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SAN J 0 A Q I I I Irl Environmental Health Department CCUNT Underground Storage Tank Program Inspection Report Facility Name: Facility Address: Date: DAMERON HOSPITAL 525 W ACACIA ST, STOCKTON February 27, 2023 SUMMARY OF VIOLATIONS (CLASS I,CLASS II,or MINOR-Notice to Comply) Item# Remarks 208 CCR 2716(a-e) Failure to comply with the designated operator inspection requirements. 1)OBSERVATION:The designated operator failed to check and note the correct test dates for the secondary containment and line tightness tests on the designated operator inspection reports. -The secondary containment test was performed on 1/21/2021. -The primary line tightness test was performed on 2/5/2021. REGULATION GUIDANCE: During the inspection, the designated operator shall check that all required testing and maintenance for the UST system have been completed and document the dates they were done. CORRECTIVE ACTION: Ensure that designated operators performing inspections at this facility are including all of the required information on the reports. ----------------------------------------------------------------------- 2)OBSERVATION:The designated operator failed to check and note all required items on the visual inspection reports.The incorrect and missing information included the following from the inspection reports: -The reports inaccurately listed the UST's address as 825 W Acacia St. REGULATION GUIDANCE: During the visual inspection,the designated operator shall check that all required testing and maintenance for the UST system have been completed and shall check all required items on the report. CORRECTIVE ACTION: Ensure that designated operators performing visual inspections at this facility are including all of the required information on the reports. This is a repeat violation, Class ll. 209 CCR 2715(c)(3), 2715(c)(4) Failure to maintain a copy of the"Facility Employee Training Certificate"on-site. OBSERVATION: The Facility Employee Training Certificate dated 8/11/2022 listed incorrect initial training date for Felipe Gomez. REGULATION GUIDANCE:All site employees must be trained prior to taking responsibility as a facility employee if after October 1, 2018, or within 30 days of hire if prior to October 1, 2018. The Facility Employee Training Certificate shall contain accurate information for all employees trained. CORRECTIVE ACTION: Update the Facility Employee Training Certificate to contain the accurate information and submit a copy of the updated form to the EHD. This is a repeat violation, Class II. Overall Inspection Comments: An inspection checklist was provided to the facility operator on the day of inspection. The EHD has written the complete report which replaces the initial checklist. Note: The leak detector and annual line tests could not be conducted today because the lines were unable to be FA0002864 PR0231002 SCO01 02/27/2023 EHD 23-01 Rev.12/06/2021 Page 9 of 10 Underground Storage Tank Program OIR 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/EHD