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r7) E7 41 San Joaquin County Environmental Health Department NOV 16 2018 1868 East Hazelton Avenue, Stockton, California 95205-6232 Telephone:(209)468-3420 Fax:(209)468-3433 Web:w ww,§jgov.org/ehd Facility Name: Facility Address: Date: LODI MEMORIAL HOSPITAL 975 S FAIRMONT AVE LODI October 16 2018 313 HSC 25290.1,25290.2, Failure to construct,operate,and maintain primary containment as product-tight ❑V o R o COS 25291 314 HSC 25290.1,25290.2, Failed to have secondary containment or secondary containment not tight ❑V o R o COS 25291 315 HSC 25291(a) Water in secondary containment not removed,analyzed,and properly disposed of(pre-Jul 2003) ❑V o R o COS 316 HSC 25290.1(c3), Secondary containment not constructed to prevent water intrusion(after Jul 2003) o V o R o COS 25290.2(c3) 317 CCR 2636,2643(c)(1), Line leak detector(LLD)not installed o V ❑R o COS 2666(f) 318 CCR 2636(f)(2) Leak detector failed to detect a 3.0 gallons per hour leak at 10 pounds per square inch o V ❑R o COS 319 CCR 2635,2637.1, No spill bucket,failed to contain 5 gallons,no means to keep it empty,or failed to be tested ❑V ❑R ❑COS 2665,2712 320 CCR 2635,2637.2, Failure to comply with the installation,Inspection,or record keeping of the overfill prevention ■V ❑R o COS 2665,2712 321 CCR 2635(b)(2) Overfill prevention was overridden o V o R o COS 322 HSC 25281.6(a) Unburied below grade emergency generator system failed to meet exemption status o V o R o COS 323 HSC 25283.5(a) Unburied below grade UST system failed to meet exemption status ❑V o R ❑COS 324 CCR 2717.1(8) Tampered with red tag ❑V o R ❑COS 325 CCR 2717.1(0 Deposited petroleum into a red tagged UST o V o R ❑COS 326 HSC 25299(a)(9) Tampered with or disabled leak detection devices or alarms o V o R o COS 327 CCR 2631.1 UST system not compatible with the substance stored o V o R o COS 328 HSC 25298 Failed to comply with temporary closure requirements o V ❑R o COS 329 HSC 25298 Failed to comply with all permanent closure requirements o V o R o COS 330 CCR 2636(f),2666(c), No LLD on the emergency generator that restricts or shuts off the flow or triggers an alarm o V o R o COS 2666(f) 331 CCR 2630(d),2641(a) Liquid does not flow into the sump in the event of a leak(i.e.,failure to remove test boot). ❑V o R o COS 332 CCR 2631(Md), Primary and/or secondary containment not constructed in accordance with the established standards o V o R o COS 2666(b&e) 333 CCR 2635,2636(b), Failure to comply with the cathodic protection system requirements o V o R o COS 2662,2712 334 CCR 2666(b)(2) Single-walled pipe not upgraded to double-walled interstitially monitored pipe during repair o V o R ❑COS 335 CCR 2630,2632,2643, Equipment or methods used to monitor the UST system are not certified by an independent third-party o V o R o COS 2644.1 SntwIlt �Ix =P rtriIisrr� 401 CCR 2636(x)(3), Suction piping not properly sloped or incorrectly located check valve o V o R o COS 2641(b) 402 CCR 2643(d) No monitoring or record maintenance for single-walled conventional suction systems(pre-Jan 1984). o V ❑R o COS 403 CCR 2643(d),2661(f) Failure to conduct 0.1 gph test for single-walled conventional suction systems(pre-Jan 1984) o V ❑R o COS 404 CCR 2643(e),2661(f) Biennial 0.1 gph line Integrity test for single-walled gravity piping not performed(pre-Jan 1984) ❑V ❑R o COS FA0000513 PR0231331 SCO01 10/16/2016 EHD 23-01 Rev.09/22/16 Page 3 of 6 Underground Storage Tank Program OIR