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SAN JOAQUIN COUNTY <br /> VIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, Califomia 95205-6232 <br /> Telephone:(209) 468-3420 Fax:(209) 468-3433 Web:www.sugov.org/ehd/unitiii.htmi <br /> HAZARDOUS MATERIALS PROGRAM INSPECTION REPORT <br /> h ho/Z <br /> Facili <br /> Name: '� ✓ �'C'' a acility, Q20 7 ate+ /'�/ v Inspection <br /> Q /1 / Address;-5. 04L �� o�,$'Zo (L Date: S 3d Zd/2- <br /> Coot ct: R0 e✓ Title: <br /> 14, Pn e: <br /> zoe 4�63-lb69 <br /> Inspection <br /> Type: Routine Follow up Complaint-ID#: 9 D r Other: <br /> (Authority HS 5508) <br /> �-V <br /> Consent for: nspection Sampling Photos Granted by: JIJ,6�j^ tk k e-j Title: Ck-VL CL may+ <br /> VIOLATIONS <br /> # C7 C2 M Code Section HSC=California Health and Safety Cotle;CCR=California Code of Re ulations <br /> Cl=Class 1 violation;C2=Class 2 violation;M=Minor violation <br /> 1 HSC 25505(e) Failed to maintain a complete copy of the business plan on site <br /> 2 CCR 2729.2(a)(1) Failed to complete and submit the Business Owner/Operator Identification information[HSC25509] <br /> 3 CCR 2729.2(a)(2) Failed to complete and submit the Hazardous Materials-Chemical description information[HSC 255091 <br /> 4 CCR 2729.2(a)(3) Failed to complete and submit an Annotated Site map[HSC 255091 <br /> 5 CCR 2731 Failed to include emergency response procedures for a release or threatened release of hazardous materials <br /> HSC 25504(b)] <br /> Failed to include a training program that includes at minimum:(1)safe handling of hazardous materials;(2) <br /> 6 CCR 2732(a) procedure for coordination with local emergency response organizations;(3)use of emergency equipment <br /> and supplies;and 4 emeMency response procedures HSC 25504 c <br /> 7 CCR 2732(b) Failed to provide initial and/or refresher training to appropriate personnel[HSC 25504(c)) <br /> 8 CCR 2703 Failed to verbally report a release or threatened release immediately to the Environmental Health Department <br /> EHD and/or the California Emergency Management Agency CaIEMA HSC 25507 a <br /> 9HSC 25505(b) Failed to update and submit revisions to the business plan when substantial changes occur <br /> 999 Other: See attached"Continuation-Official Inspection Report"for violation(s)not listed above. <br /> SUMMARY OF VIOLATIONS <br /> CLASS I, CLASS 11,or MINOR-Notice to Comply) <br /> 5/3011z - Agemiol-e-d C-0 <br /> c _ t - ll e✓ o L�jlti . <br /> 2 — C C e w 1 "ak c_-.,e- IL&o A w rt 10_ 't <br /> L..�✓t. fir/' O �r a O v" tom..�. �0. •2 H M vA <br /> jz_ � a <br /> wt e �9- C, iLA <br /> 10 <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 /> InsPegon /R✓ Phone: <br /> b/ (ZO 4 9S <br /> Received by. Thle: <br /> EHD 18-01 Page 1 HM OFFICIAL INSPECTION REPORT <br />