Laserfiche WebLink
SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, Califonlia 95205-6232 <br /> Telephone:(209)468-3420 Fax: (209)468-3433 Web:www.s•cehd.com <br /> HAZARDOUS MATERIALS PROGRAM INSPECTION REPORT <br /> Facility <br /> /_ Faoiti <br /> Q Name- <br /> Te�,' +'! Phone S/O_ 5�Z9-�f7S7 Dat:'io2/f ! <br /> Facility <br /> Address: {M e-hro Dv-..'42-0� �,+e,C. ✓� G A �'il S Z I S 0� O t <br /> Inspection Title: Phone: <br /> Contact: rv. H0,4b e(n ! a P1 <br /> Inspection <br /> Type: , <br /> Cc sent Given For. .. Consent <br /> Inspection hotos ❑Sampling Given By: <br /> CCR-California C.de of Regulations HSC=Health and Safety Code CFR=Code of Federal Regulations SJO=San Joaquin County Ordinance <br /> V=Violation R=Repeat COS=Corrected on sfte during inspection <br /> Vlolations V R -30--s <br /> — <br /> I 5JO 4432 Failed to pay annual operating fees(V851) ❑ ❑ ❑ <br /> 2 HSC 25505,(a)(1) Failed to complete and electronically submit a hazardous materials business lar 335 <br /> 25508 a 1 p N ) � ❑ ❑ <br /> 3 HSC 25507 Failed to establish and implement a hazardous materials business plan(1!334) ❑ ❑ <br /> 4 HSC 25508(x)(1) Failed to complete and/or submit the Business Activities or OwnerlOperator Identification page(V345) ❑ ❑ <br /> 5 HSC 25506(a) Failed to complete and/or submit hazardous materials inventory for all reportable materials on site(V343) ❑ ❑ <br /> 6 HSC 25505(3)(3) Failed to complete and/or submit a site map with all required content(V347) X ❑ ❑ <br /> 7 HSC 25505(a)(3) Failed to establish and/or submit emergency response procedures for a release or threatened release"ai A ❑ ❑ <br /> 8 HSC 25505(x)(4) Failed to submit a training program or program is not reasonable or adequate for facility(V350) ❑ ❑ <br /> 9 HSC 25508.2 Failed to annually review and certify that the business plan is complete,accurate,and up to date(V342) ❑ ❑ <br /> 10 HSC 25508.1(a-0 Failed to submit revisions to HMBP within 30 days of substantial change in operations(V346) ❑ ❑ ❑ <br /> 11 HSC 25505(a)(4) Failed to provide or document initial and/or refresher training to appropriate personnel(V349) ❑ ❑ <br /> 12 HSC 25505(c) t=ailed to have the business plan readily available to facility or END personnel(V850) � ❑ ❑ <br /> 13 HSC 25505.1 Failed to notify property owner that facility is subject to and in compliance with the HMBP program(V341) ❑ ❑ ❑ <br /> 14 HSC 25510 Failed to report actual or threatened release to the EHD and/or CaIOES Warning Center(V338) ❑ ❑ ❑ <br /> 15 MSC 25507.1 Failed to submit emergency response plan when not meeting Ag handler exemption requirements(351) ❑ ❑ ❑ <br /> 16 HSC 25507.1 Failed to submit training program when not meeting Ag handler exemption requirements(V352) ❑ ❑ ❑ <br /> 17 HSC 25507,2 Failed to establish and implement a HMBP when not meeting remote unstaffed facility exempfions(V353) ❑ ❑ ❑ <br /> 18 HSC 25511 Failed to submit a written response within 30 days of receiving an inspection report(V808) ❑ ❑ ❑ <br /> 1010 See below Unlisted Administrafion/Documentation violation(V355) ❑ ❑ ❑ <br /> 1040 See below Unlisted Release/Leaksl5pills violation(V356) ❑ ❑ ❑ <br /> SUMMARY-OF VIOLATIONS <br /> (CLASS I,CLASS ll,or MINOR—Notice to Com 1 <br /> 011 <br /> 2. 7� <br /> 14 a <br /> AL1.EHD STAFF TIME ASSOCIATED WITH FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL BE BILLED AT THE CURRENT HOURLY RATE. <br /> THIS FACILITY IS SUBJECT TO REINSPECTION AT ANYTIME AT EHD'S CURRENT HOURLY RATE. <br /> Received by(signature): Title: <br /> Date: <br /> 1M o� <br /> Received by(printed name): Inspector Inspector phone: <br /> C" t},,k 1 VA , ,z C2 o q 76-342,14 <br /> EHD 19-01 REV 07/28/16 Page 1 HM INSPECTION REPORT <br />