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SAN JOAQUIN COUNTY <br /> tiENVIRONMENTAL HEALTH DEPARTMENT w.1 <br /> 1868 East Hazelton Avenue, Stockton, California 95205-6232 <br /> Telephone:(209)468-3420 Fax:(209)468-3433 Web:www.smqov.org/ehd/tinitiii.htmi <br /> HAZARDOUS MATERIALS PROGRAM INSPECTION REPORT <br /> Facility Facility <br /> Name: 1 Address: Inspection <br /> Facility Date: <br /> Title: <br /> Contact: Phone: <br /> Inspection <br /> Type: Routin Follow up Complaint—ID#: Other: <br /> (Authority HSC <br /> Consent for: Inspectio Sampling Photos Granted by: Title: <br /> VIOLATIONS <br /> # C1 C2 M Code Section HSC=Califomia Health and Safe Code;CCR=Califomia Code <br /> C7=Class 1 violation;C2=Class 2 violation; or violation <br /> 1 I HSC 25505(e) Failed t,t maintain n complete copy of the business plan <br /> 2 CCR 2729.2(a)(1) Failed to complete and submit the Business O perator Identification information[HSC25509] <br /> 3 CCR 2729.2(a)(2) Failed to complete and submit the H bus Materials-Chemical description information[HSC 25509] <br /> 4 CCR 2729.2(a)(3) Failed to complete and sub Annotated Site map[HSC 25509] <br /> 5 CCR 2731 Failed to include em ncy <br /> HSC response procedures for a release or threatened release of hazardous materials <br /> 25504 <br /> Failed clude a training program that includes at minimum:(1)safe handling of hazardous materials;(2) <br /> 6 CCR 2732(a) ure for coordination with local emergency response organizations;(3)use of emergency equipment <br /> and su lies;and 4 emergency 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 Failed to verbally report a release or threatened release immediately to the Environmental Health Department <br /> EHD and/or the California Emergency Management Agency CalEMA HSC 25507(a)] <br /> 9 SC 25505(b) Failed to update and submit revisions to the business plan when substantial changes occur <br /> 999 1 Other: See attached"Continuation-Official Inspection Report'for violation(s)not listed above. <br /> SUMMARY OF VIOLATIONS <br /> CLASS I CLASS II,or MINOR-Notice to Comply) <br /> O <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 /> Inspector: ` , ±Phone: <br /> ReceiveE by: : <br /> EHD18-01 Page 1 HM OFFICIAL INSPECTION REPORT <br />