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SAN JOAQUIN COUNTY <br /> RNVIRONMENTAL HEALTH DEPARTMENTIO <br /> 600 East Main Street, Stockton, California 95202-3029 <br /> Telephone: (209)468-3420 Fax.(209)468-3433 Web:www.sigov.or.q/ehd/unitiii.htmi <br /> HAZARDOUS MATERIALS PROGRAM INSPECTION REPORT <br /> Facility 1 �i Facility /� j�y�/ .l _ Da eection _I <br /> Name: 5f (L dtm ,fct t^5 (I Address: `f`Cr/b J`l,✓ I <br /> Facility ( Title: / Phone: <br /> Contact: A'k /t u✓ <br /> Inspection <br /> spection Routine D Follow up D Complaint—ID#: D Other: <br /> Type: e <br /> (Authority HSC 25508) Title: /GL <br /> Consent far: D Inspection O Sampling O Photos Granted by: 5q, '4'' <br /> VIOLATIONS <br /> # C1 C2 M Mj'R- <br /> n HSC=California Health and Safe Code CCR=California Code of Regulations <br /> Ct=Class 1 violation C2=Class 2 violation M=Minor violation <br /> 1 ) Failed to maintain a complete copy of the business plan on site <br /> 2 a)(1) Failed to complete and submit the Business Owner/Operator Identification information[HSC25509] <br /> 3 a)(2) Failed to complete and submit the Hazardous Materials—Chemical description information[HSC 25509] <br /> 4 a)(3) Failed to complete and submit an Annotated Site map[HSC 25509] <br /> 5 Failed to include emergency response procedures for a release or threatened release of hazardous materials <br /> HSC 25504 b <br /> Failed to include a training program that includes at minimum:(1)safe handling of hazardous materials;(2) <br /> 6 CCR 2732(a) procedure for coordination with local emergency response organizations;(3)use of emergency equipment <br /> and su lies;and 4 emergency response procedures HSC 25504 c <br /> 7 CCR 2732(b) Failed to provide initial and/or refresher training to appropriate personnel[HSC 25504(c)] <br /> g CCR 2703 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 HSC 25505(b) Failed to update and submit revisions to the business plan when substantial changes occur <br /> 999 Other: 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 /> h U V LC/to <br /> ALL 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 /> Inspector: `n Phone: <br /> ra 4 ► `153- In BGG <br /> Received by: Title: <br /> EHD 18-01 Page i HM INSPECTION REPORT <br />