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San Joaquin County "' <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, California 95205-6232 <br /> Telephone: (209)468-3420 Fax: (209) 468-3433 Web:www.siaov.ora/ehd <br /> Hazardous Materials Program Inspection Report <br /> Facility Name: Facility Phone: Data: <br /> INC SUPPLY September 10, 2014 <br /> Facility Address: EPA ID: CER81D: <br /> 200 <CH RD.. Y, CA 95304 10187443 <br /> Facility Contact: Contact Phone: Contact during inspection,if <br /> Paunet (209) 832-2L different from facility contact: <br /> Inspection type: Program: <br /> CCR=California Code of Regulations HSC=Heanh and Satety Cade CFR=Code of Federal Regulations <br /> V=Violation R=Repeat violation COS=Corrected on site during inspection <br /> Violations <br /> 1 HSC 25507 Failed to establish and implement a hazardous materials business plan ❑V ❑R ❑COS <br /> 2 HSC 25508(a)(1) Failed to electronically submit a business plan ❑V o R ❑COS <br /> 3 HSC 25508(c) 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 ❑V ❑R ❑COS <br /> 5 HSC 25510 Failed to report actual or threatened release to the EHD and/or CalOES Warning Center ❑V ❑R ❑COS <br /> 6 HSC 25508(a)(1) Failed to complete and/or submit the Business Activities or Owner/Operator Identification page o V o R o COS <br /> 7 HSC 25506(a) Failed to complete and/or submit hazardous materials inventory for all reportable materials on site o V ❑R ❑COS <br /> 8 HSC 25508.1(a)-(e) Failed to submit revisions to HMBP within 30 days of change in business info or inventory ❑V ❑R ❑COS <br /> 9 HSC 25508.1(f) Failed to submit revisions to HMBP within 30 days of substantial change In operations ❑V ❑R ❑COS <br /> 10 HSC 25505(a)(2) Failed to complete and/or submit a site map with all required content ❑V ❑R ❑COS <br /> 11 HSC 25505(a)(3) Failed to establish and/or submit emergency response procedures for a release or threatened release o V ❑R o COS <br /> 12 HSC 25505(a)(4) No training program or program is not reasonable or adequate for facility n V o R ❑COS <br /> 13 HSC 25505(a)(4) Failed to provide initial and/or refresher training to appropriate personnel ❑V ❑R ❑COS <br /> 14 HSC 25507.1 Failed to submit emergency response plan when not meeting Ag handler exemption requirements ❑V ❑R ❑COS <br /> 15 HSC 25507.1 Failed to submit training program when not meeting Ag handler exemption requirements ❑V ❑R ❑COS <br /> 16 HSC 25507.2 Failed to establish and implement a HMBP when not meeting remote unstaffed facility exemptions ❑V o R ❑COS <br /> 17 HSC 25511 Failed to submit a written response within 30 days of receiving an inspection report o V ❑R ❑COS <br /> 1010 See below Unlisted Administration/Documentation violation ❑V o R ❑COS <br /> 1040 See below Unlisted Release/Leaks/Spills violation o V o R o COS <br /> SUMMARY OF VIOLATIONS <br /> (CLASS I,CLASS If,or MINOR-Notice to Comply) <br /> Item# Remarks <br /> Overall Inspection Comments: <br /> Consent to perform the inspection, take photos and collect samples was given by Paula Barrier, Branch <br /> Operations Manager. <br /> No violations observed at the time of inspection. <br /> No photos or samples were taken. <br /> Received by(initial): Inspector: Phone: Date: <br /> IT I.OPEZ, Hazardous Mate: <br />