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-�-, SAN J OA Q U I N Environmental Health Department <br /> " iICOUNT Y <br /> Hazardous Materials Program Inspection Report <br /> Facility Name: Facility Phone: Date: <br /> Verizon Business: KINGCA (916)554-3300 January 24,2018 <br /> Facility Address: CERS ID: <br /> 13850 N DE VRIES RD, LODI, CA 95240 10181479 <br /> Inspection Contact: Title: <br /> Phone: <br /> Johnathon Pakele (916)439-6042 <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 Johnathon Pakele, <br /> CCR=California Cotle or Regulations HSC=Health and Safety Code CFR=Code of Federal Regulations <br /> V=Violation R=Repeal violation COS-Corrected on site during inspection <br /> Violations <br /> 1 SJO 4432 Failed to pay annual operating fees UV o R o COS <br /> 2 HSC 25505,25508(a) Failed to complete and electronically submit a hazardous materials business plan <br /> (1) o V o R o COS <br /> 3 HSC 25507 Failed to establish and implement a hazardous materials business plan o V o R o COS <br /> 4 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 /> 5 HSC 25506(a)(1) Failed to complete and/or submit hazardous materials inventory for all reportable materials on site o V o R o COS <br /> 6 HSC 25505(a)(2) Failed to Complete and/or submit a site map with all required Content in V o R o COS <br /> 7 HSC 25505(a)(3) Failed to establish and/or submit emergency response procedures for a release or threatened release <br /> ,V o R o COS <br /> 8 HSC 25501 Failed to submit a training program or program is not reasonable or adequate for facility o V o R o COS <br /> 9 HSC 25508(a)(1) Failed to annually review and certify that the business plan is Complete,accurate,and up to date o V o R o COS <br /> 10 HSC 25508.1(a)-(f) Failed to submit revisions to business plan within 30 days of substantial change in operations o V o R o COS <br /> 11 HSC 25505(a)(4) Failed to provide or document initial and/or refresher training to appropriate personnel •V o R o COS <br /> 12 HSC 25505(c) Failed to have the business plan readily available to facility or EHD personnel n V o R o COS <br /> 13 HSC 25505.1 Failed to notify property owner that facility is subject to and in Compliance with the HMBP program o V c R o COS <br /> 14 HSC 25505.1 Business on leased property failed to provide Copy of HMBP w/in 5 days of request by property owner o V o R o COS <br /> 15 HSC 25510(a) Failed to report actual or threatened release to the EHD and/or CalOES Warding Center o V o R in COS <br /> 16 HSC 25507.1 Failed to submit emergency response plan when not meeting Ag handler exemption requirements o V o R o COS <br /> 17 HSC 25507.1 Failed to submit training program when not meeting Ag handler exemption requirements o V o R o COS <br /> 18 HSC 25505,25507.2 Failed to establish and implement a HMBP when not meeting remote unstaffed facility exemptions 0 V o R o COS <br /> 19 HSC 25511 Failed to submit a written response within 30 days of receiving an inspection report o V o R o COS <br /> 1010 See below Unlisted Administration/Documentation violation o V o R o COS <br /> 1020 See below Unlisted Training violation o V o R o COS <br /> 1030 See below Unlisted Operations/Maintenance violation o V o R o COS <br /> 1040 See below Unlisted Release/Leeks/Spills violation o V to R o COS <br /> 1045 See below Unlisted Release/Leaks/Spills-Local Ordinance o V o R o COS <br /> 1050 See below Unlisted Abandon ment/l llegal Disposal/Unauthorized Treatment violation o V o R o COS <br /> 1055 1 See below Unlisted Abandonment/Illegal Disposal/Unauthorized Treatment-Local Ordinance o V o R ,COS <br /> SUMMARY OF VIOLATIONS <br /> (CLASS I,CLASS II,or MINOR-Notice to Comply) <br /> FA0003848 PRO511394 SC001 01/2412018 <br /> EHD 19-01 Rev.10/31/2017 Pagel of 2 Hazardous Materials Program OIR <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />