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FA0003728 PRO519421 SCO01 05/02/2017 EHD 19-01 Rev. 09/22/16 Page 1 of 3 Hazardous Materials Program OIR San Joaquin County Environmental Health Department 1868 East Hazelton Avenue, Stockton, California 95205-6232 Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: www.sioov.ora/ehd Hazardous Materials Program Inspection Report Facility Name: PLYMOUTH SQUARE Facility Phone: (209) 466-4341 Date: May 02, 2017 Facility Address: 1319 N MADISON ST, STOCKTON, CA 95202 CERS ID: 10181353 Inspection Contact:Title: Tim Moss Maintenance Supervisor Phone: (209) 4664341 Inspection Type:Program: ROUTINE INSPECTION - Operating Permit 1921 - HMBP-Regular-Primary Location Consent For: 0 Inspection O Photos Consent Given By: ❑ Samples Tim Moss, Maintenance Supervisor 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 inspectio Violations 1 SJO 4432 Failed to pay annual operating fees a V a R o COS 2 HSC 25505, 25508(a)(1 Failed to complete and electronically submit a hazardous materials business plan a V ❑ R ❑ COS 3 HSC 25507 Failed to establish and implement a hazardous materials business plan o V ❑ R ❑ COS 4 HSC 25508(a)(1) Failed to complete and/or submit the Business Activities or Owner/Operator Identification page ■ V o R ■ COS 5 HSC 25506(a) Failed to complete and/or submit hazardous materials inventory for all reportable materials on site ❑ V ❑ R ❑ COS 6 HSC 25505(a)(2) Failed to complete and/or submit a site map with all required content c V ❑ R ❑ COS 7 HSC 25505(a)(3) Failed to establish and/or submit emergency response procedures for a release or threatened release o V n R ❑ COS 8 HSC 25505(a)(4) Failed to submit a training program or program is not reasonable or adequate for facility ❑ V ❑ R ❑ COS 9 HSC 25508.2 Failed to annually review and certify that the business plan is complete, accurate, and up to date ■ V ❑ R ■ COS 10 HSC 25508.1(a){f) Failed to submit revisions to business plan within 30 days of substantial change in operations o V o R ❑ COS 11 HSC 25505(a)(4) Failed to provide or document initial and/or refresher training to appropriate personnel ■ V o R o COS 12 HSC 25505(c) Failed to have the business plan readily available to facility or EHD personnel ❑ V o R ❑ COS 13 HSC 25505.1 Failed to notify property owner that facility is subject to and in compliance with the HMBP program ❑ V ❑ R ❑ COS 14 HSC 25510 Failed to report actual or threatened release to the EHD and/or CalOES Warning Center o V o R ❑ COS 15 HSC 25507.1 Failed to submit emergency response plan when not meeting Ag handler exemption requirements o V a R ❑ COS 16 HSC 25507.1 Failed to submit training program when not meeting Ag handler exemption requirements ❑ V ❑ R ❑ COS 17 HSC 25507.2 Failed to establish and implement a HMBP when not meeting remote unstaffed facility exemptions ❑ V ❑ R ❑ COS 18 HSC 25511 Failed to submit a written response within 30 days of receiving an inspection report o V o R o COS 1010 See below Unlisted Administration/Documentation violation ❑ V ❑ R ❑ COS 1040 See below Unlisted Release/Leaks/Spills violation o V o R o COS SUMMARY OF VIOLATIONS (CLASS I, CLASS II, or MINOR - Notice to Comply) Item # Remarks FA0003728 PRO519421 SCO01 05/02/2017 EHD 19-01 Rev. 09/22/16 Page 1 of 3 Hazardous Materials Program OIR