br /> SUTTER TRACY COMMUNITY HOSP 1420 N Tracy Blvd, Tracy November 04, 2016 <br /> FM <br /> a 11St System Obselivai ions I;'z <br /> r : <br /> 322 HSC 25281.6(a) Unburied below grade emergency generator system failed to meet exemption status ❑V ❑R ❑COS <br /> 323 HSC 25283.5(a) Unburied below grade UST system failed to meet exemption status ❑V ❑R ❑COS <br /> 324 CCR 2717.1(g) Tampered with red tag ❑V ❑R ❑COS <br /> 325 CCR 2717.1(f) Deposited petroleum into a red tagged UST ❑V ❑R ❑COS <br /> 326 HSC 25299(a)(9) Tampered with or disabled leak detection devices or alarms ❑V ❑R ❑COS <br /> 327 CCR 2631.1 UST system not compatible with the substance stored ❑V ❑R ❑COS <br /> 328 HSC 25298 Failed to comply with temporary closure requirements ❑V ❑R ❑COS <br /> 329 HSC 25298 Failed to comply with permanent closure requirements ❑V ❑R ❑COS <br /> 330 CCR 2636(f)(6) Failure to meet all requirements in lieu of a line leak detector for emergency generator tank system ❑V ❑R ❑COS <br /> Nli,p <br /> r .. f ... ..,m. rr, A WI y FStfT.`C1Pi}(n ���UI t <br /> �< <br /> ..,..� W <br /> 401 CCR 2636(a)(3) Suction piping not properly sloped or incorrectly located check valve ❑V ❑R ❑COS <br /> 402 CCR 2643(d) Daily monitoring of suction pipe(pre-Jan 1984)not performed ❑V ❑R ❑COS <br /> 403 CCR 2643(d) Triennial 0.1 gph line test for conventional suction piping not performed(pre-January 1984) ❑V ❑R ❑COS <br /> 404 CCR 2643(e) Biennial 0.1 gph test for gravity piping not performed(pre-January 1984) ❑V ❑R ❑COS <br /> N�k' r� i `rj p ;i it i6 i�ri/ �11�I�r <br /> 2010 See below Unlisted Administration/Documentation violation ❑V ❑R ❑COS <br /> 2030 See below Unlisted Operations/Maintenance violation ❑V ❑R ❑COS <br /> 2060 See below Unlisted Design/Construction violation ❑V ❑R ❑COS <br /> ON <br /> Item# Remarks <br /> 103 HSC 25292.2 Current financial responsibility documents not submitted. <br /> A copy of the insurance policy from Illinois Union Insurance Company was not available for review. Current financial <br /> responsibility documents are required to be submitted annually. <br /> This was corrected on site. <br /> This is a repeat violation, Class II. <br /> 104 CCR 2711 UST operating permit application for facility and tank information not submitted or current. <br /> UST Facility Operating Permit is not current in California Environmental Reporting System(CERS). The Board of <br /> Equalization number, 44024847, is not valid. Contact the Board of Equalization at 800-400-7115 and re-open an <br /> account. Any change of information must be updated in CERS within 30 days of the changes. Immediately log into <br /> CERS, update the required information, and submit for review by the EHD. <br /> This is a repeat violation, Class II. <br /> FA0002562 PR0231736 SC001 11/04/2016 <br /> EHD 23-01 Rev.09/22/16 Page 3 of 6 Underground Storage Tank Program OIR <br />