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Environmental Health Department Facility Name: Facility Phone: Date: Sears #2059/6805 (209)830-2300 January 19, 2016 Facility Address: CERS ID: 3350 Naglee Rd, Tracy, CA 95304 10140845 _ COUNTY . Phone: (209) 830-2300 Inspection Type:Program: ROUTINE INSPECTION - Operating Permit 1921 - HMBP-Regular-Primary Location Consent For: 0 Inspection ❑ Photos ❑ Samples aiiirt Cd2$a$ �'v Y.'£ P. yr.Pn. Environmental Health Department Facility Name: Facility Phone: Date: Sears #2059/6805 (209)830-2300 January 19, 2016 Facility Address: CERS ID: 3350 Naglee Rd, Tracy, CA 95304 10140845 Inspection Contact"rNe: Debbie Cross Assistant Manager Phone: (209) 830-2300 Inspection Type:Program: ROUTINE INSPECTION - Operating Permit 1921 - HMBP-Regular-Primary Location Consent For: 0 Inspection ❑ Photos ❑ Samples Consent Given By: I Debbie Cross, Assistant Manager CCR = California Code of Regulations HSC = Health and Wary Code CFR= Code of Federal Regulations V = Violation R= Repeat violation COS = Corfected on site during inspection 2 HSC 25505,25508(a) (1) 7 Failed to complete and electronically submit a hazardous materials business plan o V o R o COS 3 HSC 25507 Failed to establish and implement a hazardous materials business plan o V o R o COS 4 CCR 2652(a)(1) Failed to complete and/or submit the Business Activities or Owner/Operator Identification page o V o R o COS 5 HSC 25505(a)(1) Failed to complete and/or submit hazardous materials inventory for all reportable materials on site . V o R o COS 6 HSC 25505(a)(2) Failed to complete and/or submit site map with all required content o V o R in COS 7 HSC 25505(a)(3) Failed to establish and/or submit emergency response procedures fora release or threatened release o V o R o COS 8 CCR 2658, 2659 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 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 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 CCR 2670, 2671 Failed to submit emergency response plan when not meeting Ag handler exemption requirements in V o R o COS 17 HSC 25507.1 Failed to submit training program when not meeting Ag handler exemption requirements o 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 1040 See below Unlisted Release/Leaks/Spills violation in V o R o COS Item # 3"11ikiY-mss y i�i1 ATi� � OEM �y F u WE Remarks 5 HSC 25505(a)(1) Failed to complete and/or submit hazardous materials inventory for all reportable materials on site. 21, five gallon tanks of propane were found on site that have not been reported. 21x5= 105 gallons of propane witch is over the reportable quantity amount of 55 gallons. Any material that meets or exceeds the reportable quantity shall be reported in the facility's business plan. Immediately log into the California Environmental Reporting System (CERS) at http://cers.calepa.ca.gov/, add the materials to the hazardous material inventory, and submit to the EHD for approval. This is a minor violation. FA0014393 PRO519251 SC001 01/19/2016 EHD 19-0i Rev, 10/31/2017 Pagel of 2 Hazardous Materials Program OIR 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com