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2019 - 06 - 13 13 : 56 ENGINEERING 2098253893 > > P 4 / 6
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<br /> Environmental Health Department
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<br /> Facility Name : Facility Address : Date:
<br /> KAISER FOUNDATION MANTECA 1777 W YOSEMITE AVE, MANTECA June 06 , 2019
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<br /> Y 4441. .. . , . . . �.. r4 : .
<br /> 314. HSC 2529041 , 25290.2 . Ftlilod to hive secondary containment or secondary containment not tight n V n R r-j COS
<br /> _ 25291
<br /> 315 HSC 26291 (e) Water in secondary cont;inment not removed, analyzsd , and properly disposed of (pre -Jul 'L003) w V -- R :, COS
<br /> 316 HSC 25290 , 1 (0 )t Secondary containment not constructed to prevent watnr intrusion (cher Jul 2003 )WT1 'N I v .� V o R n COS
<br /> 25290 ,7. (c3 �- _
<br /> 317 0012 2636 . 2643(0)( 1 ), Line leak detector ( LLO ) not ins(elled .4: - -- - - V c; R c COS
<br /> 316 CCI2 2636(f)(2 ) Leak detector failed to detect a 3 .0 galionS prr hoar look at 10 pounds per square incho V : R :; COS
<br /> 319 CCR 26351 2637111M~ No spill bucket, filled to contain 5 gallons , no means to keep It empty, or f,, lled to be lostod � V c; R ri COS
<br /> 2665 , 2712
<br /> 320 CCR 2635 , 2637P,21 Failure to comply with the installation , insportion , or record keeping of the overfill prevention V c R in COSw
<br /> 2665, 2712 _
<br /> 321 CCR 2635(b)(2 ) Overfill prevention w;S ovorriddon MY^ u U n V t7 R ri COS
<br /> 322 HSC 25231.6(s ) Unouricd bolow grade emergency generator system failed to meet exemption StatusQ ❑ V n R ra COS
<br /> 3?.3 HSC 25263,5(0 ) V Unburied below grade LIST system roiled to meet exemption status v t V u R u COS
<br /> 37.4 CCR 2,717 , 1 (g ) µ� � Tampered with red log � � u V o R u COS
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<br /> 325 w CCR 2717 . 1 (f) Deposited petroleum into a red tagged UST ,;; VM ;, R ClCOS
<br /> 326 HSC 25299(a )(9) Tampered with or disabled look dolection devices or alarms m n V n R n COS
<br /> 327 CCR 2631 . 1 UST system not Compatible with the substance stored N r.. V :; R r:: COS
<br /> 328 HSG 25298 Polled to comply with temporary closure requirements V mm J R v COS
<br /> 329 HSC 26296 Failed to comply with au permmnen( closure requirements a � n V a R n COS
<br /> 330 CCR 2636(f) , 2666(c) , No LLD on the cmurg0ncy generator that restricts or shuts off the flow or triggers an alarm n V i. R o COS
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<br /> 331 CCR 2630(d ), 2641 (ri) Liquid does not flow into the Sump in tho ovont of a leak (i .e. , failure to remove lest boot). MMS~ r+ V „ R to COS
<br /> 332 CCR 2631 (b&d ) , Primary and/or secondoory Containment not constructed In accordance with the established standards V ❑ R o COS
<br /> 2666(b&e) _
<br /> 333 CCR 2635 , 2636(b) , Failure to comply with the cathodic protection System requirements t:; V n R u COS
<br /> 2662. , 2_712
<br /> 334 CC11 7666(b )(2 ) Single-walled pipe rrot upgraded to double-walled Interstitially monitored pipe during repair - u V <t R rz COS
<br /> 335 CCR 2630, 26321 2643 , Equipment or mothods used to monitor the UST System are not certified by an independent third-porly BHN V ', R ❑ COS
<br /> 7644 . 1
<br /> ..;: . 441 . 1 . . . . . . . . . . . . . . 4444 . . . . .. .... . . . . . . . . _
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<br /> 401 CCR 26$6(x )(3), Suction piping not properly sloped or Incorrectly 10Coled Chock valve ::; V r,; R n COS
<br /> 2641 (U ) __
<br /> 402 CCR 2643(d ) No monitoring or record maintenance for single-walled conventional sacticn systems (pre-Jan 1984 ). u V c; R U COS
<br /> 403 CCR 2643(d), 2661 (f) Failure to conduct 0. 1 gph test for Sfngieswolled conventional suotion systems (pre-Jan 1984 ) :a V ,; fQ c COS
<br /> 404 CCR 2649 (0 ), 2661 (f) Biennial 0. 1 gph line Integrity test for single-walled gravity piping not performed ( pro-Jan 1984 ) c � a V n R n COS
<br /> 4141..
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<br /> Pop 2010 See below Unlisted General viol.3tion o V a R t., COS
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<br /> (.. :, . .. . :1 . 44 . • ,• C. , ;. •SS . , or MINOR:a Notice. 4o; GomplY.)::,: ::: :: 1141. 4441 . . . • i;: •'.:;
<br /> FA0003976 PR0232397 SC001 06106I201a
<br /> FHO 23-01 Rev . 09/24 2 0 1 8 Page 3 of 6 once rJ(ound Storage Tank Pro2rd�,rrr OR
<br /> 1868 F . I-lazellon Avenue Stockton , California 95205 1 T 209 468-:3420 1 F 209 464-0138 1 WWW . Sjcehd . Com
<br /> Received Time Jun , 13 . 2019 1 : 48PM No , 5150
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