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OR EC , <br /> 1 <br /> San Joaquin County <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, California 95205-623�ZNVIRC)NMEi�fl"AL HEALTH <br /> Telephone:(209)468-3420 Fax:(209)468-3433 Web:www.sigov.orq/ehd EPARTMENT <br /> Und+ rground Spat' . �<.F. ; � �� n= a ;ect�onR� i ?. r.. <br /> Facility Name: Facility Address: Date: <br /> LODI MEMORIAL HOSPITAL 975 S FAIRMONT AVE LODI October 16 2018 <br /> 1011- <br /> A d <br /> 3 •d�• a F <br /> rr (CLILS3;�,Cr ASS 1(,orTlillNfiF t-Ae toMmM!j a� +� <br /> „ f <br /> Item# Remarks � �. ,..". .�.., �� <br /> 305 HSC 25290.1(e)VPH monitoring of the interstitial spaces of the UST system is not maintained. 4 <br /> The S2 sensor failed when tested. The interstitial space of the UST shall be maintained, as designed, under constant <br /> vacuum such that a breach in the primary or secondary containment is detected before the hazardous substance is <br /> released into the environment. Correct immediately by having a properly licensed,trained, and certified contractor <br /> replace the failed component with a functional component(LG 113-x listed, if applicable)and obtain a permit within <br /> one business day from the EHD. If the failed component can't be replaced immediately, there is a possibility that the <br /> new generator UST system may be red tagged to prevent fuel inputs. '' <br /> This is a minor violation. STP i P / 1� <br /> 320 CCR 2635, 2637.2,2665, 2712 Failure to comply with the installation, inspection, or record keeping of the overfill a <br /> prevention. <br /> The overfill prevention mechanisms were not tested by October 13, 2018. All overfill prevention was required to be <br /> tested and certified by October 13, 2018 and every three years thereafter. These tests were conducted today. <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 bpen or will be taken for each violation, and any supporting <br /> paperwork, by November 15, 2018. ,N <br /> NOT ing is incomplete. Piping communicationesting could not be conducted for all four pipes due to no <br /> tes ports. This testing must be conducted in October in order to avoid being late. Proved the EHD with 48 hour <br /> otice of testing. All EHD staff time associated with a reinspection will 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 /> ocuments provided: Return to Compliance Certification form, schedule of free CUPA classes V(+ <br /> 01 airk,��tl <br /> ;Pct 01 <br /> AFTER THE COMPLIANCE DATE, EHD WILL BILL FOR ALL TIME AND ACTIVITIES ASSOCIATED WITH BRINGING THIS <br /> FACILITY BACK INTO COMPLIANCE. <br /> THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br /> Received by: Date: October 16, 2018 Inspector: Inspector Phone: <br /> Printed Name and Title: STACY RIVERA, Senior REHS (209)468-3440 <br /> A"a ehrich, Maintenance Supervisor <br /> `.= FA0000513 PR0231331 SC001 10/16/2018 <br /> EHD 23-01 Rev.09/22/16 \g�1�(f\ Page 6 of 6 Underground Storage Tank Program OIR <br /> "o ��� <br />