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DEC 04 ?_01L) <br /> Sutter Heatth B IrV R"4.E wn P"1R raw^W er®y , <br /> Sutter Tracy <br /> Community <br /> I Hospital via e-mail <br /> Friday,December 4"',2015 <br /> San Joaquin County tel: 209.468.3420 <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue <br /> Stockton,CA 95205 <br /> Attention: Compliance Certification <br /> c/o Cindy Vo,Environmental Health Specialist cvokdcehd.com <br /> Dear Sir/Madam: <br /> Subject: Inspection date: November 6th,2015 Inspected by: Cindy Vo <br /> Facility Address: 1420 N.Tracy Blvd.,Tracy EPA IDs CAD078790920 <br /> Sutter Tracy Community Hospital has corrected the violations specified in the <br /> Inspection Report from the above-mentioned inspection date. <br /> Item <br /> 103 HSC25292.2 Current financial responsibility documents not submitted <br /> Certificate of Financial Responsibility,dated 07/07/2015,uploaded to CERS on <br /> Friday,December 4th,2015. Item completed <br /> 104 CCR 2711 UST Operating Permit Application for Facility and Tank infor- <br /> mation not submitted or not current <br /> UST Facility Operating Permit Application was revised to reflect the financial <br /> responsibility mechanism for Sutter Tracy as being self-insured(Yes) and other <br /> mechanism(Yes)accompanied by a letter from our CFO. This violation was <br /> corrected on site on 11/06/2015. Item completed <br /> Letter from CFO on the Underground Storage Tank Clean-up Fund, dated <br /> 11/23/2015,uploaded to CERS on Friday,December 4th,2015. Item completed <br /> 106 CCR 2632 Monitoring and response plan not current or approved by EHD <br /> Updated monitoring and response plan by removing Doug Archer as one <br /> responsible to authorize any work necessary under the response plan. This <br /> violation was corrected on site on 11/06/2015. Item completed <br /> 125 CCR 2712(f)Failed to submit a written response within 30 days of <br /> receiving an inspection <br /> All violations were corrected prior to 12/06/2015. Written Plan of Correction <br /> submitted within 30 days. Item completed <br />