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SAN,►JOAQUIN • • Environmental Health Department <br /> C 0 U N'T'Y___... <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 27, 2018 <br /> Item# Remarks <br /> 105 CCR 2632(d)(1), 2634(d) Failed to have an approved UST monitoring plan. <br /> The monitoring plan is not current and/or not approved by the EHD. In the monitoring plan under"pipe monitoring is <br /> performed using the following method"the panel model number states to be"TLS-350"however a"TLS-300c"was <br /> observed during the inspection . The monitoring plan must be uploaded to the California Environmental Reporting <br /> System (CERS). Immediately log into CERS, make the necessary changes, and submit for review by the EHD. <br /> This is a repeat violation, Class II. <br /> 202 CCR 2715(c)(3), 2715(c)(4) Failure to maintain the"Facility Employee Training Certificate"on-site(after October 1, <br /> 2018). <br /> The designated operator employee training for five employees was conducted on October 18th, 2018 and the new <br /> form was not used.All training documentation should be done on the"facility employee training certificate as of <br /> October 1 st,2018. Immediately update the training to be documented on the correct form. <br /> This is a minor violation. <br /> 204 CCR 2712(1)Current monitoring plan approved by the EHD not found on site. <br /> An approved copy of the monitoring plans were not available for inspection. A copy of these plans shall be <br /> accessible on site at all times. <br /> This was corrected on site. <br /> This is a repeat violation, Class ll. <br /> 209 CCR 2716(a-e) Failure to conduct the designated UST operator visual inspection at least once every 30 days. <br /> The owner/operator failed to sign the designated inspection report under section VI. (owner/operator <br /> acknowledgment of compliance)within 48 hours of receiving the 10/18/18 designated operator monthly inspection <br /> report. During the monthly inspection,the designated operator shall check that all required testing and maintenance <br /> for the UST system have been completed and document the dates they were done. Ensure that designated <br /> operators performing monthly inspections at this facility are including all of the required information on the reports. <br /> This is a repeat violation, Class II. <br /> 210 CCR 2716(f) DO monthly reports not maintained on site for 12 months or for 36 months(after October 1,2018). <br /> The 4/9/18,5/22/18,6/18/18, 7/18/18, 8/13/18,9/7/18 and 10/18/18 designated operator monthly inspection reports <br /> were not found on site.The Designated operator monthly inspection reports for the previous twelve months shall be <br /> retained on site.The operator was able to get a copy of the missing reports while the inspector was on site to <br /> correct this on site. <br /> This was corrected on site. <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 December 27th, 2018. <br /> FA0002562 PR0231736 SCO01 11/27/2018 <br /> EHD 23-01 Rev.09/28/2018 Page 4 of 5 Underground Storage Tank Program OIR <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />