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Sep 2315 07:28a Jiffylube 598 2092398763 P.1 <br /> San Joaquin County <br /> Environmental Health DelpartirrignI <br /> 18f)a East Hazelton Avenue,Stockton, California 952D5-6232 <br /> Telephone:(209)468-3420 Fax:(2()G)468-3433 Web.,www At'Ov-0 few <br /> Hazardous Materials Program Inspection Report <br /> Fatality PtMne; UMa; <br /> Facility Namw <br /> CIERS 10: <br /> ,.A*y gI`mM <br /> Facility Address: <br /> s;s <br /> K:- <br /> Phone: <br /> inspection Coal Tale: <br /> IS <br /> Program <br /> inspection Type <br /> n:T <br /> Consent For. consent Given or. <br /> mc <br /> c --California code orRegulauans MG-Maimand way,-- .0 =Code of Federal epulelions <br /> - <br /> CR <br /> 6� V=Violation R=Reword violatlen COS=Comactedonsae during iMP0GWa <br /> Violations <br /> t jWQG2GG07 Famed t*asialAiin and Implement a hazardous malaise,busina8s Plan IOV DR GCOS, <br /> 2 HSG 25508(a)(1) Failed to electronically submit a business plan oV OR nCOS <br /> 3 HSC 25505.2 Failed to annually review and certify that the business plan is complete,accurate,and Lip to date n c R nCOS <br /> 4 HOC,29oW.1 Tfftovd to notry property owner tm facilft is zubject to and In compliance with the HMBP program -V OR oCOS <br /> 5 HSC 25510 Failed to report actual or threatened release to the EHD and/or CaIOES Wamirg Center DV OR a COS <br /> 6 HSC 25508(a)(1) Failed to complete and/or submit the Business Activities or Owner/Operator Identification page O OR OCOS <br /> 7 tl=MOW(s) Felled to complete and/or submit hazardous materials Inventory for all reportable materials on site O OR vCOS <br /> 8 HSC 25606.11(a)-(e) Failed to submit revisions to HMBP MlVn 30 days of change in business info or inventory u OR DCOS <br /> 9 HSC25508.1(f) Failed to submit revisions to HMBP within 30 days of substantial change in operations mV OR oCOS <br /> 10 HSC 25505(a)(2) Failed to complete anclw submit a site map with all required content OV OR QCOS <br /> 11 HSC 25506(a)(3) Failed to establish and/or submit emergency response procedures for a release or threatened release OV OR OCOS <br /> 12 HSC 25505(a)(4) Failed to submit a training program or program is not reasonable or adequate for facility n n nCOS <br /> 13 HSC 2S505(a)(4) Failed to provide or document initial andlor refresher training to apr)mpnatg personnel XV OR u COS <br /> 14 RISC 26607.1 Failed to submit emergency response Plan whan not rrmaetwV Ag handler exemption requirements n DR OCOS <br /> 15 HSC 25507.1 Felled to submit training program when not meting Ag handier exemption requirements. uv OR 0 COS <br /> 16 HSC 25507.2 Failed to establish and implement a HMBP when not meeting remote unstaffed facility exemptions o OR a COS <br /> 17 HSC 25511 Failed to submit a written response within 30 days Of FeGaMrS an inspection report n V n R nCOS <br /> 1010 See below unlisted Admintatmt[orVDmumentatimAolaffon u V JR UcOS <br /> IM Sea below Unlisted Releaseil-eakWSDills violation IuV OR oCOS <br /> SUMMARY OF VIOLATIONS <br /> (CLASS I.CLASS 11,or MINOR-Notice to Comply) <br /> Item# Remarks <br /> HSC 25505(a)(4) Failed to provide or document initial and/or refresher training to appropriate personnel. <br /> Received by lnapeclla .. PhGTW. Dale: <br /> (IWtIaQ* <br /> C <br /> Poll I 0r2 <br /> SEP 2 3 2015 <br /> ENVIRONMENTAL <br /> urA'rV,na0AQ17%4ChIT <br />