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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 1868 East Hazelton Avenue, Stockton, Cal'Ifomia 95205-6232 Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: www.sicehd.com EHD 19-01 REV 07/26/16 Page 1 HM INSPECTION REPORT HAZARDOUS MATERIALS PROGRAM INSPECTION REPORT Facility Name: _ _ e� I,f,Lk Facility Phone. Z".'J&V-*5Tr1 Inspection Data: Facility1 Address: to iJ . ¢�C�A� rn R /al G. S _ O CERS ID: 110-745-62-1t Inspection TRIe: Contact 0. Phone: Inspection Type: pMg ar..a 4F- C sent Given For. Inspection hotos ❑Sampling Consent n B Given By: G CCR = California ode of Regulations HSC H and Safety Code CFR =Cade of Fetlerel Regulations SJO =San Joaquin County Ordinance V = Violation R = Repeat COS = Corrected on site during Inspection Violations COS 1 SJ04432 Failed to pay annual operating fees (V851) ❑ 2 HSC 25506 a505,Failed to Complete and elechonically submit a hazardous materials business plan (V335) ❑ 3 HSC 25507 Failed to establish and implement a hazardous materials business plan (V334)4 F HSC 25508(a)(1) Failed to complete and/or submit the Business Activities or Owner/Operator Identification page (V345)5 HSC 25506(a) Failed to complete and/or submit hazardous materials inventory for all reportable materials on site (V343) 6 HSC 25505(x)(3) Failed to complete and/or submit a Sita map with all required content (V347) X ❑ ❑ 7 HSC 25505(a)(3) Failed to establish and/or submit emergency response procedures for a release or threatened release Carel ❑ ❑ 8 HSC 25505(a)(4) Failed to submit a training program or program is not reasonable or adequate for facility (V350) ❑ ❑ 9 HSC 25508.2 Falled to annually review and certify that the business plan is complete, accurate, and up to date (V342) x ❑ ❑ 10 HSC 25608.1(a -I) Failed to submit revisions to HMBP within 30 days of substantial change in operations (V346) ❑ ❑ ❑ 11 HSC 25505(a)(4) Failed to provide or document initial and/or refresher training to appropriate personnel (V349) dY ❑ ❑ 12 HSC 25505(c) Failed to have the business plan readily available to facility or EHD personnel (V850) �' ❑ ❑ 13 HSC 25505.1 Failed to notify property owner that facility Is subject to and in compliance with the HMBP program (V341) ❑ ❑ v 14 HSC 25510 Failed to report actual or threatened release to the EHD and/or CalOES Warning Center (V338) ❑ ❑ ❑ 15 HSC 25507.1 Failed to submit emergency response plan when not meeting Ag handler exemption requirements (351) ❑ ❑ ❑ 16 HSC 25507.1 Failed to submit training program when not meeting Ag handler exemption requirements (V352) ❑ ❑ ❑ 17 HSC 25507.2 Failed to establish and implement a HMBP when not meeting remote unstaffed facility exemptions (V353) ❑ ❑ ❑ 18 HSC 25511 Failed to submit a written response within 30 days of receiving an inspection report (V808) ❑ ❑ ❑ 1010 See below Unlisted Administration/Documentation violation (V355) ❑ ❑ ❑ 1040 See below Unlisted Release/Leaks/Spills violation (V356) ❑ ❑ ❑ SUMMARY OF VIOLATIONS CLASS 1, CLASS 11, or MINOR -. Notice to Comply WO 55 O I Oa,L bA.70.S Q cart -i-e V'2.C2.� ¢✓ v ¢.. J,.r!'� t 1 - LolVkZp,S 0.c.C.oac ¢ - C, ALL EHD STAFF TIME ASSOCIATED WITH FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL BE BILLED AT THE CURRENT HOURLY RATE. THIS FACILITY IS SUBJECT TO REINSPECTION AT ANYTIME AT EHD'S CURRENT HOURLY RATE, Re by (signature): Title: Date: �/-/^ //® Received by (printed n8: nes Cl Inspe r. VpLej Inspectorphone: Oocl16-34ZI4 EHD 19-01 REV 07/26/16 Page 1 HM INSPECTION REPORT