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l SAN J O AQ U I N REVISED Environmental Health Department 2:02 pm, Nov 20, 2018 Hazardous Materials Program Inspection Report Facility Name: Facility Phone: Date: Big Lots Lodi 4106 (614)278-6800 November 20. 2018 Facility Addren: CERS ID: 380 S CHEROKEE LN, Lodi, CA 95240 10594858 Inspection Contact: Title: Phone: Connie San Martin Manager p - Inspection Type: —T192 rogram: ROUTINE INSPECTION -Operating Permit 1921 - HMBP-Regular-Primary Location Consent For: I Consent Given By: O Inspection O Photos I Sam les Connie San Martin, Manager CCR•Title 15 California Carle of Regu eiions HSC-Health and Salary Code CFR•Code of Federal Re,Aaf an. v-Yrolae:n R+Repeat violation COS=Corrected on site during inspection Violations 1 SJO 4432 Failed to pay annual operating fees V R COS 2 HSC 25505,25508(a) Failed to complete and electronically submit a hazardous malaria's bus ness plan V R COS 3 HSC 25507 Failed to establish and implement a hazardous materials business plan V R CDS 4 CCR 2652(a)(1) Failed to complete and/or submit the Business Activities or OwnerfOperator Identification page �V R COS 5 HSC 25505(aX1) Failed to complete and/or submit hazardous materials nventory for a I reporlab a materials on site C V c R COS 6 HSC 25505(a)(2) Failed to Complete and/or submit a site map with all required content ■V c R c COS 7 HSC 25505(8x3) Failed to establish and/or submit emergency response procedures for a release or threatened release 1 V C R COS 8 CCR 2658.2659 Failed to submit a training program or program is rot reasonable or adequate for facility c V c R C COS 9 HSC 25508(8x1) Failed to annually review and cenity that the business plan is complete.accurate and up to date V R ::COS 10 HSC 25508 1(1 Failed to submit rev sans to business plan within 30 days of substantial change in operations V R COS 11 HSC 25505(a)(4) Failed to provide or document initial and/or refresher training to appropriate personnel C V R COS 12 HSC 25505(0) Failed to have the bus mess plan read'ly available to fail or EHD personnel ■V R COS 13 HSC 25505 1 Failed to notify property owner that tacitly is subject to and in complance with the HMBP program C V C R C COS 14 HSC 25505 1 Business on leased property failed to provide copy of HMBP w/m 5 days of request by property owner C V c R c COS 15 HSC 25510(a) Failed to report actua or threatened release to the EHO and/or Ca OES Warning Center n V c R 7 COS 16 CCR 2670,2871 Failed to submit emergency response plan when not meeting Ag handler exemption requirements C V C R _COS 17 CCR 2670.2671 Failed to subnut training program when not meet ng Ag handler exemption requirements V R COS 18 HSC 25505.25507 2 Failed to establish and implement a HMBP when not meeting remote unstaffed facility,exemptions V -R _COS 19 HSC 25404 1 2 Failed to submit a cent fication and written response within 30 days for minor violations V _R =COS 20 CCR 2670.2671 Failure of Ag handier to post adequate warning signs to meet exempbon requirements =V =R _COS 1010 See below Unlisted Adm mstralionfDocumentation violas on C V c R c COS 1020 See below Unlisted Training violation 7 V =R c COS 1030 See below UNisled Operationsy6ta ntenance violation V - R - COS 1040 See below Unlisted Release/Leaks/Spills vlolabon V R COS 1045 See below, Unlisted Releasell-eakis Splits Local Ordinance V ._R COS 1050 See below Unlisted Abandonmerun legal Disposal fUnauthorized Treatment violation V - R COS 1055 Sea below Unlisted Abandorrim i legal Disposal/Unauthorized Treatment-Local Ordinance _V a R -Cos FAOWO907 PRO538601 SCOW 11.20MIS EHD 1901 Rev 09/27/2018 Page 1 Of 2 1 rdau Metrole PmWsm OIR 1868 E Hazelton Avenue I Stockton,California 952051 T 209 468-34201 F 209 464-0138 1 www.slcehd com