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4 <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, California 95205-6232 <br /> Telephone:(209) 468-3420 Fax: (209)468-3433 Web:www.sicehd.com <br /> HAZARDOUS MATERIALS PROGRAM INSPECTION REPORT <br /> FacilityC Facility Inspecfionn_ 1 <br /> Name: ff S U CSI Phone: Date: `f I 1 <br /> Facility CE <br /> RS <br /> Address: ID:2J <br /> Inspection P <br /> .�w �nntat: <br /> Inspection ++,_ Program: <br /> Type: 1 IL. X. <br /> Co ent Given For. Consent ^ 7r-,� kk)'`` <br /> spection ❑ Photos ❑ Sampling Given By: C V <br /> CR=California Code of Regulations HSC=Health and Sa ety 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 /> 1 SJO 4432 Failed to pay annual operating fees(V851) ❑ ° ° <br /> 2 HSC 25505, Failed to complete and electronically submit a hazardous materials business plan(V335) A ❑ ❑ <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) ❑ ❑ <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) r 10 ° <br /> 7 HSC 25505(a)(3) Failed to establish and/or submit emergency response procedures for a release or threatened release"8) ❑ ❑ ❑ <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 25508.1(a-f) Failed to submit revisions to HMBP within 30 days of substantial change in operations(V346) ❑ o ❑ <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) 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 /> 1010 See below Unlisted Administration/Documentation violation(V355) ° ❑ ° <br /> 1040 See below Unlisted Release/Leaks/Spills violation(V356) <br /> SUMMARY OF VIOLATIONS <br /> CLA S I,CLASS II,or MIN R- otic to: omply <br /> \ r i - <br /> v <br /> _J <br /> 1G <br /> U G1 <br /> ALL EHD STAFF TIME ASSOCIATED WITH FAILING TO COMPLY BY THE ABOVE NOTED DA 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 /> Rep e'Aty,[sign t ): Title: Date: <br /> Xmieceiv¢d �Lnt name. nspec rphone: <br /> EHD 19-01 REV 07/28/16 Page 1 HM INSPECTION REPORT <br />