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9 ! <br /> 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.sigov.org/ehd <br /> UNDERGROUND STORAGE TANK(UST) PROGRAM INSPECTION REPORT CONTINUED <br /> FacilitName: Lodi Memorial Hospital Facilitys: 975 South Fairmont Ave, Lodi Date: <br /> Oct 9, 2013 <br /> VIOLATIONS <br /> # C1 C2 M Code Section HSC=CA Health and SafetyCode;CFR=Code of Federal Regulations <br /> C1=Class 1 violation,C2=Class 2 violation;M=Minor violation <br /> Non-Pressurized Piping(continued) <br /> 702 CCR 2643(e) Biennial tightness test of gravity piping not performed(pre-January 1,1984) (M1) <br /> 703 CCR 2643(d) Triennial line test for conventional suction piping not performed(pre-January 1,1984) (M1) <br /> Other Violations <br /> 999 Other: See attached"Continuation—Official Inspection Report"for violation(s)not listed above. <br /> SUMMARY OF VIOLATIONS <br /> CLASS I,CLASS II,or MINOR-Notice to Comply) <br /> UST Inspection: Routine & Annual Monitoring System Certification <br /> Minor/ Notice to Comply violation : 304 <br /> 304. The L5 20K tank fill sump brine sensor has been in alarm for the since October 1 because of low <br /> brine level in its reservoir and, therefore, the tank is not monitored. Technician replaced two gallons of <br /> brine but believes there may be a leak in a boot/ penetrations that may have caused leakage of brine. <br /> The interstitial space shall be monitored with a monitoring system connected to an audible and visual <br /> alarm system. Immediately contact a properly licensed, trained, and certified contractor to replace the <br /> failed component with a functional component (LG 113-x listed, if applicable) under permit and <br /> inspection of the EHD. <br /> - Per Maintenance Supervisor, Elite IV Contractors should have a permit application issued. <br /> Submit to SJC EHD within 30 days (11/09/13): <br /> 1. test notification for to witness functionality of the L5 sensor alarm and repairs made <br /> ALL END STAFF TIME ASSOCIATED WITH FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL BE BILLED AT THE CURRENT HOURLY RATE. <br /> THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT HD'S URRENT HOURLY RATE. <br /> Inspedorr Recei y: Title: <br /> EHD 23-02 Rev 04/19/12 Page UST INSPECT ON REPORT <br />