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SAN J O A Q U I N Environmental Health Department Hazardous Materials Program Inspection Report Facility Name: Facility Phone: Date: TELFER PAVEMENT TECHNOLOGIES, LLC (209)369-3631 January 11, 2018 Facility Address: CERS ID: 19256 N HWY 99,ACAMPO, CA 95220 10182847 Inspection Contact: Title: Phone: Lauren Telfer Environmental&Safety 0- Inspection Type: Program: ROUTINE INSPECTION-Operating Permit 1921 -HMBP-Regular-Primary Location Consent For. I Consent Given By: O Inspection ❑ Photos ❑Samples Lauren Telfer, Environmental&Safety CCR=California Code of Regulations HSC=Health and Safety Code CFR=Code of Federal Regulations V=Violation R=Repeat violation COS=Connected on site during inspection Violations 1 SJO 4432 Failed to pay annual operating fees o V o R o COS 2 HSC 25505,25508(a) Failed to complete and electronically submit a hazardous materials business plan o V o R o COS (1) 3 HSC 25507 Failed to establish and implement a hazardous materials business plan o V o R o COS 4 HSC 25508(a)(1) Failed to complete and/or submit the Business Activities or Owner/Operator Identification page o V in R o COS 5 HSC 25506(a)(1) Failed to complete and/or submit hazardous materials inventory for all reportable materials on site o V o R o COS 6 HSC 25505(a)(2) Failed to complete and/or submit a site map with all required content o V o R o COS 7 HSC 25505(a)(3) Failed to establish and/or submit emergency response procedures for a release or threatened release o V o R o COS 8 HSC 25505(a)(4) Failed to submit a training program or program Is not reasonable or adequate for facility o V o R o COS 9 HSC 25508(a)(1) Failed to annually review and certify that the business plan is complete,accurate,and up to date o V o R o COS 10 HSC 25508.1(a)-(f) Failed to submit revisions to business plan within 30 days of substantial change in operations o V o R o COS 11 HSC 25505(a)(4) Failed to provide or document initial and/or refresher training to appropriate personnel o V o R o COS 12 HSC 25505(c) Failed to have the business plan readily available to facility or EHD personnel o V o R o COS 13 HSC 25505.1 Failed to notify property owner that facility is subject to and in compliance with the HMBP program o V o R o COS 14 HSC 25505.1 Business on leased property failed to provide copy of HMBP w/in 5 days of request by property owner o V o R o COS 15 HSC 25510(a) Failed to report actual or threatened release to the EHD and/or CalOES Warning Center o V o R o COS 16 HSC 25507.1 Failed to submit emergency response plan when not meeting Ag handler exemption requirements o V o R o COS 17 HSC 25507.1 Failed to submit training program when not meeting Ag handler exemption requirements ❑V o R o COS 18 HSC 25505,25507.2 Failed to establish and implement a HMBP when not meeting remote unstaffed facility exemptions o V o R o COS 19 HSC 25511 Failed to submit a written response within 30 days of receiving an inspection report o V o R o COS 1010 See below Unlisted Administration/Documentation violation o V o R o COS 1020 See below Unlisted Training violation o V o R o COS 1030 See below Unlisted Operations/Maintenance violation o V o R in COS 1040 See below Unlisted Release/Leaks/Spills violation o V o R o COS 1045 See below Unlisted Release/Leaks/Spills-Local Ordinance o V o R o COS 1050 See below Unlisted Abandonment/Illegal Disposal/Unauthorized Treatment violation o V o R o COS 1055 See below Unlisted Abandonmentlillegal Disposal/Unauthorized Treatment-Local Ordinance o V o R o COS SUMMARY OF VIOLATIONS (CLASS I,CLASS II,or MINOR-Notice to Comply) FA0009732 PRO519832 SCO01 0111112018 EHD 19-01 Rev.1 0131/2 01 7 Page 1 of 2 Hazardous Materials Program OR 1868 E. Hazelton Avenue I Stockton, California 952051 T 209 468-3420 1 F 209 464-0138 1 www.sjcehcl.com