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AOL 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: Facility Phone: Date: JIFFY LUBE#598 209 239-0665 August 05. 2015 Facility Address: CERS ID: 1130 N MAW ST MANTECA, CA 10181367 Inspection Contact: Title: Phone: Na Her Manac 209 239-0665 Inspection Type: Program: ROUTINE INSPECTION- Operating Permit 1921 - HNIBIP-Requiar-Primary Location Consent For: I Consent Given By: 0 Inspection ❑ Photos ❑ Sample Na Her Manager 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 Failed to establish and implement a hazardous materials business plan u V o R o COS 2 HSC 25508(a)(1) Failed to electronically submit a business plan ❑V ❑R ❑COS 3 HSC 25508.2 Failed to annually review and certify that the business plan is complete,accurate,and up to date ❑V ❑R n COS 4 HSC 25505.1 Failed to notify property owner that facility is subject to and in compliance with the HMBP program ❑V ❑R ❑COS 5 HSC 25510 Failed to report actual or threatened release to the EHD and/or CaIOES Warning Center ❑V ❑R ❑COS 6 HSC 25508(a)(1) Failed to complete and/or submit the Business Activities or Owner/Operator Identification page ❑V ❑R ❑COS 7 HSC 25506(a) Failed to complete and/or submit hazardous materials Inventory for all reportable materials on site ❑V ❑R ❑COS 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 9 HSC 25508.1(0 Failed to submit revisions to HMBP within 30 days of substantial change in operations ❑V ❑R ❑COS 10 HSC 25505(a)(2) Failed to complete and/or submit a site map with all required content n V o R n COS 11 HSC 25505(a)(3) Failed to establish and/or submit emergency response procedures for a release or threatened release ❑V ❑R ❑COS 12 HSC 25505(a)(4) Failed to submit a training program or program is not reasonable or adequate for facility ❑V ❑R n COS 13 HSC 25505(a)(4) Failed to provide or document initial and/or refresher training to appropriate personnel ■V ❑R ❑COS 14 HSC 25507.1 Failed to submit emergency response plan when not meeting Ag handler exemption requirements o V o R o COS 15 HSC 25507.1 Failed to submit training program when not meeting Ag handler exemption requirements o V ❑R ❑COS 16 HSC 25507.2 Failed to establish and implement a HMBP when not meeting remote unstaffed facility exemptions in V o R ❑COS 17 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 o COS 1040 See below Unlisted Release/Leaks/Spills violation ❑V ❑R ❑COS SUMMARY OF VIOLATIONS (CLASS 1,CLASS ll,or MINOR-Notice to Comply) Item# Remarks 13 HSC 25505(a)(4) Failed to provide or document initial and/or refresher training to appropriate personnel. Employee training records were not available for review at time of inspection . The business plan shall include provisions for ensuring that appropriate personnel receive initial and annual refresher training. This training shall be documented electronically or by hard copy and shall be made available for a minimum of three years. Immediately )rovide employee training for appropriate personnel and submit a copy of the training records to the EHD. This is a Class II violation. Received by Inspector. Phone: Date: (initial): NICHOLAS L.OFHRFP, HM Specialist 1 468-0623 08/05/2015 Page 1 of 2