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Page 1 of 2 FAI 1T San Joaquin County Environmental Health Department 1868 East Hazelton Avenue, Stockton, California 95205-6232 Telephone: (209) 468-3420 Fax; (209) 468-3433 Web: www.§igK&.org/ehd In O C T 9 U ! ✓] 1 J Hazardous Materials Program Inspection Report . ENVIRONME Facility Name: UNIV OF THE PACIFIC Facility Address: 751 W BROOKSIDE RD, Inspection Contact: Sean McNally Facility Phone: pane; - PHARMACY 209 946-2222 Se tember 21 2015 CERS ID: STOCKTON, CA 95211 10183609 Title: Phone: EH&S Manager Inspection Type: ROUTINE INSPECTION - Or)eratiriQ Permit Program: 1921 - HiMBP-Regular-Primary HMBP-Regular-PrimaryLocation Consent For: C) Inspection Z Photos ❑ Samples Consent Given By: I Sean McNally, EH&S Mana er CCR = California Code of Regulations HSC =Health and Safety Code CFR = Code of Fedora! Regulatlons V = Vlolation R =Repeat violation COS =Corrected on site during inapectlon Violations 1 HSC 25507 Failed to establish and Implement a hazardous materials business plan ❑ V ❑ R a COS 2 HSC 25508(a)(1) Failed to electronically submit a business plan ❑ V ❑ R o COS 3 HSC 25508.2 Failed to annually review and certify that the business plan is complete, accurate, and up to date o V o R ❑ COS 4 HSC 25505.1 Failed to notify property owner that facility is subject to and in compliance with the HMBP program o V ❑ R ❑ COS 5 HSC 25510 Failed to report actual or threatened release to the EHD and/or CalOES Warning Center ❑ V ❑ R ❑ COS 6 HSC 25508(a)(1) Failed to complete and/or submit the Business Activities or Owner/Operator Identification page ❑ V ❑ R ❑ COS 7 HSC 25506(a) Failed to complete and/or submit hazardous materials inventory for all reportable materials on site ❑ V ❑ R ❑ COS 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 9 HSC 25508.1(f) Failed to submit revisions to HMBP within 30 days of substantial change in operations ❑ V ❑ R ❑ COS 10 HSC 25505(a)(2) Failed to complete and/or submit a site map with all required content ■ V o R ❑ COS 11 HSC 25505(a)(3) Failed to establish and/or submit emergency response procedures for a release or threatened release ❑ V ❑ R ❑ COS 12 HSC 25505(a)(4) Failed to submit a training program or program is not reasonable or adequate for facility ❑ V ❑ R ❑ COS 13 HSC 25505(a)(4) Failed to provide or document initial and/or refresher training to appropriate personnel ❑ V ❑ R ❑ COS 14 HSC 25507.1 Failed to submit emergency response plan when not meeting Ag handler exemption requirements ❑ V ❑ R ❑ COS 15 HSC 25507.1 Failed to submit training program when not meeting Ag handler exemption requirements o V ❑ R ❑ COS 16 HSC 25507.2 Failed to establish and implement a HMBP when not meeting remote unstaffed facility exemptions ❑ V ❑ R ❑ COS 17 HSC 25511 Failed to submit a written response within 30 days of receiving an inspection report o V ❑ R ❑ COS 1010 See below Unlisted Administration/Documentation violation ❑ V ❑ R ❑ COS 1040 See below Unlisted Release/Leaks/Spills violation ❑ V ❑ R o COS SUMMARY OF VIOLATIONS (CLASS 1, CLASS Il, or MINOR - Notice to Comply) Item # Remarks Re 'cel (initiao: >� ` = "=__" Inspector: IIAZA SAEFD, HM Sper;ialisl 1 Phone: (2.09) 953 6212 Date: 09/21/2015 Page 1 of 2 FAI 1T