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r ' <br /> SAN JOAQUIN COUNTY • <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.ora/ehd/unitiii.htmi <br /> UNDERGROUND STORAGE TANK(UST) PROGRAM INSPECTION REPORT <br /> FacilityFacty Inspection <br /> Name: Kaiser Permanente Address: 7373 West Lane, Stockton Date: Jan 5, 2012 <br /> Facility <br /> osta t: David Catanzarite Title: ASs't Chief Engineer Phone: 476-5408 <br /> Inspection <br /> Type: XRoutine XMonitoring System Certification i i Installation i I Complaint—ID#: ❑Other. <br /> (Authority HSC 25289) David Catanzarite Ass't Chief Engineer <br /> Consent for: D(Inspection I I Sampling p�Photos Granted by: Title: g <br /> Monitoring Veeder-Root TLS-2501 Piping 11 Pressurized XSuction XGravity Overfill Prevention: <br /> Panel: System: XMechanical f]Audible/visual <br /> UST 1 <br /> -------------- -------------- - - - - - - - - - - - - - --------- -- - - - - - - - - - --- - ----- - - - - ------------ <br /> Product DSL - - - - - - - <br /> Designated ThHin 11 ICC: <br /> Thomas stop <br /> Operator: g Date: 11-2-12 Violations: i I M1-Release Detection i I M2-Release Prevention 11 M3—Both <br /> onsite service Felix Ramirez Ice Exp. 12-11-12 Manufacturers VR: 6-28-12, TT: 5-31-14 <br /> Technician: Date: Training: <br /> VIOLATIONS <br /> # I C1 C2 M Code Section HSC=California Health and Safety Code;CCR=California Code of Regulations <br /> C1=Class 1 violation;C2=Class 2 violation;M=Minor violation <br /> File Review <br /> 101 HSC 25284 No permit to operate <br /> 102 HSG 25404.5 Annual operating fees not paid <br /> 103 HSC 25284(a)(3) No written agreement between the person that the operating permit was issued to and the tank operator to <br /> monitor the tanks stem <br /> 104 HSC 25292.2 Current financial responsibility documents not on file with the Environmental Health Department(EHDI <br /> 1u5 i CCR 2711 Current Unified Program consolidated Forms not on the with the LHD(Facility and tank form) <br /> Monitoring Program(Monitoring.&Respnn*e!'Ions)is riot current of approved by the LHU_ <br /> I L; i i flui ,_1 Illd[,"Lit-LIU lllli.L.[a UI idlid LU L.Uri tt,Y 61-wV;Y'.:u [ly 1` i.:C1 lumlvU i <br /> '1 UPJ i 1 UL_t-<Ltd itie)test notification not provioeo To the EHO at feast 48 hours prirrr ccfiauminrj an instaiiaTii n.repair, I <br /> _ t-..... <br /> _ _- <br /> i lin i i I In ��,R. <br /> e - C.A -. iCR 271+=fW - __ +.n -ter i - _ + - ! r._+ <br /> iu'id[ DRAHO-,ili lr5_'Y1 toi oufi[tic's;:;iai,et uul Il,..ruuori UI r.aie icpoif puitiva;ii i_ i&ii <br /> - - - - _- -.-._. -_-.--_ '-- -- - ----_-..-.---._.-.-_--.-.--.-.___-_-._----.�-------_.-_�� <br /> c "'bri'. i'(- lei ._e._ ii_. =l i - n {r`s;i pmai� 1 <br /> --- _...__ <br /> t1Cfi,I,L 7tUE dii,CilUC...a,lell .3ti.1..yC dilU/Uf{nUI11lUlI{iq sybiC111 L.1 IG{mud <br /> i <br /> i i I 1 I I Rc'r., .rrn..nl c .. .. -M, <br /> i3tlCtr[i[Jr31Ur [r,e Ii:G of,if 1...3ri.. ,riU,rrai3L tilg iv :Ei'aa.....c:3ua. -Lu ut lu.i11iC'Ui all ii 11i71:IUi111U U'1 ShciliJtitlG: 1 <br /> - <br /> I i anlimmont nroinnavataaiQyaiQry ,oother torrr?c�i ,_Inpc�rc rrinread mas and reconcIliatilene i <br /> I LUL I ( ! !'v'vt<Li i�til Monitoring pian,response pian,and/or operating permit anal an corwitions not onsite <br /> a <br /> ii'i� � : , i. �,ie�iii -tai 4.-i' Cr `.,,�.r,{.�,5_nl..t•Ci CFS(`.!}r ilia V .._,l if fit!� .,S,1_ ...;--• i x a.. .it ie 1, .. - l..i ,.0� <br /> i i i I i I nmduct,{,lac not reported to thn FHn within 24 hours <br /> Received <br /> Garrett Backus 209 468-2986Ale <br /> B �I Tile' <br /> EHD 23-02 Rev 09/01/11 P 1 l UST INSPECTION REPORT <br />