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Aft� Aft. <br /> San Joaquin County low <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, Califomia95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209) 468-3433 Web:www.s ov.o lehd <br /> Hazardous Materials Program Inspection Report <br /> Facility Name: 7209) <br /> acility Phone: Date: <br /> FLYING J TRAVEL PLAZA#518" 599-4141 August 17, 2015 <br /> Facility Address: CERS ID: <br /> 1501 N JACK TONE RD, RIPON, CA 95366 10182131 <br /> Inspection Contact: Title: Phone: <br /> Brian Cairns General Manaqer 209 599-4141 <br /> Inspection Type: Program: <br /> ROUTINE INSPECTION-O eratin Permit 1921 - HMBP-Re alar-Prima Location <br /> Consent For: Consent Given By: <br /> i7 Inspection ❑ Photos ❑ Samples Brian Cairns. General Manager <br /> CCR=California Code of Regulations HSC=Health and Safety Code GFR=Code of Federal Regulations <br /> V m Violation R-Repeal violation COS a Corrected on site during inspection <br /> Violations <br /> 1 HSC 25507 Failed to establish and implement a hazardous materials business plan a V o R a COS <br /> 2 HSC 25508(a)(1) Failed to electronically submit a business plan o V a R o COS <br /> 3 HSC 25508.2 Failed to annually review and certify that the business plan is complete,accurate,and up to date ❑V o R o COS <br /> 4 HSC 25505.1 Failed to notify property owner that facility is subject to and in compliance with the HMBP program o V o R a COS <br /> 5 HSC 25510 Failed to report actual or threatened release to the EHD andlor CaIOES Mming Center o V o R ❑COS <br /> 6 HSC 25508(a)(1) Failed to complete and/or submit the Business Activities or Owner/Operator Identification page ❑V o R o COS <br /> 7 HSC 25506(a) Failed to complete andlor submit hazardous materials inventory for all reportable materials on site a V o R o COS <br /> 8 HSC 25508.1(ay(e) Failed to submit revisions to HMBP within 30 days of change in business info or inventory o V o R o COS <br /> 9 HSC 25508.1(1) Failed to submit revisions to HMBP within 30 days ofsubstantial change in operations o V ❑R ❑COS <br /> 10 HSC 25505(a)(2) Failed to complete andlorsubmit a site map with all required content a V o R o COS <br /> 11 MSC 25505(a)(3) Failed to establish and/or submit emergency response procedures for a release or threatened release o V o R o COS <br /> 12 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 <br /> 13 HSC 25505(a)(4) Failed to provide or document initial and/or refresher training to appropriate personnel o V ❑R o COS <br /> 14 MSC 25507.1 Failed to submit emergency response plan when not meeting Ag handler exemption requirements o V o R ❑COS <br /> 15 HSC 25507.1 Failed to submit training program when not meeting Ag handler exemption requirements o V ❑R ❑COS <br /> 16 HSC 25507.2 Fatted to establish and implement a HMBP when not meeting remote unstaffed facility exemptions ❑V ❑R ❑COS <br /> 17 HSC 25511 Failed to submit a written response within 30 days of receiving an inspection report o V o R o COS <br /> 1010 See below Unlisted AdminislrationlDocumenlation violatlon o V o R ❑COS <br /> 1040 See below unlisted ReieaselLeakslSpills violation ❑V ❑R ❑C05 <br /> SUMMARY OF VIOLATIONS <br /> (CLASS 1,CLASS 11,or MINOR-notice to Comply) <br /> Item# Remarks <br /> Overall Inspection Comments: <br /> No violations found at time of inspection. <br /> Please be aware as of January 1, 2013, all businesses are required to submit all hazardous materials information <br /> online to the California Environmental Reporting System (CERS) at http://cers.calepa.Ca.gov. Be sure to include <br /> Date: <br /> Received b Inspector: Phone: <br /> (initial): NICHOLAS LOEHRER, HM Specialist ! (209}468-0623 08/17/2015 <br /> Page 1 of 2 <br />