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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.sicehd.com <br />thu is -u1 RCV UrrzWlti Page 1 / HM INSPECTION REPORT <br />HAZARDOUS MATERIALS PROGRAM INSPECTION REPORT <br />Facility <br />Name: <br />1 <br />Facility <br />Phoneel04% 8i2b <br />Inspection <br />Date: <br />2- Z)/'F <br />Facility <br />Address: <br />W. CJ1CQX <br />CERS <br />ID: <br />OK G <br />Inspection <br />Contact <br />T <br />Pone: <br />C <br />Inspection <br />Type. <br />/ <br />Pro9retn. i z <br />C sent Given For. <br />Inspection hotos <br />Consent <br />D Sampling Given By: <br />C R = California a of Regulations HSC = HeaBh and Safety code CFR = C 402 <br />115de of Federal Regulations SJO = San Joaquin County Ordinance <br />V = violation R = Repeat COS = Corrected on site during Inspection <br />Violations <br />R COS <br />1 SJO 4432 <br />Failed to pay annual operating fees (V851) <br />❑ ❑ <br />2 HSC 25505, <br />a 1 <br />Failed to complete and electronically submit a hazardous materialEbusinessplan 3525508 <br />WJ ) <br />❑ ❑ <br />3 HSC 25507 <br />Failed to establish and implement a hazardous materials buslness4 <br />g(V343) <br />HSC 25508(a)(1) <br />Failed to complete and/or submit the Business ActivNes or Ownerication <br />5 HSC 25506(a) <br />Failed to complete and/or submit hazardous materials Inventory foaterials <br />❑ ❑ <br />6 HSC 25505(a)(3) <br />Failed to complete and/or submit a site map with all required content (V347) <br />❑ ❑ <br />7 HSC 25505(a)(3) <br />Failed to establish and/or submit emergency response procedures fix a release or threatened release (rau) <br />A' ❑ ❑ <br />8 HSC 25505(a)(4) <br />Failed to submit a training program or program is not reasonable or adequate for facility (V350) <br />❑ ❑ ❑ <br />9 HSC 255082 <br />Failed to annually review and certify that the business plan is complete, accurate, and up to date (V342) <br />❑ ❑ ❑ <br />10 HSC 25608.1(a-1) <br />Failed to submit revisions to HMBP within 30 days of substantial change in operations (V346) <br />❑ ❑ ❑ <br />11 HSC 25505(a)(4) <br />Failed to provide or document initial and/or refresher training to appropriate personnel (V349) <br />❑ ❑ ❑ <br />12 HSC 25505(c) <br />Failed to have the business plan readily available to facility or EHD personnel (V850) <br />13 HSC 25505.1 <br />Failed to notify property owner that facility is subject to and in compliance with the HMBP program (V341) <br />14 HSC 25510 <br />Failed to report actual or threatened release to the EHD and/or Ca10ES Wanting Center (V338)15 <br />HSC 25507.1 <br />Failed to submit emergency response plan when not meeting Ag handler exemption requirements (351) <br />16 HSC 25507.1 <br />Failed to submit training program when not meeting Ag handler exemption requirements (V352) <br />I <br />17 HSC 255072 <br />Failed to establish and implement a HMBP when not meeting remote unstaffed facility exemptions (V353) <br />18 HSC 25511 <br />Failed to submit a written response within 30 days of receiving an inspection report (V808) <br />1010 See below <br />Unlisted AdministratiorVDommentationviolation (V355) <br />1040 See below <br />Unlisted Release/Leaks/Spills violation (V356) <br />❑ ❑ ❑ <br />SUMMARY OF VIOLATIONS <br />CLASS I, CLASS II, or MINOR —. Notice to ComplyL <br />O <br />7 G <br />r` - <br />6 Ga Ar— 2-01 <br />O <br />o G <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 FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br />Re by ign um): <br />iI <br />Title: 1� <br />I'l Acv ac, <br />Date: <br />/ 2 <br />(printed name): / <br />4- �` '� v` �� �' <br />Inspector. <br />e.�' e z <br />Ins rp one: <br />(209 953-62/4 <br />thu is -u1 RCV UrrzWlti Page 1 / HM INSPECTION REPORT <br />