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Adak <br /> 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 siaov.om/ehd <br /> Hazardous Materials Program Inspection Report <br /> Facility Name: Facility Phone: Date: <br /> CVIN- San Joaquin COE 559 554-9100 June 23 2015 <br /> Facility Address: CERS ID: <br /> 2901 ARCH AIRPORT RD, Stockton, CA 95206 10504951 <br /> Inspection Contact: Title: Phone: <br /> James Reyes En (neer 209 559-5549 125 <br /> Inspection Type: Program: <br /> ROUTINE SUPPLEMENTAL ACTIVITY- O era in Permit 1921 - HMBP-Re ular-Prima Location <br /> Consent For: Consent Given By: <br /> ® lrts ection Photos ❑Sam les James Reyes, En ineer <br /> CCR=Califomla Code of Regulations HSC=Heetth and Sffiery Code CF72=Code w Federal Regulations <br /> V=Violation R=Repeal violation COS=Corrected on site during inspection <br /> Violations <br /> F51 HSC 25507 Failed to establish and implement a hazardous materials business plan o V ❑R o COS <br /> 2 HSC 25508(a)(1) Failed to electronically submit a business plan ❑V ❑R ❑COS <br /> 3 HSC 25508.2 Failed to annually review and certify that the business plan is complete,accurate,and up to date ❑V ❑R ❑COS <br /> 4 HBC 25505.1 Failed to notify property owner that facility is subject to and m compliance with the HMBP program u V ❑R ❑COS <br /> HSC 25510 Failed to report actual or threatened release to the EHD and/or CalOES Warning Center ❑V ❑R ❑COS <br /> 6 HSC 25508(a)(1) Failed to complete and/or submit the Business Activities or Owner/Operator Identification page ❑V u R ❑COS <br /> 7 HSG 25506(8) Felled to Complete and/or submit hazardous materials Inventory for all reportable materials on site o V ❑R ❑COS <br /> 8 HSC 25508.1(a)-(e) Failed to submit revisions to HMBP within 30 days of change in business info or inventory ❑V ❑R ❑COS <br /> 9 HSC 25508.1(f) Failed to submit revisions to HMBP within 30 days of substantial change in operations o V ❑R ❑COS <br /> 10 HSC 25505(a)(2) Failed to complete and/or submit a site map with all required content o V u R u COS <br /> 11 HSC 25505(a)(3) Failed to establish and/or submit emergency response procedures for a release or threatened release ❑V ❑R u COS <br /> 12 HSC 25505(a)(4) Failed to submit a training program or program is not reasonable or adequate for facility ■V ❑R ❑COS <br /> 13 HSC 25505(a)(4) Failed to provide or document initial and/or refresher training to appropriate personnel ■V o R o COS <br /> r14HSC 25507.1 Failed to submit emergency response plan when not meeting Ag handler exemption requirements ❑V ❑R ❑COS <br /> HSC 25507.1 Failed to submit training program when not meeting Ag handler exemption requirements ❑V ❑R u COS <br /> HSC 25507.2 Failed to establish and implement a HMBP when not meeting remote unstaffed facility exemptions n V ❑R ❑COS <br /> HSC 25511 Failed to submit a written response within 30 days of receiving an Inspection report ❑V ❑R ❑COS <br /> See below Unlisted Administration/Documentation violation ❑V ❑ R ❑COS <br /> 1040 See below Unlisted Release/Leaks/Spills violation o V n R n COS <br /> SUMMARY OF VIOLATIONS <br /> (CLASS I,CLASS II,or MINOR-Notice to Comply) <br /> Item# Remarks <br /> Received by Inspector: Phone: Date: <br /> iry <br /> (initial): 1 <br /> Page t of 2 <br />