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San Joaquin County *40 Environmental Health Department 1868 East Hazelton Avenue, Stockton, Califomia95205-6232 Telephone: (209)468-3420 Fax: (209) 468-3433 Web:www.sioov.orD/ehd Hazardous Materials Program Inspection Report Facility Name: Facility Phone: Date: 99 Cents Only Stores#433 (209) 830-4324 August 19, 2015 Facility Address: CERS ID: 2888 W GRANT LINE RD, Tracy, CA 95304 10635145 Inspection Contact: Title: Phone: Andrew Lecher Manaer (209) 830-4324 Inspection Type: I Program: ROUTINE INSPECTION- Operating Permit 1921 - HMBP-Regular-Primary Location Consent For: Consent Given ey: F1 Inspection 9 Photos ElSamples Andrew Lecher, Manager CCR=California Code of Regulations HSC=Health and Safety Code CFR=Code of Federal Regulations V=Violation R=Repeat violation COS=Corrected on she during inspectio Violations 1 HSC 25507 Failed to establish and implement a hazardous materials business plan o V o R v COS 2 HSC 25508(a)(1) Failed to electronically submit a business plan o V o R o COS 3 HSC 25508.2 Failed to annually review and certify that the business plan is complete,accurate,and up to date o V o R a COS 4 HSC 25505.1 Failed to notify property owner that facility is subject to and in compliance with the HMBP program u V u R o COS 5 HSC 25510 Failed to report actual or threatened release to the EHD and/or CaIOES Warning Center o V n R o COS 6 HSC 25508(a)(1) Failed to complete and/or submit the Business Activities or Owner/Operator Identification page o V o R n COS 7 HSC 25508(a) Failed to complete and/or submit hazardous materials Inventory for all reportable materials on she a V o R a COS 8 HSC 25508.1(a){e) Failed to submit revisions to HMBP within 30 days of change in business info or inventory a V o R a COS 9 HSC 25508.1(f) Failed to submit revisions to HMBP within 30 days of substantial change in operations o V n R o COS 10 HSC 25505(a)(2) Failed to complete and/or submit a site map with all required content a V n R o COS 11 HSC 25505(a)(3) Failed to establish and/or submit emergency response procedures for a release or threatened release o V a R o COS 12 HSC 25505(a)(4) Failed to submit a training program or program is not reasonable or adequate for facility o V a R o COS 13 HSC 25505(a)(4) Failed to provide or document initial and/or refresher training to appropriate personnel o V o R o COS 14 HSC 25507.1 Failed to submit emergency response plan when not meeting Ag handler exemption requirements o V o R o COS 15 HSC 25507.1 Failed to submit training program when not meeting Ag handler exemption requirements in V o R a COS 16 HSC 25507.2 Failed to establish and implement a HMBP when not meeting remote unstaffed facility exemptions o V o R o COS 17 HSC 25511 Failed to submit a written response within 30 days of receiving an inspection report a V n R o COS 1010 See below Unlisted Administration/Documentation violation ❑V o R o COS 1040 See below Unlisted Release/Leaks/Spills violation o V o R n COS SUMMARY OF VIOLATIONS (CLASS I,CLASS 11,or MINOR-Notice to Comply) Item# Remarks Overall Inspection Comments: No Hazardous Materials Business Plan violations noted at the time of inspection. Please be aware as of January 1, 2013, all businesses are required to submit all hazardous materials information online to the California Environmental Reporting System (CERS) at http://cers.calepa.ca.gov. Be sure to include yo Received by Inspector: Phone: Date: (initial) PETER LOMBARDI, HM Specialist 1 (209) 953-6213 08/19/2015 Pagel of 2