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San Joaquin County Environmental Health Department 1868 East Hazelton Avenue, Stockton, California 95205-6232 Telephone:(209)468-3420 Fax:(209)468-3433 Web:www.sjgov.org/ehd Underground Storage Tank Program inspection Report Facility Name: Facility Phone: Date: ST JOSEPHS HOSPITAL 209 943-2000 October 22 2018 Facility Address: CERS ID: 1800 N CALIFORNIA ST, STOCKTON CA 95204 10181391 Inspection Contact Title: Phone: John Stagg Plant Engineer 209 461-6818 Inspection Type: Program: ROUTINE INSPECTION -Operating Permit 2361 -UST FACILITY Consent For: I Consent Given By: 27 Inspection 0 Photos 0 Samples I John Stagg, Plant Engineer Service Technician Onsite: Exp.Date: Designated Operator: Exp.Date: Zane Nimmo 06/02/2019 Zane Nimmo 02/25/2020 Service Technician Manufacturer's Training Tank Tester,03/31119; FFS, 11/16/18; VR, 09/28/19 CCR=California Code of Regulations HSC=Health and Safety Code CFR=Code of Federal Regulations V=Violation R=Repeat violation COS=Corrected on site during inspection File Review 101 HSC 25284 Failed to obtain a permit to operate from the EHD including but not limited to unpaid permit fees o V o R a COS 102 HSC 25284(a)(3)(A)/ No written agreement between tank owner and tank operator to monitor the tank system ❑V ❑R o COS (B) 103 HSC 25292.2,25299.317 Failure to submit and maintain complete and current financial responsibility documents n V ❑R ❑COS 104 CCR 2711 UST operating permit application for facility and tank information not submitted or current c V o R ❑COS 105 CCR 2632(d)(1), Failed to have an approved UST monitoring pian o V ❑R ❑COS 2634(d) 106 CCR 2632(d)(2), Failed to have an approved UST response plan o V o R a COS 2634(e) 107 CCR 2632(d)(1)(C) Plot plan/site map not submitted or failed to completely show where monitoring is performed o V o R ❑COS 108 CCR 2637,2638(e), Failed to notify the EHD 48 hours prior to conducting testing ❑V ❑R o COS 2643(g) 109 CCR 2637(a-d),2712 Failed to test secondary containment,or failed to maintain test records for 36 months o V ❑R ❑COS 110 CCR 2637(e),2637(f) Failed to submit"Secondary Containment Testing Report Form"within 30 days after the test o V o R o COS 111 CCR 2638(,)&(b), Failed to test monitoring and leak detection equipment annually o V o R o COS 26410) 112 HSC 25293 Failure to maintain UST records to enable the UPA to determine whether the UST is in compliance ❑V ❑R ❑COS 113 CCR 2638(c),2638(d) Failure to submit"Monitoring System Certification Form"within 30 days of completion of the test o V ❑R ❑COS 114 CCR 2636(1)(3), No 0.1 gph annual line integrity test for pressurized piping,or within 30 days after repair ❑V o R o COS 2643(c)(3) 115 CCR 2715(a)(1)(B), "Designated Underground Storage Tank Operator Identification Form"not submitted within 30 days o V ❑R o COS 2715(a)(3) 116 1 CCR 2715 Designated operator,service tech or installer did not possess current ICC certification o V a R n COS 117 CCR 2663, 2712(b)(6) Failure to comply with tank lining,recordkeeping,and inspection requirements o V ❑R ❑COS 118 CCR 2715(a)(1)(A), Failure to submit the"Underground Storage Tank Statement of Understanding and Compliance Form" ❑V c R o COS 2715(a)(2) 119 HSC 25299(a)(8), Documents were falsified or misrepresented a V ❑R n COS 25299(b)(7) 120 CCR 2635(d) Failed to submit UST Certification of Installation/Modification o V a R o COS 121 CCR 2712(f) Failed to submit a written response within 30 days of receiving an inspection report ❑V ❑R o COS FA0003761 PR0231036 SC001 10122/2018 EHD 23-01 Rev.09/22/i 6 Page 1 of 4 Underground Storage Tank Program OIR