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Environmental Health Department AMENDED 6/7/2022 Aboveground Petroleum Storage Act Inspection Report Date: April 26, 2022 Facility Address: 525 W ACACIA ST, STOCKTON Facility Name: DAMERON HOSPITAL SPCC Plan Requirements for Onshore Facilities (excluding production facilities) 719 □ V □ R □ COSFailed to locate properly or provide sufficient secondary containment for mobile/portable containersCFR 112.8(c)(11) 720 □ V □ R □ COSFailed to take corrective action on buried piping when exposed for any reasonCFR 112.8(d)(1) 721 □ V □ R □ COSFailed to provide corrosion protection for buried pipingCFR 112.8(d)(1) 722 □ V □ R □ COSFailed to cap/blank-flange connection at transfer point and mark its origin if not in serviceCFR 112.8(d)(2) 723 □ V □ R □ COSFailed to design pipe supports to minimize abrasion/corrosion and to allow for expansion/contractionCFR 112.8(d)(3) 724 □ V □ R □ COSFailed to regularly inspect aboveground valves, piping, and appurtenancesCFR 112.8(d)(4) 725 □ V □ R □ COSFailed to conduct integrity and leak testing on buried piping any time it is worked onCFR 112.8(d)(4) 726 □ V □ R □ COSFailed to adequately warn vehicles entering facility to protect piping and other transfer operationsCFR 112.8(d)(5) 727 □ V □ R □ COSPlan failed to adequately describe overfill prevention methods for each containerCFR 112.7(a)(1), 112.8(c)(8) Other Violations 4010 □ V □ R □ COSUnlisted Administration/Documentation violation See below 4020 □ V □ R □ COSUnlisted Training violation See below 4030 □ V □ R □ COSUnlisted Operations/Maintenance violation See below 4040 □ V □ R □ COSUnlisted Release/Leaks/Spills violation See below 4050 □ V □ R □ COSUnlisted Abandonment/Illegal Disposal/Unauthorized Treatment violation See below SUMMARY OF VIOLATIONS (CLASS I, CLASS II, or MINOR - Notice to Comply) RemarksItem # 103 HSC 25270.6(a) Failed to file HMBP or annual facility tank statement. OBSERVATION: A complete tank facility statement or a business plan has not been submitted on CERS (California Environmental Reporting System) for 2022. REGULATION GUIDANCE: (a)(1) On or before January 1, annually, each owner or operator of a tank facility subject to this chapter shall file with the statewide information management system, a tank facility statement that shall identify the name and address of the tank facility, a contact person for the tank facility, the total storage capacity of the tank facility, and the location and contents of each petroleum storage tank that exceeds 10,000 gallons in storage capacity. A copy of a statement submitted previously pursuant to this section may be submitted in lieu of a new tank facility statement if no new or used storage tanks have been added to the facility or if no significant modifications have been made. For purposes of this section, a significant modification includes, but is not limited to, altering existing storage tanks or changing spill prevention or containment methods. (2) Notwithstanding paragraph (1), an owner or operator of a tank facility that submits a business plan, as defined in subdivision (d) of Section 25501 , to the statewide information management system and that complies with Sections 25503 , 25505 , 25505.1 , 25507 , 25507.2 , 25508 , 25508.1 , and 25508.2 , satisfies the requirement in paragraph (1) to file a tank facility statement. CORRECTIVE ACTION: Immediately submit a complete and adequate tank facility statement or a business plan. Submit proof of correction to the EHD. This is a Class II violation. FA0002864 PR0526379 SC001 04/26/2022 EHD 28-01 Rev. 12/06/2021 Aboveground Petroleum Storage Act OIRPage 4 of 8 1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjgov.org/EHD