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SAN aJOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 1868 East Hazelton Avenue, Stockton, California 95205-6232 Telephone: (209) 468-3420 Fax. (209)468-3433 Web:www.sicehd.com HAZARDOUS MATERIALS PROGRAM INSPECTION REPORT Facility InspectionFacilit - ZDate: S PName: Ehr �_IL Pone: Facility Address: OL V; S" k G O D: Inspection Title: Phone. Contact: a� �v C-"-,,.; 20 9-4C 6 3-3 q-L/1i0 Inspection Program: Type — IL&A ICIZ-1 Cc sent Given For. Consent NJ Inspection hotos ❑Sampling Given By: l O(� - t);&. X. O! �i w c CCR=Califomia ode of Regulations HSC=Health and Sa ety ode CFR=Code of Federal Regulations SJO=San Joaq n County Ordinan V=Violation R=Repeat COS=Corrected on site during inspection Violations V R COS 1 SJO 4432 Failed to pay annual operating fees(V851) ❑ ❑ ❑ 2 HSC 25505, Failed to complete and electronically submit a hazardous materials business Ian 335 25508 a 1 P N ) ❑ ❑ 3 HSC 25507 Failed to establish and implement a hazardous materials business plan(V334) ,�( ❑ ❑ 4 HSC 25508(a)(1) Failed to complete and/or submit the Business Activities or Owner/Operator Identification page(V345) ❑ ❑ 5 HSC 25506(a) Failed to complete and/or submit hazardous materials inventory for all reportable materials on site(V343) Xo o 6 HSC 25505(x)(3) Failed to complete and/or submit a site map with all required content(V347) - E3 ❑ 7 HSC 25505(a)(3) Failed to establish and/or submit emergency response procedures for a release or threatened release vas) A ❑ ❑ 8 HSC 25505(a)(4) Failed to submit a training program or program is not reasonable or adequate for facility(V350) ❑ ❑ 9 HSC 25508.2 Failed to annually review and certify that the business plan is complete,accurate,and up to date(V342) ❑ ❑ 10 HSC 25508.1(a-0 Failed to submit revisions to HMBP within 30 days of substantial change in operations(V346) ❑ ❑ ❑ 11 HSC 25505(a)(4) Failed to provide or document initial and/or refresher training to appropriate personnel(V349) X ❑ ❑ 12 NSC 25505(c) Failed to have the business plan readily available to facility or EHD personnel(V850) ❑ ❑ 13 HSC 25505.1 Failed to notify property owner that facility is subject to and in compliance with the HMBP program(V341) n ❑ ❑ 14 HSC 25510 Failed to report actual or threatened release to the EHD and/or CalOES Warning Center(V338) ❑ n ❑ 15 HSC 25507.1 Failed to submit emergency response plan when not meeting Ag handler exemption requirements(351) ❑ ❑ ❑ 16 HSC 25507.1 Failed to submit training program when not meeting Ag handler exemption requirements(V352) ❑ ❑ ❑ 17 HSC 25507.2 Failed to establish and implement a HMBP when not meeting remote unstaffed facility exemptions(V353) ❑ o ❑ 18 HSC 25511 Failed to submit a written response within 30 days of receiving an inspection report(V808) ❑ n ❑ 1010 See below Unlisted Administration/Documentation violation(V355) ❑ ❑ ❑ 1040 See below Unlisted Release/Leaks/Spilis violation(V356) ❑ ❑ ❑ SUMMARY OF VIOLATIONS ^� (CLASS 1,CLASS II,or MINOR-Notice to Comply L1 & /' 011*1 0. aw a-17- (W 04 d'for i�t v- 04 0 O 0 1. o-0-L a teas- ALL EHD STAFF TIME ASSOCIATED WITH FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL BE BILLED AT THE CURRENT HOURLY RATE. THIS FACILITY IS SUBJ T TO REINSPECTION AT ANYTIME AT END'S CURRENT HOURLY RATE. Received by(signature): Title: Date: Received by(printe arr : Inspector. 34 Inspector phone: Z z Ooij 016-342.14 EHD 9-01 R 0 / 8/16 Page 1 r HM INSPECTION REPORT s