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The following is an itemized list of CP22 - AST Non -Qualified violations that have not <br />been addressed for DAMERON HOSPITAL as of July 07, 2025. <br />Open violations from June 19, 2025 inspection <br />❑ This violation was corrected A!ZThis violation will be corrected by (date): <br />,M Supporting documents included <br />Describe actions taken or will be taken to correct violation: �)1r ILI <br />i rGbx- i©y) �, iN P a (`C n n v �r rt Ml -v) ne W <br />M <br />OBSERVATION: The facility failed to perform the 5 -year review of the Spill Prevention, Control, and Countermeasure <br />(SPCC) Plan. The facility's SPCC Plan was last reviewed on June 12, 2020. <br />REGULATION GUIDANCE: (b) Notwithstanding compliance with paragraph [112.5] (a) of this section, complete a <br />review and evaluation of the SPCC Plan at least once every five years from the date your facility becomes subject to <br />this part; or, if your facility was in operation on or before August 16, 2002, five years from the date your last review was <br />required under this part. As a result of this review and evaluation, you must amend your SPCC Plan within six months <br />of the review to include more effective prevention and control technology if the technology has been field -proven at the <br />time of the review and will significantly reduce the -likelihood of a discharge as described in § 112.1(b) from the facility. <br />You must implement any amendment as soon as possible, but not later than six months following preparation of any <br />amendment. You must document your completion of the review and evaluation, and must sign a statement as to <br />whether you will amend the Plan, either at the beginning or end of the Plan or in a log or an appendix to the Plan. The <br />following words will suffice, "I have completed review and evaluation of the SPCC Plan for (name of facility) on (date), <br />and will (will not) amend the Plan as a result." <br />CORRECTIVE ACTION: Immediately complete and document the 5 -year review of the SPCC Plan and make any <br />necessary amendments (a Professional Engineer must certify any technical amendments). Submit verification of <br />adequate SPCC plan review completion to the EHD. <br />❑ This violation was corrected tKThis violation will be corrected by (date): MD <br />[Supporting documents included 'fl' +n <br />Describe actions taken or will be taken to correct violation: e � v M '�� 1 ' <br />lbe- <br />I'" vi W r ISI n(A neW QPCC AY) Niw ierminpehhr Yl <br />-Si CU-fti-rc . <br />Page 3 of 6 <br />