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SAN 1 O A D U I N Environmental Health Department Hazardous Materials Program Inspection Report Facility Name: FaciliTy Phone: Date: DESIGNS BY ELEMENTS INC (209)727-3711 Ext.0 April 11,2018 Facility Address: CERS ID: 18251 HWY 88, LOCKEFORD,CA 95237 10183445 Inspection ContactTitle: Phone: Eliseo DeSantiago Manager ()- Inspection Type: Program: ROUTINE INSPECTION-Operating Permit 1921 -HMBP-Regular-Primary Location Consent For: Consent Given By: Inspection ❑ Photos ❑ Sam les Eliseo DeSantiago, Manager CCR=California Code of Regulations HSC=Health and Safety Code CFR=Code of Federal Regulations V=Violation R=Repeat violation COS=Corrected on site during inspection Violations 1 SJO 4432 Failed to pay annual operating fees o V o R o COS 2 HSC 25505,25508(x) Failed to complete and electronically submit a hazardous materials business plan o V o R o COS (1) 3 HSC 25507 Failed to establish and implement a hazardous materials business plan o V o R o COS 4 HSC 25508(a)(1) Failed to complete and/or submit the Business Activities or Owner/Operator Identification page o V o R a COS 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 6 HSC 25505(a)(2) Failed to complete and/or submit a site map with all required content •V o R o COS 7 HSC 25505(a)(3) Failed to establish and/or submit emergency response procedures for a release or threatened release a V o R o COS 8 HSC 25505(a)(4) Failed to submit a training program or program is not reasonable or adequate for facility o V o R o COS 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 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 11 HSC 25505(a)(4) Failed to provide or document initial and/or refresher training to appropriate personnel •V in R o COS 12 HSC 25505(c) Failed to have the business plan readily available to facility or EHD personnel is V a R o COS 13 HSC 25505.1 Failed to notify property owner that facility is subject to and in compliance with the HMBP program in V o R o COS 14 HSC 25505.1 Business on leased property failed to provide copy of HMBP wfin 5 days of request by property owner n V o R o COS 15 HSC 25510(a) Failed to report actual or threatened release to the EHD and/or CaIOES Warning Center o V o R oCOS 16 HSC 25507.1 Failed to submit emergency response plan when not meeting Ag handler exemption requirements o V o R o COS 17 HSC 25507.1 Failed to submit training program when not meeting Ag handler exemption requirements o V in R o COS 1 B HSC 25505,25507.2 Failed to establish and implement a HMBP when not meeting remote unstaffed facility exemptions o V o R o COS 19 HSC 25511 Failed to submit a written response within 30 days of receiving an inspection report o V o R o COS 1010 See below Unlisted Administration/Documentabon violation o V o R o COS 1020 See be. Unlisted Training violation o V a R o COS 1030 See below Unlisted Operations/Maintenance violation o V o R o COS 1040 See below Unlisted Release/Leaks/Spills violation o V o R c COS 1045 See below Unlisted Release/Leaks/Spills-Local Ordinance o V o R a COS 1050 See below Unlisted Abandonment/illegal Disposal/Unauthorized Treatment violation o V o R o COS 1055 See below Unlisted Abandonment/Illegal Disposal/Unauthorized Treatment-Loral Ordinance o V c R o COS FA0010325 PRO520237 SCO01 04/11/2018 EHD 19-01 Rev.10/31/2017 Pagel of 2 Hazardous Materials Program OIR 1868 E. Hazelton Avenue I Stockton,California 95205 1 T 209 468-3420 1 F 209 4644138 1 www.sjcehd.com