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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, Califomia 95205-6232 <br /> Telephone: (209)468-3420 Fax: (209)468-3433 Web:www.s4cehd.com <br /> HAZARDOUS MATERIALS PROGRAM INSPECTION REPORT <br /> Facility p) _ Facility �9p Inspection <br /> Name: E(�l11C V2 Phone: z4qq —1 rid I Date: — — <br /> Facility CERS <br /> Address:33 <br /> ID: <br /> Inspection ( TitleP on: 7q_) �' <br /> Contact: ` QWMilil <br /> Inspectiono Program: ' <br /> Type: L <br /> Consent Given For. Consent n�!Y <br /> ❑ Inspection ❑ Photos ❑ Sampling Given By: UL, Cl(�1. <br /> CCR=California Code 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 site during inspection <br /> Violations V R. COS <br /> I SJO 4432 Failed to pay annual operating fees(V851) ❑ c c <br /> 2 HSC 25505, Failed to complete and electronically submit a hazardous materials business plan(V335) ❑ ❑ <br /> 25508 a 1 <br /> 3 HSC 25507 Failed to establish and implement a hazardous materials business plan(V334) ❑ ❑ ❑ <br /> 4 HSC 25508(a)(1) Failed to complete and/or submit the Business Activities or Owner/Operator Identification page(V345) ❑ a <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(a)(3) Failed to complete and/or submit a site map with all required content(V347) ❑ ❑ <br /> 7 HSC 25505(a)(3) Failed to establish and/or submit emergency response procedures for a release or threatened release Meal ❑ ❑ <br /> 8 HSC 25505(a)(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 26608.1(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) 0 0 <br /> 12 HSC 25505(c) Failed to have the business plan readily available to facility or EHD 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 CalOES Warning Center(V338) ❑ ❑ ❑ - <br /> 15 HSC 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 exemptions(V353) ❑ ❑ ❑ <br /> 18 HSC 25511 Failed to submit a written response within 30 days of receiving an inspection report(V808) ❑ 0 0 <br /> 1010 See below Unlisted Administration/Documentation violation(V355) ❑ ❑ ❑ <br /> 1040 See below Unlisted Release/Leaks/Spills violation(V356) ❑ ❑ ❑ <br /> SUMMARY OF VIOLATIONS <br /> (CLASS 1,CLASS II,or.MINOR—Notice to Conr l" 7T' <br /> Z <br /> 551111 Ill 950A I I 16viS woIS-ki <br /> v I <br /> l -201-7 <br /> ALL EHD STAFF TIME ASSOCIA D WITH FAILING TO COMPLY BY THE ABOVE NOTE13 DATES WILL BE BILLED AT THE CURRENT HOURLY RATE. <br /> THIS FACILITY I BJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br /> Received - atur Title: Date: <br /> Recei ed by(print ame): In pector Inspector phone: <br /> �a/r 7/s J Yn 209 q53 Jail <br /> EHD 19-01 REV 07/28/16 Page 1 HM INSPECTION R PORT <br />