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San Joaquin County <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, California 95205-6232 <br /> Telephone: (209)468-3420 Fax; (209)468-3433 Web:www.s'gov.org/ehd <br /> Underground Storage Tank Program Inspection Report <br /> Facility Name: Facility Address: Date: <br /> DAMERON HOSPITAL 525 W ACACIA ST, STOCKTON February 13, 2019 <br /> SUMMARY OF VIOLATIONS <br /> (CLASS I,CLASS II,or MINOR-Notice to Comply) <br /> rO3 <br /> Remarks <br /> HSC 25292.2, 25299.30 Failure to submit and maintain complete and current financial responsibility documents. <br /> Financial responsibility documents have not been submitted to the EHD. The most recent financial responsibility <br /> documents are dated 2/17/17. Current financial responsibility documents are required to be submitted annually. <br /> Immediately log into the California Environmental Reporting System (CERS) at http://cers.calepa.ca.gov/, and <br /> upload the required documents. <br /> This is a minor violation. <br /> 320 CCR 2635, 2637.2, 2665, 2712 Failure to comply with the installation, inspection, or record keeping of the overfill <br /> prevention. <br /> Overfill prevention testing was conducted on 2/13/19. This testing was required to be conducted by October 13, <br /> 2018. Ensure all future testing is conducted within required time frames. <br /> This is a Class II violation. <br /> Overall Inspection Comments: <br /> Complete and submit a copy of the Return to Compliance Certification form to the EHD with a statement <br /> documenting the corrective actions that have been or will be taken for each violation, and any supporting <br /> paperwork, by March 15, 2019. <br /> "The leak detector test and primary line tightness test could not be completed. The piping and valves needed <br /> for testing were inaccessible due to recent construction. These tests are due by the end of February under <br /> inspection by EHD. A48 hour inspection notice is required. All EHD staff time associated with reinspections will <br /> be billed at the current hourly rate ($152). <br /> Starting September 1, 2018, all in-office CERS help will be provided at EHD hourly rate ($152). To schedule an <br /> appointment, please call (209) 468-3420. <br /> Documents provided: Return to Compliance Certification form, schedule of free CUPA classes <br /> AFTER THE COMPLIANCE DATE, EHD WILL BILL FOR ALL TIME AND ACTIVITIES ASSOCIATED WITH BRINGING <br /> THIS FACILITY BACK INTO COMPLIANCE. <br /> THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br /> Received by: <br /> Date: February 13, 2019 Inspector: Inspector Phone: <br /> e"- Printed Name and Title: STACY RIVERA, Senior REHS (209)468-3440 <br /> Nick Chambers, Operations Manager <br /> FA0002864 PR0231002 SCO01 02/13/2019 <br /> EHD 23-01 Rev.09/22/16 Page 4 of 4 Underground Storage Tank Program OIR <br />