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Environmental Health Department <br /> Facility Name: <br /> Sears #2059/6805 <br /> Facility Address: <br /> 3350 Naglee Rd, Tracy, CA 95304 <br /> Facility Phone: <br /> (209) 830-2300 <br /> Program: <br /> 1921 - HMBP-Regular-Primary Location <br /> Inspection Type: <br /> ROUTINE INSPECTION - Operating Permit <br /> Date: <br /> January 19, 2016 <br /> CERS ID: <br /> 10140845 <br /> Inspection Contact: <br /> Debbie Cross <br /> Consent For: Consent Given By: <br /> Debbie Cross, Assistant Manager <br /> Title: <br /> Assistant Manager <br /> Phone: <br /> (209) 830-2300 <br />T Inspection £ Photos £ Samples <br />Hazardous Materials Program Inspection Report <br />R = Repeat violation COS = Corrected on site during inspectionV = Violation <br />CCR = California Code of Regulations HSC = Health and Safety Code CFR = Code of Federal Regulations <br />Violations <br /> 2 □ V □ R □ COSFailed to complete and electronically submit a hazardous materials business planHSC 25505, 25508(a) <br />(1) <br /> 3 □ V □ R □ COSFailed to establish and implement a hazardous materials business planHSC 25507 <br /> 4 □ V □ R □ COSFailed to complete and/or submit the Business Activities or Owner/Operator Identification pageCCR 2652(a)(1) <br /> 5 ■ V □ R □ COSFailed to complete and/or submit hazardous materials inventory for all reportable materials on siteHSC 25505(a)(1) <br /> 6 □ V □ R □ COSFailed to complete and/or submit a site map with all required contentHSC 25505(a)(2) <br /> 7 □ V □ R □ COSFailed to establish and/or submit emergency response procedures for a release or threatened releaseHSC 25505(a)(3) <br /> 8 □ V □ R □ COSFailed to submit a training program or program is not reasonable or adequate for facilityCCR 2658, 2659 <br /> 9 □ V □ R □ COSFailed to annually review and certify that the business plan is complete, accurate, and up to dateHSC 25508(a)(1) <br /> 10 □ V □ R □ COSFailed to submit revisions to business plan within 30 days of substantial change in operationsHSC 25508.1(a)-(f) <br /> 11 □ V □ R □ COSFailed to provide or document initial and/or refresher training to appropriate personnelHSC 25505(a)(4) <br /> 13 □ V □ R □ COSFailed to notify property owner that facility is subject to and in compliance with the HMBP programHSC 25505.1 <br /> 15 □ V □ R □ COSFailed to report actual or threatened release to the EHD and/or CalOES Warning CenterHSC 25510(a) <br /> 16 □ V □ R □ COSFailed to submit emergency response plan when not meeting Ag handler exemption requirementsCCR 2670, 2671 <br /> 17 □ V □ R □ COSFailed to submit training program when not meeting Ag handler exemption requirementsHSC 25507.1 <br /> 18 □ V □ R □ COSFailed to establish and implement a HMBP when not meeting remote unstaffed facility exemptionsHSC 25505, 25507.2 <br /> 19 □ V □ R □ COSFailed to submit a written response within 30 days of receiving an inspection reportHSC 25511 <br /> 1010 □ V □ R □ COSUnlisted Administration/Documentation violation See below <br /> 1040 □ V □ R □ COSUnlisted Release/Leaks/Spills violation See below <br />SUMMARY OF VIOLATIONS <br />(CLASS I, CLASS II, or MINOR - Notice to Comply) <br />RemarksItem # <br /> 5 HSC 25505(a)(1) Failed to complete and/or submit hazardous materials inventory for all reportable materials on site. <br />21, five gallon tanks of propane were found on site that have not been reported. 21x5= 105 gallons of propane witch <br />is over the reportable quantity amount of 55 gallons. Any material that meets or exceeds the reportable quantity <br />shall be reported in the facility's business plan. Immediately log into the California Environmental Reporting System <br />(CERS) at http://cers.calepa.ca.gov/, add the materials to the hazardous material inventory, and submit to the EHD <br />for approval. <br />This is a minor violation. <br />Page 1 of 2 <br />FA0014393 PR0519251 SC001 01/19/2016 <br />EHD 19-01 Rev. 10/31/2017 Hazardous Materials Program OIR <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjcehd.com