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SAN JOAQUIN Environmental Health Department <br /> COUNTY <br /> Hazardous Materials Program Inspection Report <br /> Facility Name: Facility Phone: Date: <br /> ER Vine Stockton (209)537-0723 November 15,2017 <br /> Facility Address: CERS ID: <br /> S , Stockton, CA 95215 10399867 <br /> Inspection Contact: Title: Phone: <br /> Art Obregon DO (209)537-9396 <br /> Inspection Type: Program: <br /> ROUTINE INSPECTION-Operating Permit 1920-HMBP-Common Materials <br /> Consent For: I Consent Given By: <br /> O Inspection ❑ Photos ❑ Samples Art Obregon, DO <br /> CCR=California Cade of Regulations HSC=Health and Safety Cade CFR=Code of Federal Regulations <br /> V=Violation R=Repeat violation COS=Corrected on site during inspection <br /> Violations <br /> 1 SJO 4432 Failed to pay annual operating fees o V DR o COS <br /> 2 HSC 25505,25508(a) Failed to complete and electronically submit a hazardous materials business plan D V OR o COS <br /> (1) <br /> 3 HSC 25507 Failed to establish and implement a hazardous materials business plan OV OR o COS <br /> 4 HSC 25508(a)(1) Failed to Complete and/or submit the Business Activities or Owner/Operator Identification page n V OR o COS <br /> 5 HSC 25506(a)(1) Failed to Complete and/or submit hazardous materials inventory for all reportable materials on site .V OR o COS <br /> 6 HSC 25505(a)(2) Failed to complete and/or submit a site map with all required Content u V OR o COS <br /> 7 HSC 25505(a)(3) Failed to establish and/or submit emergency response procedures for a release or threatened release .V OR o Cos <br /> 8 HSC 25505(a)(4) Failed to submit a training program or program is not reasonable or adequate for facility •V OR o COS <br /> 9 HSC 25508(a)(1) Failed to annually review and certify that the business plan is Complete,accurate,and up to date o V DR o COS <br /> 10 HSC 25508.1(a}(f) Failed to submit revisions to business plan within 30 days of substantial change in operelions o V OR o COS <br /> 11 HSC 25505(x)(4) Failed to provide or document initial and/or refresher training to appropriate personnel •V OR o COS <br /> 12 HSC 25505(.) Failed to have the business plan readily available to facility or EHD personnel o V OR o COS <br /> 13 HSC 25505.1 Failed to notify property owner that facility is subject to and in Compliance with the HMBP program o V OR o COS <br /> 14 HSC 25505.1 Business on leased property failed to provide Copy of HMBP w!n 5 days of request by property owner o V OR o COS <br /> 15 HSC 25510(a) Failed to report actual or threatened release to the EHD and/or CaIOES Wanting Center o V OR o COS <br /> 16 HSC 25507.1 Failed to submit emergency response plan when not meeting Ag handler exemption requirements o V OR o COS <br /> 17 HSC 25507.1 Failed to submit training program when not meeting Ag handler exemption requirements n V OR n COS <br /> 18 HSC 25505,25507.2 Failed to establish and implement a HMBP when not meeting remote unstaffed facility exemptions o V DR n COS <br /> 19 HSC 25511 Failed to submit a written response within 30 days of receiving an inspection report o V OR o COS <br /> 1010 See below Unlisted Administration Occumentation violation o V OR o COS <br /> 1020 See below Unlisted Training violation n V DR o COS <br /> 1030 See below Unlisted Operstions/Maintenance violation o V OR o COS <br /> 1040 See below Unlisted Release/Leaks/Spills violation o V OR o COS <br /> 1045 See below Unlisted Release/Leaks/Spills-Local Ordinance o V OR o COS <br /> 1050 See below Unlisted Abandonment/Illegal Disposal/Unauthorized Treatment violation OV OR o COS <br /> 1055 See below Unlisted Abandonment/Illegal Disposal/Unauthorized Treatment-Local Ordinance o V OR o COS <br /> FA0003924 PRO520049 SCO01 17/152017 <br /> EHD 194H Re,0922/16 Page 1 of 3 Hazardous Materials Program OIR <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />