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San Joaquin County Environmental Health Department 1868 East Hazelton Avenue, Stockton, California 95205-6232 Telephone: (209) 468-3420 Fax: (209)468-3433 Web:vwww.sigov.o[g/ehd Hazardous Materials Program inspection Report Facility Name: Facility Phone: Date: HEADWATERS RESOURCES INC (209) 469-0625 Ext.0 ivaiy 26, 2016 Facility Address: CER ID: 2025 VV HAZELTON AVE, STOCKTON, CA 95203 10183815 Inspection Contact: Title; Phonw. John Stephenson n„Amager (209) 628-727.-, InspectionType: Program: ROUTINE INSPECTION- Operating Permit -i2 I - HMBP-Regular-Primary Location Consent For: I Consent Given-By- 7, Inspection G Photos I] Samples I John Stephenson, Terminal 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 HSC 25507 Failed to establish and implement a hazardous materials business plan ■V ❑R ❑COs 2 HSG 25508(a)(1) Failed to electronically submit a business plan ■V ❑R ❑COS 3 HSC 25508.2 Failed to annually review and certify that the business plan is complete,accurate, and up to date n V ❑R n COS 4 HSC 25505.1 Failed to notify property owner that facility is subject to and in compliance with the HMBP program ❑V ❑R n COS 5 HSC 25510 Failed to report actual or threatened release to the EHD and/or CalOES Warning Center n V o R ❑COS 6 HSC 25508(x)(1) Failed to complete and/or submit the Business Activities or Owner/Operator Identification page ■V ❑R ❑COS 7 1 HSC 25506(a) Failed to complete and/or submit hazardous materials inventory for all reportable materials on site r V ❑ R n COS 8 HSC 25508.1(a)-(e) Failed to submit revisions to HMBP within 30 days of change in business info or inventory n V o R ❑COS 9 HSC 25508.1(f) Failed to submit revisions to HMBP within 30 days of substantial change in operations ❑V ❑R ❑COS 10 HSC 25505(a)(2) Failed to complete and/or submit a site map with all required content ■V ❑R ❑COS 11 HSC 25505(,)(3) Failed to establish and/or submit emergency response procedures for a release or threatened release w V ❑R ❑COS 12 HSC 25505(a)(4) Failed to submit a training program or program is not reasonable or adequate for facility ■V n R ❑COS 13 HSC 25505(a)(4) Failed to provide or document initial and/or refresher training to appropriate personnel ■V ❑R n COS 14 HSC 25507.1 Failed to submit emergency response plan when not meeting Ag handler exemption requirements ❑V ❑ R ❑COS 15 HSC 25507.1 Failed to submit training program when not meeting Ag handler exemption requirements o V ❑R ❑COS 16 HSC 25507.2 Failed to establish and implement a HMBP when not meeting remote unstaffed facility exemptions n V ❑R n COS 17 HSC 25511 Failed to submit a written response within 30 days of receiving an inspection report ❑V ❑R ❑COS 1010 See below Unlisted AdministrationlDocumentation violation ❑V ❑R o COS 1040 See below Unlisted Release/Leaks/Spills violation ❑V ❑R ❑COS SUMMARY OF VIOLATIONS (CLASS 1,CLASS 11,or MINOR-Notice to Comply) Item# Remarks Received by Inspector: Phone: Date: (initial): $ ROBERT LOPEZ, HM Specialist II (209) 953-6214 01126/2016 Page 1 of 4