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A dOAQU1N Environmental Health Department <br /> COUNTY <br /> CP22 - UST FULL Inspection Report <br /> Facility Name: Facility Address: Date: <br /> LODI MEMORIAL HOSPITAL 975 S FAIRMONT AVE, LODI September 12 2025 <br /> 87 CA Code of Regulations 2060021-Striker plate installed and positioned correctly. ❑OUT ❑R ❑COS <br /> 2631(c),2662(d) <br /> 88 CA Code of Regulations 2060007-Primary and secondary containment designed and constructed to an engineering ❑OUT ❑R ❑COS <br /> 2631(b&d),2666(b&e) specification. <br /> 89 CA Health and Safety 2060008-Enhanced leak detection testing performed before the tank is placed in use ❑OUT ❑R ❑COS <br /> Code 25290.10) <br /> 90 CA Code of Regulations 2060029-SW piping has been upgraded to continuously monitored DW piping when replacement ❑OUT ❑R ❑COS <br /> 2666(b)(2) or repair needed <br /> 91 CA Health and Safety 2010-Administration/Documentation-General ❑OUT ❑R ❑COS <br /> Code 25291(e) <br /> 92 2015-Administrative/Documentation-General Local Ordinance ❑OUT ❑R ❑COS <br /> SUMMARY OF VIOLATIONS <br /> (CLASS I,CLASS II,or MINOR-Notice to Comply) <br /> Item# Remarks <br /> 2 CA Code of Regulations 2711 2010010 -Complete and accurate UST Operating Permit Application has been <br /> submitted.. <br /> OBSERVATION:The UST Facility Operating Permit is not current in CERS. The financial responsibility mechanism is <br /> indicated to be insurance, but the most recent financial responsibility documents indicate the use of the state fund <br /> and CFO letter. <br /> REGULATION GUIDANCE:Any change of information must be updated in the California Environmental Reporting <br /> System (CERS)within 30 days of the changes. <br /> CORRECTIVE ACTION: Immediately log into CERS, update the required information, and submit for review by the <br /> EHD. <br /> This is a repeat violation (Class 2) Violation. <br /> 10 CA Code of Regulations 2638(c), 2638(d)2030074-Annual Monitoring System Certification Form to the CUPA within <br /> 30 days of completion of the test. <br /> OBSERVATION:Annual monitoring system certification and leak detector testing was performed on 9/11/2024 and a <br /> test report was submitted on 10/15/2024,4 days late. <br /> REGULATION GUIDANCE:A copy of the test report must be submitted within 30 days of the tests. <br /> CORRECTIVE ACTION: Take all necessary precautions to ensure testing and submittal of test reports are performed <br /> in a timely manner. <br /> This is a repeat violation (Class 2) Violation. <br /> 53 CA Health and Safety Code 25292.2; CCR 2711(a)(11)2010007-Submitted/maintained current Cert of Financial <br /> Responsibility/mech of financial assurance(TCR 11). <br /> OBSERVATION: Financial responsibility documents have not been submitted to the EHD. The most recent financial <br /> responsibility documents in CERS are dated 1/5/2024. <br /> REGULATION GUIDANCE: Current financial responsibility documents are required to be submitted annually. <br /> CORRECTIVE ACTION: Immediately log into the California Environmental Reporting System (CERS)at <br /> http://cers.calepa.ca.gov/, and upload the required documents. <br /> FA0000513 PR0231331 SCO01 09/12/2025 <br /> EHD Rev.12/06/2021 Page 5 of 7 CP22-UST FULL OIR <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/EHD <br />