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SAN JOAQUIN COUNTY • <br />NVIRONMENTAL HEALTH DEPARTMENT <br />1868 East Hazelton Avenue, Stockton, California 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: www.s'(Iov.org/ehd/unitiii.html <br />HAZARDOUS MATERIALS PROGRAM INSPECTION REPORT <br />Facility <br />Name: <br />t <br />Facility <br />Address: y%� <br />Inspection <br />Date: <br />Facility <br />Contact: <br />Title: <br />Phone: <br />Inspection <br />Type: <br />110 1 ou n Follow up <br />Complaint — ID#: Other: <br />(Authority HSC 255 <br />Consent for: spectio Sampling Photos Granted by: Title: <br />VIOLATIONS <br /># C1 <br />C2 M Code Section <br />HSC = California Health and Safety Code; CCR = California Code of Regulations <br />Cl = Class 1 violation; C2 = Class 2 violation; M = Minor violation <br />1 <br />HSC 25505(e) <br />Failed to maintain a complete copy of the business plan on site <br />2 <br />CCR 2729.2(a)(1) <br />Failed to complete and submit the Business Owner/Operator Identification information [HSC25509] <br />3 <br />CCR 2729.2(a)(2) <br />Failed to complete and submit the Hazardous Materials — Chemical description information [HSC 25509] <br />4 <br />CCR 2729.2(a)(3) <br />Failed to complete and submit an Annotated Site map [HSC 25509] <br />5 <br />CCR 2731 <br />Failed to include emergency response procedures for a release or threatened release of hazardous materials <br />HSC 25504(b)] <br />6 <br />CCR 2732(a) <br />Failed to include a training program that includes at minimum: (1) safe handling of hazardous materials; (2) <br />procedure for coordination with local emergency response organizations; (3) use of emergency equipment <br />and su lies; and 4 emergency response procedures fHSC 25504(c)] <br />7 <br />CCR 2732(b) <br />Failed to provide initial and/or refresher training to appropriate personnel [HSC 25504(c)] <br />8 <br />CCR 2703 <br />Failed to verbally report a release or threatened release immediately to the Environmental Health Department <br />EHD and/or the California Emergency Management Agency CaIEMA HSC 25507(a)] <br />9 <br />HSC 25505(b) <br />Failed to update and submit revisions to the business plan when substantial changes occur <br />999 <br />Other: <br />See attached "Continuation — Official Inspection Report" for violation(s) not listed above. <br />SUMMARY OF VIOLATIONS <br />CLASS I, CLASS II, or MINOR -Notice to Comply) <br />AK 1 <br />kIr <br />ALL <br />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 ANY TIME AT EHD'S CURRENT HOURLY RATE. <br />EHD 18-01 Page 1 HM OFFICIAL INSPECTION REPORT <br />