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SAN J O A Q U I N Environmental Health Department <br /> COunl <br /> Hazardous Materials Program Inspection Report <br /> Facility Name: Facility Address; Date: <br /> COUNTRYSIDE LIQUORS&GAS 14971 N HWY 88, LODI April 06,2018 <br /> Item# Remarks <br /> 7 HSC 25505(a)(3)Failed to establish and/or submit emergency response procedures for a release or threatened <br /> release. <br /> The emergency response procedures were lacking the completion of section E3, evacuation staging area. A <br /> business plan shall include the following emergency response procedures for a release or threatened release of <br /> hazardous materials, including, but not limited to, the following: <br /> -immediate notification of local emergency personnel and the Environmental Health Department(EHD) <br /> -procedures for the mitigation of a release or threatened release to minimize any potential harm or damage to <br /> persons, property,or the environment <br /> -evacuation plans and procedures, including immediate notice, for the site <br /> Immediately log into the California Environmental Reporting System(CERS)at hftp://cers.calepa.ca.gov/, upload the <br /> correct or updated information,and submit to the EHD for approval. <br /> This is a Class II violation. <br /> 11 HSC 25505(a)(4)Failed to provide or document initial and/or refresher training to appropriate personnel. <br /> No proof of training available for inspection. The business plan shall include provisions for ensuring that <br /> appropriate personnel receive initial and annual refresher training. This training shall be documented electronically <br /> or by hard copy and shall be made available for a minimum of three years. Immediately provide employee training <br /> for appropriate personnel and submit a copy of the training records to the EHD. <br /> This is a Class II violation. <br /> Overall Inspection Comments: <br /> Complete and submit a copy of the Return to Compliance Certification form to the EHD with a statement <br /> documenting the corrective actions that have been or will be taken for each violation, and any supporting <br /> paperwork, by 5/6/2018. <br /> Please be aware as of January 1, 2013, all businesses are required to submit all hazardous materials <br /> information online to the California Environmental Reporting System (CERS) at hftp://cers.calepa.ca.gov. Be <br /> sure to include your hazardous material activity in the Businesses Activities section in CERS in addition to any <br /> other relevant activities and required fields. <br /> Propane can be deleted from the chemical inventory,there is 49 gallons. The reporting quantity is 55 gallons. <br /> AFTER THE COMPLIANCE DATE,EHD WILL BILL FOR ALL TIME AND ACTIVITIES ASSOCIATED WITH BRINGING <br /> THIS FACILITY BACK INTO COMPLIANCE. <br /> THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br /> Received by: Date: <br /> April 06, 2018 Inspector: Inspector Phone: <br /> Printed Name and Title: JAMIE LIMA, Haz Mat Specialist II (209)953-6211 <br /> Asif Khan, Cashier <br /> FA0000540 PR0520827 SCO01 04IM2018 <br /> EHD 19-01 Rev.10/3112017 Page 2 of 2 Hazardous Materials Program OR <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />