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Environmental Health Department SAN JOAQUINYl i COUNTY Aboveground Petroleum Storage Act Inspection Report Facility Name : Facility Phone: Date : DAMERON HOSPITAL (209 ) 944-5550 October 25 , 2018 Facility Address : CERS ID : 525 W ACACIA ST , STOCKTON , CA 95203 10181003 Inspection Contact: Title. Phone: Jacob Wiebe Senior Director of plant (209 ) 944-5550 Inspection Type: Program : ROUTINE INSPECTION - Operating Permit 12832 - ASTFAC 10 K - </= 100 K GAL CUMULATIVE Consent For: Consent Given By : 0 Inspection I] Photos ❑ Samples I Jacob Wiebe , Senior Director of plant ops CCR = California Code of Regulations HSC = Health and Safety Code CFR = Title 40 Code of Federal Regulations V = Violation R = Repeat violation COS = Corrected on site during inspection Aboveground Petroleum Storage Act 101 HSC 25270 . 6 (b) Failed to pay APSA program annual fees ❑ V ❑ R ❑ COS 102 HSC 25270 . 4 . 5 (a) Failed to prepare a written SPCC Plan in accordance with CFR Part 112 ❑ V ❑ R ❑ COS 103 HSC 25270 . 6(a) Failed to file HMBP or annual facility tank statement ■ V ❑ R ❑ COS 104 HSC 25270 . 8 Failed to report spills or releases of 42 gallons (one barrel) or more iiV ❑ R iiCOS 105 CFR 112A (b) (3) 1112 , 2 Failure to properly close tanks when making a claim of permanently closed ❑ V ❑ R ❑ COS 106 HSC 25404 . 1 . 2 Failed to submit a certification and written response within 30 days for minor violations ❑ V ❑ R ❑ COS 107 HSC 25270 . 2 (a) (4) Failure to prepare SPCC plan when facility no longer meets oil-filled electrical equipment exclusion ❑ V ❑ R ❑ COS 108 HSC 25270 . 4. 5(a) Failure of conditionally exempt facility to conduct inspections or install secondary containment ❑ V ❑ R ❑ COS 109 HSC 25270 . 2(o) ( 1 ) (C) Failure to have secondary containment and/or leak detection if TIUGA piping cannot be viewed ❑ V ❑ R ❑ COS (iv)( 111) 110 HSC 25404 (e) (4) Failed to report program data in the California Environmental Reporting System (CERS) ❑ V ❑ R ❑ COS Requirement to Prepare and Implement a SPCC Plan 201 CFR 112 . 3(d) Failure to have a licensed PE properly review and certify the SPCC plan ❑ V ❑ R ❑ COS 202 CFR 112 . 3 (e) ( 1 ) Failed to maintain a copy of the Plan on site ❑ V ❑ R ❑ COS 203 CFR 112 . 3 Failure to implement the SPCC Plan ❑ V ❑ R ❑ COS 204 CFR 112 . 3 (g ) Failure to prepare SPCC Plan when facility no longer meets Qualified Facility criteria ❑ V ❑ R ❑ COS 205 CFR 112 . 31 112 . 6 Failure to prepare SPCC Plan that meets all applicable requirements ❑ V ❑ R ❑ COS 206 CFR 112 . 3 (d)( 1 ) Failure of owner to assure that the PE makes all required attestations in the Plan ❑ V ❑ R ❑ COS Amendment of SPCC Plan by Owners or Operators 301 CFR 112 . 5 (a) Failed to amend Plan as necessary ❑ V ❑ R ❑ COS 302 CFR 112 . 5(b) Failed to review Plan once every five years and/or implement any resulting amendments ■ V ❑ R ❑ COS 303 CFR 112 . 5(c) Failed to have a PE certify technical amendments ❑ V ❑ R ❑ COS 304 CFR 112 . 5(a) , 112 . 5(b) Failure to implement SPCC plan amendments within 6 months ❑ V ❑ R ❑ COS Qualified Facility - Tier 1 401 CFR 112 . 6 (a) , 112 . 6 (b) Tier I Qualified Facility Plan not certified by the owner or a PE ❑ V ❑ R ❑ COS 402 CFR 112 . 6 (a)(2) Owner of Tier I Qualified Facility failed to self certify technical amendment ❑ V ❑ R ❑ COS 403 CFR 112 . 6 (a) (3) (i) Plan failed to predict direction/rate of flow/total quantity of oil potentially discharged ❑ V ❑ R ❑ COS 404 CFR 112 . 6(a) (3) (ii) No 2CT for bulk containers , or mobile storage containers not located to prevent discharge ❑ V ❑ R ❑ COS FA0002864 PR0526379 SC001 10/25/2018 EHD 28-01 Rev, 09/27/2018 Page 1 of 7 Aboveground Petroleum Storage Act OIR 1868 E . Hazelton Avenue Stockton , California 95205 1 T 209 468 -3420 F 209 464 -0138 1 www . sjcehd . com