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Adak <br /> 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.sigoy.orq/ehd <br /> Hazardous Materials Program Inspection Report <br /> Facility Name: Facility Address: Date: <br /> SUMMARY OF VIOLATIONS <br /> (CLASS I,CLASS II,or MINOR-Notice to comply) <br /> Item# Remarks <br /> Failed 'to establish and/or submit emergency response procedures for a release orthrealeiied Iuiease. 1 he emergency <br /> response procedures have not been submitted. A business plan shall include the following emergency response <br /> procedures for a release or threatened release of hazardous materials, including, but not limited to, the following: <br /> -immediate notification of local emergency personnel and the Environmental Health Department(EHD) <br /> - procedures for the mitigation of a release or threatened release to minimize any potential harm or damage to <br /> persons, property, or the environment <br /> - evacuation plans and procedures, including immediate notice, for the site <br /> Immediately log into the California Environmental Reporting System(CERS) at http://cers.calepa.ca.gov/, upload the <br /> correct or updated information, and submit to the EHD for approval. <br /> This is a repeat violation, Class ll. <br /> 12 Failed to submit a training program or program is not reasonable or adequate for facility. A training program has not <br /> been submitted. Training programs for all employees and annual training, including refresher courses, shall include <br /> safety procedures for the event of a release or threatened release of a hazardous material, including, but not limited to; <br /> familiarity with the facility's emergency response plans and procedures. These training programs may take into <br /> consideration of each employee. Immediately prepare or update the facility's training program, log into the California <br /> Environmental Reporting System(CERS) at http://cers.calepa.ca.gov/, upload the correct or updated information, and <br /> submit to the EHD for approval. <br /> This is a Class II violation. <br /> Overall Inspection Comments: <br /> Complete and submit a copy of the Return to Compliance Certification form to the EHD with a statement <br /> documenting the corrective actions that have been or will be taken for each violation, and any supporting <br /> paperwork, by November 2, 2014. <br /> The Business Plan inspection was facilitated by Jennifer Ray, Property Management; Environmental Contact. <br /> Consent to perform the inspection and take photos were given by Jennifer Ray. <br /> Copies of photos taken at the time of inspection were provided to Jennifer Ray <br /> Please be aware as of January 1, 2013, all businesses were required to submit all hazardous materials <br /> information online to the California Environmental Reporting System (CERS) at http://cers.calepa.ca.gov. Be sure <br /> include your hazardous material activity in the Businesses Activities section in CERS in addition to any other <br /> , want activities and required fields <br /> ALL EHD STAFF TIME ASSOCIATED WITH ryG TO COMPLY BY THE ABOVE NOTED L)ArES WILL BE BILLED AT THE CURRENT HOURLY . <br /> THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br /> Received By: Title: Dat :�O � I <br /> Inspection ROB 1-0p Title: Phone: Date: 1,03/2014 <br /> 1 _ ' Page 3 of 3 <br />