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Vang-Lee, Vicky [EHD] <br /> From: Chapple, Charles -SJMC <Charles.Chapple@DignityHealth.org> <br /> Sent: Tuesday, November 10, 2020 8:16 AM <br /> To: Vang-Lee, Vicky [EHD] <br /> Cc: Thomas, Michael - SJMC; Cervantes, Mary - SJMC; Hawkins, John - SJMC;Vierra,Joe - <br /> SJMC <br /> Subject: RE: Corrective Action Statement <br /> Attachments: Corrective action statement.pdf, UST Response Plan.pdf <br /> CAUTION:This email is originated from outside of the organization. Do not click links or open attachments unless you recognize the <br /> sender and know the content is safe. <br /> Hello Vicky, <br /> The Response plan has had the action checked, date written in, and has been resubmitted <br /> to CERS. <br /> The corrective action for finding#208 has also been changed to reflect mitigating future <br /> document discrepancies. <br /> Thank You <br /> From: Vang-Lee, Vicky [EHD] [mailto:vvang-lee@sjgov.org] <br /> Sent: Friday, November 6, 2020 3:58 PM <br /> To: Chapple, Charles -SJMC <br /> Cc: Thomas, Michael - SJMC; Cervantes, Mary - SJMC; Hawkins, John - SJMC; Vierra, Joe - SJMC <br /> Subject: RE: Corrective Action Statement <br /> USE CAUTION - EXTERNAL EMAIL <br /> Hi, I've received and reviewed your documents. <br /> The Response Plan is missing 2 things. <br /> 1. Under the Response Plan Title,the type of action needs to be marked <br /> 2. Section VII (Owner/Operator Signature) is missing the date <br /> 3. Please submit updated Response Plan in CERS once you've made the corrections <br /> On the Corrective Action Statement for item #208,the comment does not address the observation we noted on the <br /> inspection report. I've copied the comments from the inspection report for your review: <br /> OBSERVATION:The designated operator failed to check and note all required items on the visual inspection <br /> reports. The incorrect and missing information included the following from the inspection reports: <br /> -11/08/2019, 01/06/2020, 02/04/2020, 03/05/2020, 04/07/2020, 05/07/2020: Section IX was not answered and <br /> overfill date was incorrectly documented as 10/082019 <br /> -12/08/2019&06/04/2020: Sections VII & IX were left blank and the spill bucket test date was incorrectly <br /> documented as 09/18/2019 <br /> -07/01/2020&07/29/2020:was not signed within 48hrs, Section IX was left blank and the overfill test date was <br /> incorrect <br /> -08/27/2020: overfill test date was incorrectly documented as 10/08/2018 <br /> -09/25/2020: Section IX was left blank <br /> -10/23/2020: contained inaccurate information.The report inaccurately listed dispensers and 87 and 91 tanks.This <br /> facility does not have dispensers and only stores diesel. <br /> 1 <br />