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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:www.sjgov.orq/ehd Hazardous Materials Program Inspection Report Facility Name: Facility Phone: Date: CHEVRON USA#201761" (209) 825-0714 July 18, 2014 Facility Address: EPA ID: CERS ID: 1103 S MAIN ST, MANTECA, CA 95337 1 10181653 Facility Contact: Contact Phone: Contact during inspection,if Donna Wallis (209) 825-0714 different from facility contact: Inspection type: Program: ROUTINE INSPECTION -Operating Permit 1 1921 - HMBP-Regular-Primary Location 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(a) Failed to establish and implement a hazardous materials business plan ❑V R ❑COS 2 HSC 25505.1 Failed to notify property owner that facility is subject to and in compliance with the HMBP program ❑V ❑R ❑COS 3 HSC 25510 Failed to report actual or threatened release to the EHD and/or CalOES Warning Center ❑V ❑R ❑COS 4 HSC 25506(a) Failed to complete and/or submit hazardous materials inventory for all reportable materials on site ■V ❑R ❑COS 5 HSC 25508.2 Failed to submit hazardous materials business plan annually ❑V ❑R ❑COS 6 HSC 25508.1 Failed to submit revisions to HMBP within 30 days of change in inventory or operations ❑V ❑R ❑COS 7 HSC 25505(a)(2) Failed to complete and/or submit a site map ❑V ❑R ❑COS 8 HSC 25505(a)(3) Failed to include emergency response procedures for a release or threatened release ❑V ❑R o COS 9 HSC 25505(a)(4) No training program or program is not reasonable or adequate for facility ❑V ❑R ❑COS 10 HSC 25505(a)(4) Failed to provide initial and/or refresher training to appropriate personnel ❑V ❑R ❑COS 11 HSC 25511 Failed to submit a written response within 30 days of receiving an inspection report ❑V ❑R ❑COS 1010 See below Unlisted Administration/Documentation violation ❑V ❑R ❑COS 1040 See below Unlisted Release/Leaks/Spills violation ❑V ❑R ❑COS SUMMARY OF VIOLATIONS (CLASS I,CLASS II,or MINOR-Notice to Comply) Item# Remarks 4 Failed to complete and/or submit hazardous materials inventory for all reportable materials on site. Update the Hazardous Materials inventory for the Carbon Dioxide(Approx. 100 pounds Immediately log into the California Environmental Reporting System (CERS) at http://cers.calepa.ca.gov/, add the materials to the hazardous material inventory, and submit to the EHD for approval. Overall Inspection Comments: Complete and submit a copy of the Return to Compliance Certification form to the EHD with a statement documenting the corrective actions that have been or will be taken for each violation, and any supporting paperwork, by August 18, 2014 . Consent to perform the inspection, take photos and collect samples W91 9ivah by Donna Wallis Please be aware as of January 1, 2013, all businesses were requiralel to submit all hazardous materials information online to the California Environmental Reporting System (CERS) at http://cers.calepa.ca.gov. Be sure to include your hazardous material activity in the Businesses Activities section in CERS in addition to any other relevant activities and required fields. If there are any questions, please contact Michael Parissi at 209-953-6213 or mparissi@sjcehd.com. Received by(initiall: Inspector: Phone: Date: MICHAEL PARISSI, Hazardous Material Speci (209)953-6213 07/18/2014