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Ar - SAN JO QUI COU NTY AM '�oas"r reotness gro.s here, Environmental Health Department azardous Materials Program Inspection Report Facility Name: Facility Phone: Supervalu (209) 547-6501 Date: August 27, 2018 Facility Address: 1919 E Boeing WAY, STOCKTON, CA 95206 CERS ID: 10185119 Inspection Contact: Miles Weilburg Title: Warehouse Manager Phone: (209) 547-6501 Inspection Type: ROUTINE INSPECTION - Operating Permit Program: 11921 - HMBP-Regular-Primary Location Consent For: 0 Inspection 0 Photos ❑ Samples Consent Given By: I Miles Weilburg, Warehouse Manager CCR = California Code of Regulations HSC = Health and Safety Code CFR = Code of Federal Regulations V = Violation R = Repeat violation COS = Corrected on site during inspection Violations 1 SJO 4432 Failed to pay annual operating fees ❑ V ❑ R ❑ COS 2 HSC 25505, 25508(a) (1) Failed to complete and electronically submit a hazardous materials business plan ❑ V ❑ R ❑ COS 3 HSC 25507 Failed to establish and implement a hazardous materials business plan ❑ V ❑ R ❑ COS 4 HSC 25508(a)(1) Failed to complete and/or submit the Business Activities or Owner/Operator Identification page ❑ V ❑ R ❑ COS 5 HSC 25506(a)(1) Failed to complete and/or submit hazardous materials inventory for all reportable materials on site ■ V ❑ R ❑ COS 6 HSC 25505(a)(2) Failed to complete and/or submit a site map with all required content ■ V ❑ R ❑ COS 7 HSC 25505(a)(3) Failed to establish and/or submit emergency response procedures for a release or threatened release ❑ V ❑ R ❑ COS 8 HSC 25505(a)(4) Failed to submit a training program or program is not reasonable or adequate for facility ❑ V ❑ R ❑ COS 9 HSC 25508(a)(1) Failed to annually review and certify that the business plan is complete, accurate, and up to date ■ V ❑ R ■ COS 10 HSC 25508.1(a) -(f) Failed to submit revisions to business plan within 30 days of substantial change in operations ❑ V ❑ R ❑ COS 11 HSC 25505(a)(4) Failed to provide or document initial and/or refresher training to appropriate personnel ❑ V ❑ R ❑ COS 12 HSC 25505(c) Failed to have the business plan readily available to facility or EHD personnel ❑ V ❑ R ❑ COS 13 HSC 25505.1 Failed to notify property owner that facility is subject to and in compliance with the HMBP program ❑ V ❑ R ❑ COS 14 HSC 25505.1 Business on leased property failed to provide copy of HMBP Win 5 days of request by property owner ❑ V ❑ R ❑ COS 15 HSC 25510(a) Failed to report actual or threatened release to the EHD and/or CalOES Warning Center ❑ V ❑ R ❑ COS 16 HSC 25507.1 Failed to submit emergency response plan when not meeting Ag handler exemption requirements ❑ V ❑ R ❑ COS 17 HSC 25507.1 Failed to submit training program when not meeting Ag handler exemption requirements ❑ V ❑ R ❑ COS 18 HSC 25505, 25507.2 Failed to establish and implement a HMBP when not meeting remote unstaffed facility exemptions ❑ V ❑ R ❑ COS 19 HSC 25511 Failed to submit a written response within 30 days of receiving an inspection report ❑ V ❑ R ❑ COS 1010 See below Unlisted Administration/Documentation violation ❑ V ❑ R ❑ COS 1020 See below Unlisted Training violation ❑ V ❑ R ❑ COS 1030 See below Unlisted Operations/Maintenance violation ❑ V ❑ R ❑ COS 1040 See below Unlisted Release/Leaks/Spills violation ❑ V ❑ R ❑ COS 1045 See below Unlisted Release/Leaks/Spills - Local Ordinance ❑ V ❑ R ❑ COS 1050 See below Unlisted Abandon ment/IIlegal Disposal/Unauthorized Treatment violation ❑ V ❑ R ❑ COS 1055 See below Unlisted Abandon ment/IIlegal Disposal/Unauthorized Treatment - Local Ordinance ❑ V ❑ R ❑ COS FA0016208 PR0524117 SCO01 08/27/2018 EHD 19-01 Rev. 10/31/2017 Page 1 of 3 Hazardous Materials Program OIR 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com