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S A N J 0 A Q I I I Irl Environmental Health Department <br /> CCUN r <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 /> SUMMARY OF VIOLATIONS <br /> (CLASS I,CLASS II,or MINOR-Notice to Comply) <br /> Item# Remarks <br /> 110 CCR 2715(a)(1)(A), 2715(a)(2) Failure to submit the"Underground Storage Tank Statement of Understanding and <br /> Compliance Form". <br /> OBSERVATION: The Underground Storage Tank Statement of Understanding and Compliance Form was not found <br /> in CERS. <br /> REGULATION GUIDANCE: This form must be uploaded to the California Environmental Reporting System (CERS). <br /> CORRECTIVE ACTION: Immediately log into the California Environmental Reporting System (CERS)at <br /> http://cers.calepa.ca.gov and upload the Underground Storage Tank Statement of Understanding and Compliance <br /> Form for this facility. <br /> This is a Class II violation. <br /> 112 CCR 2638, 26410), 2715(f) Failure to have properly qualified service technician test leak detection equipment every <br /> 12 months. <br /> OBSERVATION: The annual monitoring system certification and leak detector testing were last performed on <br /> 2/5/2021 and were due by February 2022. Testing has not been completed and is 33 months past due. <br /> REGULATION GUIDANCE: These tests are required once every 12 months. <br /> CORRECTIVE ACTION: Immediately schedule these tests and provide 48 hours notification to the EHD. Please be <br /> aware that all EHD staff time associated with a follow up inspection will be billed at our current hourly rate($156). <br /> This is a repeat violation, Class ll. <br /> 114 CCR 2636(f)(3),2643(c)(3)Failure to perform line integrity test every 12 months or within 30 days of repair of <br /> primary pipe. <br /> OBSERVATION:Annual line tightness testing was last performed on 2/5/2021 and was due by February 2022. <br /> Testing has not been completed and is 33 months past due. <br /> REGULATION GUIDANCE: This test is required to be conducted annually. <br /> CORRECTIVE ACTION: Immediately schedule this test and provide 48 hours notification to the EHD. Please be <br /> aware that all EHD staff time associated with a reinspection will be billed at our current hourly rate ($156). <br /> This is a repeat violation, Class II. <br /> FA0002864 PR0231002 SCO01 02/27/2023 <br /> EHD 23-01 Rev.12/06/2021 Page 6 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 />