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San Joaquin County <br />Environmental Health Department <br />1868 East Hazelton Avenue, Stockton, California 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: www.sigov.org/ehd O C 1 SO , ; <br />Hazardous Materials Program Inspection Report <br />Facility Name: Facility Address: D <br />UNIV OFHE lE PACIFIC - PHARMACY 751 W BROOKSIDE RD, STUCKTON Se tember 21 2015 <br />SUMMARY OF VIOLATIONS <br />(CLASS I, CLASS It, 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 />Page number 1 of the site map was not readable. A clear readable copy of the site map needs be, uploaded and <br />submitted to CERS. A site rnap shall contain a north orientation, loading areas, internal roads, adjacent streets, <br />storm and sewer drains, access and exit points, emergency shutoffs, evacuation staging areas, hazardous material <br />handling and storage areas, and emergency response equipment. Anhydrous Ammonia is listed on the site map, but <br />it was not found during the inspection and it is not listed under the hazardous material inventory section In CEPS. <br />Immediately log into the California Environmental Reporting System (CERS) at http://cers.calepa.ca.gov/, upload the <br />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 EHID 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 EHD STAFF TIME ASSOCIATED WITH FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL BE BILLED AT THE CURRENT HOURLY RATE. <br />THIS FAC_ IL)TY-IS"SUBJEGT 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, EH&S Manager <br />J <br />c% al )A' <br />Inspector 1 <br />Inspector (printed name and title): <br />Inspector Phone: <br />(signature): 1 j rl ,� . {� <br />HAZA SATED, HM Specialist 1 <br />(209) 953-6212 <br />Page 2 of 2 <br />AL <br />IT <br />