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S0 JOA U 1 Environmental Health Department <br /> Underground Storage Tank Program Inspection Report <br /> Facility Name: Facility Address: Date: <br /> LODI MEMORIAL HOSPITAL 975 S FAIRMONT AVE, LODI October 22, 2019 <br /> SUMMARY OF VIOLATIONS <br /> (CLASS I,CLASS II,or MINOR-Notice to Comply) <br /> Item# Remarks <br /> 209 CCR 2716(a-e) Failure to conduct the designated UST operator visual inspection at least once every 30 days. <br /> 1) OBSERVATION: The designated operator inspection for the 5, 000 gallon diesel tank was performed more than <br /> 30 days after the previous inspection: <br /> - Initial inspection on 1/24/2020, next inspection performed on 3/16/2020(52 days later) <br /> REGULATION GUIDANCE: The designated operator visual inspections shall be conducted within 30 days or less of <br /> the previous inspection. <br /> CORRECTIVE ACTION: Ensure that all designated operator inspections are performed within the required time <br /> frames. <br /> 2)OBSERVATION:The designated operator failed to check and note the correct test dates for the Secondary <br /> Containment test on the designated operator inspection reports. Secondary containment testing was completed on <br /> 10/24/2017 on the 5, 000 gallon diesel tank. <br /> REGULATION GUIDANCE: During the inspection, the designated operator shall check that all required testing and <br /> maintenance for the UST system have been completed and document the dates they were done. <br /> CORRECTIVE ACTION: Ensure that designated operators performing inspections at this facility are including all of <br /> the required information on the reports. <br /> 3)OBSERVATION:The designated operator failed to check and note all required items on the visual inspection <br /> reports.The incorrect and missing information included the following from the inspection reports: <br /> -Tank tightness testing was incorrectly said to be conducted on 10/16/2018.There were no test results found <br /> onsite. <br /> -Line tightness testing information was left blank. Line tightness testing was completed on 10/16/2018. <br /> REGULATION GUIDANCE: During the visual inspection,the designated operator shall check that all required <br /> testing and maintenance for the UST system have been completed and shall check all required items on the report. <br /> CORRECTIVE ACTION: Ensure that designated operators performing visual inspections at this facility are including <br /> all of the required information on the reports. <br /> This is a repeat violation, Class ll. <br /> Overall Inspection Comments: <br /> The monitoring system certification was conducted on 10/22/19, but was not witnessed in its entirety by EHD. <br /> Looked inside fill sumps, and turbine sump. Verified sensor locations. An inspection checklist was provided to <br /> the facility operator on the day of inspection. A complete report was finished on 5/19/2020 and replaces the <br /> initial checklist. <br /> FA0000513 PR0231331 SCO01 10/22/2019 <br /> EHD 23-01 Rev.9/20/2019 Page 6 of 7 Underground Storage Tank Program OIR <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />