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S A J O A Q U I N Environmental Health Department <br /> C0U TY <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 06, 2019 <br /> SUMMARY OF VIOLATIONS <br /> (CLASS I,CLASS II,or MINOR-Notice to Comply) <br /> Item# Remarks <br /> Overall Inspection Comments: <br /> The monitoring system certification was conducted on today(11/6/2019)and was not fully witnessed by EHD. <br /> Looked inside the sump, verified sensor location and piping communication. Verified spill bucket 5 gallon <br /> capacity. The paperwork inspection will be conducted at a later time. An inspection checklist was provided to the <br /> facility operator at the time of inspection. The EHD will generate and provide a complete report to the facility <br /> operator. <br /> AFTER THE COMPLIANCE DATE, EHD WILL BILL FOR ALL TIME AND ACTIVITIES ASSOCIATED WITH BRINGING <br /> THIS FACILITY BACK INTO COMPLIANCE. <br /> THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br /> Received by: Date: Inspector: Inspector Phone: <br /> Printed Name and Title: SHEWIT WOLDEAREGAY, EH Specialist (209)468-0216 <br /> FA0002562 PR0231736 SCO01 11/06/2019 <br /> EHD 23-01 Rev.9/20/2019 Page 4 of 4 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 />