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San Joaquin County E(071 r' x,'" F: <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, California 95205-6232 <br /> Telephone:(209)468-3420 Fax:(209)468-3433 Web:www.sjoov.org/ehd U <br /> Underground Storage,Tank`Pirogram`Inspect'ro <br /> Facility Name: Facility Address: <br /> LODI MEMORIAL HOSPITAL 975 S FAIRMONT AVE LODI 6&6b "T8" 018 <br /> Other Violations <br /> 2010 See below Unlisted General violation o V o R o COS <br /> SUMMARY OF VIOLATIONS <br /> (CLASS I,CLASS 11,or MINOR-Notice to Comply) _ <br /> Item# Remarks <br /> 104 CCR 2711 UST operating permit application for facility and tank information not submitted or current. <br /> UST Tank Information forms are not current in CERS. <br /> The 20,000 gallon tank: <br /> -lists'ball float'as part of the overfill prevention. The site has chosen to not test the ball float. <br /> -lists'none'for Riser Pipe Secondary Containment. Fiberglass secondary was observed. <br /> The 5,000 gallon tank: <br /> -lists'audible/visual alarms'as part of the overfill prevention. The site has chosen to not test the a/v alarm. <br /> -lists'rigid plastic'as the product piping primary and secondary containment. This piping is double-walled flex pipe. <br /> Any change of information must be updated in CERS within 30 days of the changes. Immediately log into CERS, <br /> update the required information, and submit for review by the EHD. <br /> This is a Class II violation. <br /> 105 CCR 2632(d)(1),2634(d)Failed to have an approved UST monitoring plan. <br /> The monitoring plan is not current and/or not approved by the EHD. <br /> The 20,000 gallon tank: <br /> -does not list a leak detector. The site has a Veeder-Root PLLD. <br /> -includes ball float as overfill in the comments section. The site has chosen to not test the ball floats. <br /> -does not include a Second Person Having Responsibility <br /> The 5,000 gallon tank: <br /> -The monitoring panel under tank and piping monitoring should be Autostik JR-1 <br /> -does not state that the site has suction piping. <br /> -incorrectly states the site keeps records of Tank Integrity Testing Results <br /> -does not include a Second Person Having Responsibility <br /> The monitoring plan must be uploaded to the California Environmental Reporting System(CERS). Immediately log <br /> into CERS, make the necessary changes, and submit for review by the EHD. <br /> This is a repeat violation, Class IL <br /> FA0000513 PR0231331 SCO01 10/16/2018 <br /> EHD 23-01 Rev.09/22/16 Page 4 of 6 Underground Storage Tank Program OIR <br />