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SAN J 0 A Q I I I Irl Environmental Health Department <br /> CCUNT <br /> Underground Storage Tank Program Inspection Report <br /> Facility Name: Facility Address: Date: <br /> DAMERON HOSPITAL 525 W ACACIA ST, STOCKTON February 27, 2023 <br /> Single-Walled Non-Pressurized Piping <br /> 403 CCR 2643(d),2661(f) Failure to conduct 0.1 gph integrity test for single-walled conventional suction systems(pre-1984) ❑V ❑R ❑COS <br /> 404 CCR 2643(e),2661(f) Failure to conduct 0.1 gph test on single-walled gravity piping biennially or post repair(pre-1984) ❑V ❑R ❑COS <br /> Other Violations <br /> 2010 See below Unlisted General violation ❑V ❑R ❑COS <br /> SUMMARY OF VIOLATIONS <br /> (CLASS I,CLASS II,or MINOR-Notice to Comply) <br /> Item# Remarks <br /> 101 HSC 25284; CCR 2711(d) Failure to obtain a permit to operate from the EHD including but not limited to unpaid <br /> permit fees. <br /> OBSERVATION:A permit to operate the UST system has not been issued. <br /> REGULATION GUIDANCE: No person may own or operate an UST unless a permit for its operation has been <br /> issued by the local agency to the owner or operator of the UST system. <br /> CORRECTIVE ACTION: Immediately obtain a permit to operate a UST system from the EHD. <br /> This is a Class I violation. <br /> 104 CCR 2632(d)(1), 2634(d)Failure to submit a complete and accurate UST Monitoring Plan. <br /> OBSERVATION: The monitoring plan is not current. The first and second persons listed as having responsibility are <br /> outdated. <br /> REGULATION GUIDANCE: The monitoring plan must be uploaded to the California Environmental Reporting <br /> System (CERS). <br /> CORRECTIVE ACTION: Immediately log into CERS, make the necessary changes, and submit for review by the <br /> EHD. <br /> This is a repeat violation, Class 11. <br /> 105 CCR 2632(d)(2), 2634(e)Failure to submit a complete and accurate UST Response Plan. <br /> OBSERVATION: The response plan is not current.All responsible persons listed in the response plan no longer <br /> work for the facility. <br /> REGULATION GUIDANCE: The response plan must be uploaded to the California Environmental Reporting System <br /> (CERS). <br /> CORRECTIVE ACTION: Immediately log into CERS, upload the completed form, and submit for review by the EHD. <br /> This is a minor violation. <br /> FA0002864 PR0231002 SCO01 02/27/2023 <br /> EHD 23-01 Rev.12/06/2021 Page 4 of 10 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.sjgov.org/EHD <br />