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• • <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.sjgov.org/ehd <br /> UNDERGROUND STORAGE TANK(UST) PROGRAM INSPECTION REPORT CONTINUED <br /> Facility SJ General Hospital Facility 500 W Hospital Rd, French Camp Date: Aug 24, 2012 <br /> Name: p Address: <br /> VIOLATIONS <br /> # Cl C2 M Code Section HSC=CA Health and S Code;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 1,CLASS II,or MINOR-Notice to Comply) <br /> UST Inspection: Routine & Annual Monitoring System Certification <br /> 104. Financial responsibility documents for the year 2012 have not been submitted to the EHD. Current <br /> financial responsibility documents are required to be submitted annually. Complete and submit a copy <br /> of the financial responsibility: Certification of Financial Responsibility and Letter from Chief Financial <br /> Officer. Repeat violation. <br /> Submit to SJC EHD within 30 days (09/24/12)- <br /> 1. one copy of the completed "Return to Compliance Certification" form <br /> 2. copy of financial responsibility document <br /> ALL EHD 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 EHD'S CURRENT HOURLY RATE. <br /> Inspector ecei By: Title: <br /> JA <br /> U <br /> EHD 23ZZ54ev 04/19/12 age 3 UST INSPECTION REPORT <br />