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2098253893 ENGINEERING DEPT. SAN J®AQUIN COUNTY 0 24 a.m. 09-10-2010 2/21, <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton,California 95202-3029 <br /> Telephone:(209)468-3420 Fax:(209)468-3433 Web:www.sigov.org/ehd/unitiii.htmi <br /> CONTINUATION FORM Page: 3 of 3 <br /> OFFICIAL TI PRT Dates 09-13-10 <br /> Facility Address: Kaiser Hospital 1777 West Yosemite Ave, Manteca Program: UST <br /> SUMMARY OF VIOLATIONS <br /> (CLASS 1,CLAW 11,or MINOR-Notice to Comply) <br /> UST Inspection:Annual Monitoring System Certification and Routine <br /> 6. Monitoring Plan not onsite. Monitoring Plan form can be found at http://www.sioov.or- /g ehd website. Correct <br /> by submitting a copy of the current Monitoring Plan to SJC EHD within 30 days(09/13/10).An approved copy will <br /> be sent back to the facility to be kept onsite at all times. <br /> 21. Liquid was found in the di#sel STP sump. Per technician, it appears to have come from the oil filter. If liquid <br /> could enter into the secondary:containment by precipitation or infiltration, facility shall have a means of monitoring <br /> for liquid intrusion and removing the liquid. Liquid must be analyzed for hazardous waste characteristics and <br /> disposed according to title 22 hazardous waste regulations at an authorized disposal facility. <br /> • Technicians removed the liquid and place liquid into their test liquid drum. <br /> i <br /> 23c. DO monthly inspectibns has incorrect test dates. Designated operator documented on August—December <br /> 2009, January—April 2010 monthly reports last annual monitoring system certification was incorrectly <br /> documented as 08/01/0 —actual date 08/07/09; Last spill containment/bucket test incorrectly documented as <br /> 08/01/09—actual date'08/07/09; Last line tightness test incorrectly documented as 08/29/08—actual date <br /> 12/24/08. November and December 2009 monthly reports incorrectly document secondary containment testing as <br /> 04/07/06. Submit how future documentation of test dates will be correctly written in the DO monthly reports. <br /> 23e. DO monthly visual inspections r6port not maintained onsite for at least 12 months. DO report for June and <br /> July 2010 not available for review. Facility must maintain the monthly reports onsite for at least 12 months. <br /> Correct by submitting a copy of the missing AWand July 2010 to SJC EHD within 30 days(09/13/10). <br /> 27.Annual line tightness test not conducted. Last line tightness testing was conducted 12/24/08. Monitoring <br /> shall be conducted on all underground pressurized piping with secondary containment at least annually at <br /> pressure designated by the equipment manufacturer. Correct by submitting line tightness test results to SJC EHD <br /> within 30 days(09/13/10). <br /> Submit to SJC EHD within 30 days(09/13/10): <br /> 1. one copy of the completed"Return to Compliance Certification"form <br /> 2. a corrective action statement for the above violations <br /> 3. requested or supporting documentations <br /> Notes:All future entry td hospital carpous must check-in at the administration office <br /> -ALL EHD STAFF 11ME ASSOCIATED WITH FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL BE BILLED/T THE CURRENT HOURLY RATE($122). <br /> THISf A�ACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br /> EEHDinspectorTHLIYM,,� PC <br /> Received B . Tide: <br /> >, <br />