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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 1868 East Hazelton Avenue, Stockton,California 95205-6232 Telephone:(209)468-3420 FAK..(209)468-3433 Web:www.sicehd.com ATLEI FALS PRQGRAA �ISP�T O REPORT Facility L�� ,/� L/ Facility Inspection _ Name: CH-1-5 f` � �S� ( Phone: 2Drj- X-7/f 0 Date: 6j 3O !S Facility CERS Address: 91'rLSEY (AIA-`J 1144-01 l�eA ID: Inspection Trtle: Phone. Contact, A-1" eOA177eCn� 2011— a3 -')120 Inspection - Program: ACV RAVE! 7ant Given For. Consent Inspection S o Sampling I Given By: AMY+2A 60/L/� CCR=California Code of Regulations HSC=Health and Safety Code CFR=Code of Federal Regulations V=Violation R=Repeat COS=Corrected on site during inspection .Violations"". _...: r.; IRA 4M "cos 1 HSC 25507 Failed to establish and implement a hazardous materials business plan(V334) ❑ ❑ 2 HSC 25508(a)(1) Failed to electronically submit a business plan(V335) ❑ ❑ 3 HSC 25508.2 Failed to annually review and certify that the business plan Is complete,accurate,and up to date(V342) ❑ ❑ 4 HSC 25505.1 Failed to notify property owner thalfacility Is subject to and In compliance with the HMBP program(V341) ❑ ❑ ❑ 5 HSC 25510 Failed to report actual or threatened release to the EHD and/or CalOES Wareing Center(V338) ❑ ❑ ❑ 6 HSC 25508(a)(1) Failed to complete and/or submit the Business Activities or Owner/Operator Identification page(V345) ❑ ❑ 7 HSC 25506(a) Failed to complete and/or submit hazardous materials inventory for all reportable materials on site(V343) ❑ ❑ 8 HSC 25508.1(a)-(e) Failed to submit revisions to HMBP within 30 days of change in business info or inventory(V346) ❑ ❑ ❑ 9 HSC 25508.1(1) Failed to submit revisions to HMBP within 30 days of substantial change to operations(1344) ❑ ❑ ❑ 10 HSC 25505(a)(2) Failed to complete and/or submit a site map with all required content 0347) ❑ ❑ 11 HSC 25505(a)(3) Failed to establish andfor submit emergency response procedures for a release or threatened release r�a> %ir, ❑ ❑ 12 HSC 25505(a)(4) Failed to submit a training program or program is not reasonable or adequate for facility(V350) W ❑ ❑ 13 HSC 25505(a)(4) Failed to provide or document initial and/or refresher training to appropriate personnel(V349) ❑ ❑ 14 HSC 25507.1 Failed to submit emergency response plan when not meeting Ag handler exemption requirements(351) ❑ ❑ n 15 HSC 25507.1 Failed to submit training program when not meeting Ag handler exemption requirements(V352) ❑ ❑ ❑ 16 HSC 25507.2 Failed to establish and implement a HMBP when not meeting remote unstaffed facility exemptions(V353) ❑ ❑ ❑ 17 HSC 25511 Failed to submit a written response within 30 days of receiving an inspection report(V808) ❑ o ❑ 1010 Sae below Unlisted Administmtion/Documentatlon violation(V355) ❑ ❑ ❑ 1040 See below Unlisted Release/Leaks/Spills violation(V356) ❑ ❑ ❑ SUMMARY OF VIOLATIONS t�«�t_._ _ __ (CLASS/,CLASS II,or MINOR-Notice to Co_mpI _ _ 600 co-z- r�')u6 my 544E. C,0 ,-6�; 7A-7- TSS )��4-cu-t t-Y gJAICC ALL EHD STAFF TIME ASSOCIATED WITH FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL BE BILLED AT THE CURRENT HOURLY RATE. THIS FACILITY IS SUBJECT TO REINSPECTION AT ANYTIME AT EHD'S CURRENT HOURLY RATE. Receiv ign re): Title: Date: ,gas Ls�,>st,r� .�te..✓,�-�,e_ G � 7 � R,, (rehI5 Inspector. Inspector phone: 201- T1s -6,P43 EHD 19-01 REV 04123/15 Page i HM INSPECTION REPORT