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San Joaquin County We <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, California95205-6232 <br /> Telephone., (209) 468-3420 Fax: (209) 468-3433 Web:www.sipov.orD/ehd <br /> Hazardous Materials Program Inspection Report <br /> Facility Name: Facility Phone: Date: <br /> CHEVRON STATION#210997* (209) 599-01_ Juiv 07 2015 <br /> Facility Address: CERS ID: <br /> 1442 Colony Dr RIPON, CA 95336A 10184E <br /> Inspection Contact: Phone: <br /> TRIe: <br /> Perla Gomez Mana er 209 599-0149 <br /> Inspection Type: Program: <br /> ROUTINE INSPECTION- Operating Permit 1921 - HMBP-Regular-Primary Location <br /> Consent For: Consent Given By: <br /> 0 Inspection ❑ Photos ❑ Samples I Perla Gomez Manager <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 /> 1 HSC 25507 Failed to establish and implement hazardous materials business plan o V u R o 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 ❑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 CalOES Warning Center ❑V ❑R ❑COS <br /> 6 HSC 25508(a)(1) Failed to complete and/or submit the Business Activities or Owner/Operator Identification page o V o R o COS <br /> 7 HSC 25506(a) Failed to complete and/or submit hazardous materials inventory for ad reportable materials on site o V o R o COS <br /> 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 <br /> 9 HSC 25508.1(f) Failed to submit revisions to HMBP within 30 days of substantial change in operations ❑V ❑R o COS <br /> 10 HSC 25505(a)(2) Failed to complete and/or submit a site map with all required content in V o R o COS <br /> 11 HSC 25505(a)(3) Failed to establish and/or submit emergency response procedures fora release or threatened release in V in R ❑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 o R ❑COS <br /> 15 HSC 25507.1 Failed to submittraining program when not meeting Ag handler exemption requirements o V ❑R ❑COS <br /> 16 HSC 25507.2 Failed to establish and implement a HMBP when not meeting remote unstaffed facility exemptions o V ❑R ❑COS <br /> 17 HSC 25511 Failed to submit a written response within 30 days of receiving an inspection report ❑V ❑R n COS <br /> 1010 See below Unlisted Administration/Documentation violation o V ❑R ❑COS <br /> 1040 See below Unlisted Release/Leaks/Spills violation o V �,R �._i 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 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 /> (initial): NICHOLAS LOEHRER, HM Specialist 1 (209) 468-0623 07/07/2015 <br /> Page 1 of 2 <br />