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San Joaquin County <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, Califomia95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209) 468-3433 Web:www.si.gov.org/ehd <br /> Hazardous Materials Program Inspection Report <br /> Facility Name: Facility Phone: Date: <br /> rORNIr OF FISH & V 3430 2014 <br /> Facility Address: EPA ID: CERS to: <br /> 2109 ARCH AIRPORT RD, STOCKTC '66 <br /> Facility Contact: Contact Phone: Contact during inspection,if <br /> different from facility contact: <br /> Inspection type: Program: <br /> pular-Primary i <br /> CCR=California Code of Regulations NSC=Health and Safety Code CFR=Code of Federal Regulations <br /> V=Violation R=Repeat violation COs=Corrected on site during inspection <br /> Violations <br /> 1 HSC 25507(a) Failed to establish and implement a hazardous materials business plan o V o R o COS <br /> 2 HSC 25505.1 Failed to notify property owner that facility is subject to and in compliance with the HMBP program o V n R o COS <br /> 3 HSC 25510 Failed to report actual or threatened release to the EHD and/or CalOES Warning Center o V o R o COS <br /> 4 HSC 25506(a) Failed to complete and/or submit hazardous materials inventory for all reportable materials on site o V o R ❑COS <br /> 5 HSC 25508.2 Failed to submit hazardous materials business plan annually ❑V ❑R o COS <br /> 6 HSC 25508.1 Failed to submit revisions to HMBP within 30 days of change in inventory or operations o V o R u COS <br /> 7 HSC 25505(a)(2) Failed to complete and/or submit a site map ❑V ❑R ❑COS <br /> 8 HSC 25505(a)(3) Failed to include emergency response procedures for a release or threatened release ❑V n R ❑COS <br /> 9 HSC 25505(a)(4) No training program or program Is not reasonable or adequate for facillty o V o R o COS <br /> 10 HSC 25505(a)(4) Failed to provide initial and/or refresher training to appropriate personnel o V o R u COS <br /> 11 HSC 25511 Failed to submit a written response within 30 days of receiving an inspection report o V o R u COS <br /> 1010 See below Unlisted Administration/Documentation violation ❑V ❑R ❑COS <br /> 1040 See below Unlisted Release/Leaks/Spills violation o V o R o COS <br /> SUMMARY OF VIOLATIONS <br /> (CLASS I,CLASS II,or MINOR-Notice to Comply) <br /> Item# Remarks <br /> Overall Inspection Comments: <br /> No Hazardous Materials Business Plan violations observed at the time of inspection. <br /> Consent to perform the inspection, take photos and collect samples was given by Kathy Hieb, Senior <br /> Environmental Scientist. <br /> No photos were taken. <br /> ALL EH <br /> THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br /> Received By: Title: - ��✓7tr� Date: <br /> Inspector: Title: Phone: 209 953-62'. Date: <br /> Page 1 of 1 <br />