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San Joaquin County Environmental Health Department 1868 East Hazelton Avenue, Stockton, Califomia95205-6232 Telephone:(209) 468-3420 Fax: (209) 468-3433 Web.,www.$)oov.oralehd Hazardous Materials Program Inspection Report Facility Name: Facility Phone: Date: QUIK STOP MARKET#5124` 209 823-7628 JuIv 09 2015 Facility Address: CERS ID: 505 N MAIN ST MANTECA. CA 95336 10182107 Inspection Contact: Tkle: Phone: Satwinder Sin h =ager 209 823-7628 Inspection Type: Program: ROUTINE INSPECTION- O eratin Per 1921 - HIMBIP-RequW-Primary Location Consent For: I Consent Given By: Inspection ❑ Photos ❑ Samples I S der Sin h Mana er CCR=California Code of Regulations HSC=Health and Safety Code CFR=Code cf Fedeml 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 o V o R o COS 2 HSC 25508(a)(1) Failed to electronically submit a business plan ❑V ❑R ❑COS 3 HSC 25506.2 Failed to annually review and certify that the business plan is complete,accurate,and up to date ■V ❑R u COS 4 HSC 25505.1 Failed to notify property owner that facility is subject to and in compliance with the HMBP program n V ❑R n COS 5 HSC 25510 Failed to report actual or threatened release to the EHD and/or CalOES Warning Center o V ❑R ❑COS 6 HSC 25508(a)(1) Failed to complete and/or submit the Business Activities or Owner/Operator Identification page ❑V ❑R n COS 7 HSC 25506(a) Failed to complete and/or submit hazardous materials inventory for ail 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 u COS 9 HSC 25508.1(f) Failed to submit revisions to HMBP within 30 days of substantial change in operations ❑V ❑R o COS 10 HSC 25505(a)(2) Failed to complete and/or submit a site map with all required content ■V ❑R ❑COS 11 HSC 25505(a)(3) Failed to establish and/or submit emergency response procedures for a release or threatened release ■V o R ❑COS 12 HSC 25505(a)(4) Failed to submit a training program or program is not reasonable or adequate for facility ■V ❑R ❑COS 13 HSC 25505(a)(4) Failed to provide or document initial and/or refresher training to appropriate personnel ■V u R ❑COS 14 HSC 25507.1 Failed to submit emergency response plan when not meeting Ag handler exemption requirements ❑V ❑R ❑COS 15 HSC 25507.1 Failed to submit training program when not meeting Ag handler exemption requirements ❑V ❑R ❑COS 16 HSC 25507.2 Failed to establish and implement a HMBP when not meeting remote unstaffed facility exemptions o V ❑R o COS 17 HSC 25511 Failed to submit a written response within 30 days of receiving an inspection report ❑V o R o COS 1010 See below Unlisted Administration/Documentation violation ❑V ❑R ❑COS 1040 1 See below Unlisted Release/Leaks/Spills violation o V o R o COS SUMMARY OF VIOLATIONS (CLASS I,CLASS 11,or MINOR-Notice to Comply) Item# Remarks Received by Inspector: Phone: Date: (initial): NICHOLAS LOEHRER, HM Specialist 1 (209) 46B-0623 07/09!2015 Page 1 of 3