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SAN JOAQUIN Environmental Health Department COUNTY 175 4 Greatness grows here. Underground Storage Tank Program Inspection Report Facility Name: Facility Phone: Date: Sutter Valley Hospitals dba Sutter Tracy Community Hospital 1(209) 832-6032 1 November 13, 2025 Facility Address: CERS ID: 1420 N Tracy BLVD, Tracy, CA 95376 10397599 Inspection Contact: Title: Phone: Brent Matteroli Manager (209) 678-1084 Inspection Type: Program: Routine 2361 - UST FACILITY Consent For: Consent Given By: ■ Inspection ■ Photos ■ Samples Brent Matteroli, Manager Service Technician Onsite: Exp.Date: Designated Operator: Exp.Date: Isaac Anderson 10/16/2026 Issac Anderson 10/16/2026 Service Technician Manufacturer's Training: Veeder-Root, 8/24/2026; OPW, 4/22/2026; , OUT=Violation R=Repeat Violation COS=Corrected on site during inspection 1 25284; CCR 2711(d) 2030021 - Facility has a valid Permit to Operate from the CUPA ❑OUT ❑ R ❑COS 2 2711 2010010-Complete and accurate UST Operating Permit Application has been ■OUT ❑ R ■ COS submitted. 3 2632(d)(1), 2634(d) 2010013- Facility has submitted a complete and accurate UST Monitoring Plan. ❑OUT ❑ R ❑COS 4 2632(d)(2), 2634(e) 2010014-Facility has submitted a complete and accurate UST Response Plan. ❑OUT ❑ R ❑COS 5 2632(d), 2641(h) 2030041 -A current facility plot plan is maintained and has been submitted ❑OUT ❑ R ❑COS 6 25299(a)(8), 25299(b)(7) 2010006-Owner/Operator has not made false statements, certifications, or ❑OUT ❑ R ❑COS representations on documents 7 2715(a)(1)(B), 2715(a)(3) 2010003-Owner/Operator submitted DO form and/or informed the CUPA of any ❑OUT ❑ R ❑COS change(s)within 30 days(TCR 10) 8 2715(a)(1)(A), 2715(a)(2) 2010016-"Underground Storage Tank Statement of Understanding and ❑OUT ❑ R ❑COS Compliance Form"submitted (TCR 10) 9 2638, 26410), 2715(f) 2030002-Leak detection equipment tested by qualified service technician every ❑OUT ❑ R ❑COS 12 months (TCR 9d) 10 2638(c), 2638(d) 2030074-Annual Monitoring System Certification Form to the CUPA within 30 ❑OUT ❑ R ❑COS days of completion of the test 11 2637(a-d), 2712(b)(1)(F) 2030048-Sec containment testing conducted per requirements&records kept for ❑OUT ❑ R ❑COS 36 mths(TCR 9d) 12 2637(e), 2637(f) 2010009-Secondary containment test results submitted to the CUPA within 30 ❑OUT ❑ R ❑COS days after the test. 13 2637.1(d),2637.1(e) 2010017-Spill bucket testing results submitted to the UPA within 30 days of testing ❑OUT ❑ R ❑COS 14 2637.2(d&e), 2665(a&b) 2010018-Overfill prevention equipment inspection report form submitted to the ❑OUT ❑ R ❑COS UPA within 30 days 15 2636(f)(3), 2643(c)(3) 2030042-Line integrity test completed on DW press piping every 12 mths if no fail ❑OUT ❑ R ❑COS safe/+shutdown (TCR 9d) 16 2643(d), 2661(f) 2030050-0.1 gph piping test conducted on SW suction systems every 36 mths ❑OUT ❑ R ❑COS and after piping repair(TCR 9d) 17 2643(e), 2661(f) 2030051 -0.1 gph piping test conducted on SW gravity systems every 24 mths and ❑OUT ❑ R ❑COS after piping repair(TCR 9d) 18 2663, 2712(b)(6) 2030029-Tank lining inspected w/in 10 years of lining, every 5 years after, cert ❑OUT ❑ R ❑COS submitted to CUPA(TCR 9c) 19 2644.1(a)(5) 2010005- ELD testing results sent to the board and the CUPA within 60 days of ❑OUT ❑ R ❑COS completion of the test 20 2646.10) 2030056-SIR Report submitted to the CUPA every 12 months ❑OUT ❑ R ❑COS EHD-CUPA Inspection Report IS02 Page 1 of 5 FA0002562 PR0231736 4576491 11/13/2025 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/EHD