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San Joaquin County Environmental Health Department 1868 East Hazelton Avenue, Stockton, California 95205-6232 Telephone:(209) 468-3420 Fax:(209)468-3433 Web:www.sjgov ora/ehd Hazardous Materials Program Inspection Report Facility Name: Facility Phone: Date: Dollar Tree#06120 209 334-2957 October 06 2015 Facility Address: CERS ID: 450 S Cherokee Ln Lodi CA 95240 10640089 Inspection Contact: Title: Phone: Josh Williford Manager er 209 334-2957 Inspection Type: Program: ROUTINE INSPECTION -Operating Permit 1921 - HMBP-Regular-Primary Location Consent For: Consent Given By: O Ins ection ❑x Photos ❑ Sam les Josh Williford Mana er CCR=California Code of Regulations HSC=Health and Safety Code CFR=Code of Federal Regulations V=Violation R=Repeat violation COS=Corrected on site during inspection Violations 1 HSC 25507 Failed to establish and implement a hazardous materials business plan ❑V o R ❑COS 2 HSC 25508(a)(1) Failed to electronically submit a business plan n V ❑R ❑COS 3 HSC 25508.2 Failed to annually review and certify that the business plan is complete,accurate,and up to date ❑V ❑R ❑COS 4 HSC 25505.1 Failed to notify property owner that facility is subject to and in compliance with the HMBP program n V ❑R ❑COS 5 HSC 25510 Failed to report actual or threatened release to the EHD and/or CalOES Warning Center ❑V ❑R n 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 o R ❑COS 10 HSC 25505(x)(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 a COS 12 HSC 25505(a)(4) Failed to submit a training program or program is not reasonable or adequate for facility ❑V o 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 n COS 15 HSC 25507.1 Failed to submit training program when not meeting Ag handler exemption requirements ❑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 ❑V ❑R ❑COS 1010 See below Unlisted Administration/Documentation violation ■V ❑R ❑COS 1040 See below Unlisted Release/Leaks/Spills violation ❑V o R ❑COS SUMMARY OF VIOLATIONS (CLASS I,CLASS II,or MINOR-Notice to Comply) Item # Remarks Received by Inspector: Phone: Date: (initial): JAMIE DE LA ROSA, HM Specialist II (209)953-6211 10/06/2015 Page 1 of 2