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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 600 East Main Street, Stockton, California 95202-3029 Telephone: (209)468-3420 Fax:(209)468-3433 Web:www.siciov.org/ehd ABOVEGROUND PETROLEUM STORAGE ACT (APSA) PROGRAM INSPECTION REPORT Facility Dameron Hospital Assn. Add°tee 525 W. Acacia St., Stockton I Inspection Feb 23, 2011 Name: Data: Facility Ventress Sanford-Ware Title: Administrative Manager Phone: 461-3157 Contact: AST Total Facility Shell 10,600 Content Shell 10,000 Capacity red DSL motor oil motor oil diesel diesel- - - - _ capacity(gap: 150 150 150 150 SPCC Plan 5 year 1 O(7/2008 review date: SPCC Plan type: ❑APSA SPCC conditionally exempt(HSC 25270.4.5(b)) ®Fully or partially Professional Engineer certified ❑Self-Certified Inspection Type: ®Routine []Follow up ❑Complaint-0* (Authority HSC 25270.4) consent for. Inspection Sampling Photos created by: Mark KoenigTil Director Risk/Safe ty VIOLATIONS R Code$lCtlOh HSC=CA Health and SafetyCode'CFR=Code of Federal R ulations'V=Vwlalion:RV=Repeat vitiation • VV Specific r uirements of HSC 25270.4.5 a are identified as CFR code sections beginningwith 112 1 HSC 25270.4.5(a) Failed to prepare a written SPCC Plan in accordance with CFR Part 112 2 X HSC 25270.4.5(a) Failed to conduct periodic inspections of the storage tank to assure compliance with CFR Part 112 3 HSC 25270.6(a) Failed to file business plan or annual tank facility statement if capacity>10K gallons and i5%petroleum 4 HSC 25270.6(b) Failed to submit APSA fees 5 HSC 25270.8 Failed to report spills or releases of 42 gallons or more 6 2FR112.3(d) SPCC Plan certification by a Professional Engineer(PE)missing or incomplete 7 CFR 112.3(e) Failed to retain a copy of the SPCC Plan on site 8 X CFR 112.5(a) Failed to amend SPCC Plan within 6 months,or implement changes within 6 months of amendment when there is an a hVe than a to the facility 9 CFR 112.5(b) Failed tc amend SPCC Plan within 6 months,or implement changes within 6 months of amendment after scheduled 5 year Plan review 10 CFR 112.5(b) Failed to complete a review and evaluation of SPCC plan at least once every 5 years 11 CFR 112.5(c) Failed to have a PE certify technical amendments within 6 months of change 12 CFR 112.6 Failed to self-certify technical amendment when there is an applicable change to the:(a)(2)Tier I qualified facility;orb 2 Tier II qualified facility 13 CFR 112.6(a)(3) Tier I qualified facility SPCC Plan incomplete 14 CFR 112.6(b)(1) Tier 11 qualified facility SPCC Plan self certification missing or incomplete 15 CFR 112.6(b)(4) Failed to provide written PE certification in a self-certified plan for alternate methods which provide environmental equivalence,or provisions in lieu of secondary containment due to impracticality 16 X CFR 112.7 - SPCC Plan lacks full approval of management at a level of authority to commit the necessary resources to implement the Plan 17 CFR 112.7(a)(2) Failed to provide equivalent environmental protection and/or state the reasons for nonconformance and describe the alternate methods and how they achieve equivalent environmental protection 18 X CFR 112.7(a)(3) No facility diagram or diagram failed to show location and contents of each container,transfer stations, and connectino pipes. 19 CFR 112.7(a)(3)(i) SPCC Plan failed to include description of product type and storage rapacity for each container 20 CFR 112.7(a)(3)(ii) SPCC Plan failed to include procedures for routine handling of products and discharge prevention measures 21 CFR 112.7(a)(3)(iii) SPCC Plan failed to show discharge or drainage controls(secondary containment),equipment,and rocedures for the control of a discharge 22 CFR I I2.7(a)(3)(iv) SPCC Plan failed to show countermeasures for discovery,response and cleanup of discharges 23 X I I CFR 112.7(a)(3)(v) SPCC Plan failed to address disposal methods for recovered materials 24 CFR 112.7(a)(3)(vi) SPCC Plan failed to include required contact list and phone numbers of the facility's response coorclinator, cleanup contractors,and agencies to notify in case of discharge 25 CFR 112.7(a)(4) Failed to provide information and procedures to enable a person to adequately report discharges if a response plan was not submitted to the Regional Administrator RA 26 CFR 112.7(a)(5) Failed to organize emergency procedures for discharges in a readily useable way if a response plan was not submitted to the RA In tM Phone: Rarsived ay Title' (209)468-03358 qL4 i s Z EHD 2 Rev 19/10 Page 1 APSA INSPECTION REPORT