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San Joaquin County I.. <br /> Environmental Health Department <br /> 1868 East Hazehon Avenue, Stockton, Califomia95205-6232 <br /> Telephone., (209) 468-3420 Fax: (209) 468-3433 Web:www.sioov.org/ehd <br /> Hazardous Materials Program Inspection Report <br /> Facility Name: Facility Phone: Date: <br /> 4111 209 478-0234 June 16 20' <br /> Facility Address: CERS ID: <br /> AY, STOCKTON CA9520 10180901 <br /> Inspection Contact: Tdie: Phare: <br /> General Mana er 209 948-2572 <br /> Inspection Type: Program: <br /> r,ifjnq Permit I 1921 - HMBP-Re gular-Prinfary Location <br /> Consent For: Consent Given By: <br /> Inspection ❑ Photos ❑ Sam les Angelica Morales General Mana ei <br /> CCR=California Code of Regulations HSC=Health and Safety Code CFR=Code of Federal Regulations <br /> V=Violation R=Repeat violation COS=Corrected on site during inspection <br /> Violations <br /> I HSC 25507 Failed to establish and implement a hazardous rnateriats business plan o V o R n COS <br /> 2 HSC 25508(a)(1) Failed to electronically submit a business plan ❑V ❑R ❑COS <br /> 3 HSC 25508.2 Failed to annually review and certify that the business plan is complete,accurate,and up to date ❑V ❑R n COS <br /> 4 HSC 25505.1 Failed to notify property owner that facility is subject to and in compliance with the HMBP program o V o R o COS <br /> 5 HSC 25510 Failed to report actual or threatened release to the EHD and/or CaIOES Warning Center ❑V o R ❑COS <br /> 6 HSC 25508(a)(1) Failed to complete and/or submit the Business Activities or Owner/Operator Identification page ❑V o R ❑COS <br /> 7 HSC 25506(a) Failed to complete andlor submit hazardous materials inventory for all reportable materials on site o V o R o COS <br /> 8 HSC 255D6.1(a)-(e) Failed to submit revisions to HMBP within 30 days of change in business info or inventory ❑V a R ❑COS <br /> 9 HSC 25508.1(f) Failed to submit revisions to HMBP within 30 days of substantial change in operations ❑V ❑R ❑COS <br /> 10 HSC 255D5(a)(2) Failed to complete and/or submit a site map with all required content o V c R in COS <br /> 11 HSC 25505(a)(3) Failed to establish and/or submit emergency response procedures for a release orthreatened release ❑V ❑R o COS <br /> 12 HSC 25505(a)(4) Failed to submit a training program or program is not reasonable or adequate for facility ❑V o R ❑COS <br /> 13 HSC 25505(a)(4) Failed to provide or document initial and/or refresher training to appropriate personnel o V o R o COS <br /> 14 HSC 25507.1 Failed to submit emergency response plan when not meeting Ag handler exemption requirements ❑V a R ❑COS <br /> 15 HSC 25507.1 Failed to submit training program when not meeting Ag handler exemption requirements ❑V ❑R ❑COS <br /> 16 HSC 25507.2 Failed to establish and implement a HMBP when not meeting remote unstaffed facility exemptions o V o R ❑COS <br /> 17 HSC 25511 Failed to submit a written response within 30 days of receiving an inspection report n V ❑R u COS <br /> 1010 See below Unlisted Administration/Documentation violation ❑V ❑R ❑COS <br /> 1040 j See below Unlisted Release/Leaks/Spills violation Inv o R o COS <br /> SUMMARY OF VIOLATIONS <br /> (CLASS I,CLASS II,or MINOR-Notice to Comply) <br /> Item# Remarks <br /> Overall Inspection Comments: <br /> No violations found at time of inspection <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 /> Received by Inspector: Phone: Date: <br /> (iNtiaq: NICHOLAS LOEHRER, HMSnecialit (209) 468-0623 06/16/2015 <br /> Page 1 of 2 <br />