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San Joaquin County <br />Environmental Health Department <br />��T <br />1868 East Hazelton Avenue, Stockton, California 85205-6232 ' <br />Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: www&igov.ora/ehd _ <br />Hazardous Materials Program Inspection Report -+�`Tt' <br />Facility Name: <br />Facility Address: <br />Date: <br />UNIVERSITY OF THE PACIFIC PHYSICAL <br />1050 W BROOKSIDE RD, STOCKTON <br />Se tember 21. 2015 <br />SUMMARY OF VIOLATIONS <br />(CLASS f, CLASS li, or MINOR- Notice to. Comply) <br />Item # <br />Remarks <br />10 <br />HSC 25505(a)(2) Failed to complete and/or submit a site map with all required content. <br />The site map was not readable. A clear readable copy of the site map needs be uploaded and submitted to CERS. A <br />site map shall contain a north orientation, loading areas, internal roads, adjacent streets, storm and sewer drains, <br />access and exit points, emergency shutoffs, evacuation staging areas, hazardous material handling and storage <br />areas, and emergency response equipment Immediately log into the California Environmental Reporting System <br />(CERS) at http.//cers calepa.ca gov/, upload the correct or updated information, and submit to the EHD for approval. <br />This is a minor violation. <br />Overall Inspection Comments: <br />Complete and submit a copy of the Return to Compliance Certification form to the EI -ID with a statement <br />documenting the corrective actions that have been or will be taken for each violation, and any supporting <br />paperwork, by 10/20/2015. <br />Please be aware as of ,January 1, 2013, all businesses are required to submit all hazardous materials information <br />online to the California Environmental Reporting System (CERS) at http://cers.calepa.ca.gov. Be sure to include <br />your hazardous material activity in the Businesses Activities section in CERS in addition to any other relevant <br />activities and required fields. <br />ALL EHO STAFF TIME ASSOCIATED ITH FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL BE B D A THE CURRENT HOURLY RATE. <br />THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br />Received By / ' _�.-- �-' <br />Received By (printed name and title): <br />Date: <br />(signature): <br />Sean McNally,EI-ISS Manager <br />Inspector <br />Inspector (printed name and tide): <br />Inspector Phone: <br />(signature): <br />HAIA SAEED, I -IM Specialist 1 <br />(209) 953-62'12 <br />Page 2 of 2 <br />