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Jun 15 18, 12:20p <br />SAN JOAHIN <br />~ r -- <br />p.2 <br />Environmental Health Department <br />Hazardous Materiats P ogram lnspe.ction Report <br />Facility Name: Facility AddJ ss: <br />Safeway Store 2707 6445 Pacific Ave, Stockton <br />Date: <br />June 13, 2018 <br />Item # <br />Remarks <br />5 <br />HSC 25506(a)(1) Failed to complete and/or submit hazardous materials inventory for all reportable materials on site. <br />126 gallons of propane were found on site that have not beer reported. Any material that meets or exceeds the <br />reportable quantity shall be reported in the facility's business Ian. Immediately log into the California Environmental <br />Reporting System (CERS) at http:lleers.oalepa.ca.gov/, add t ie materials to the hazardous material inventory, and <br />submit to the EHD for approval. <br />This is a minor violation. <br />fi <br />HSC 25505(a)(2) Failed to complete and/or submit a site map with all required content. <br />A site reap is missing the location of propane. A site map snail contain a north orientation, loading areas, internal <br />roads, adjacent streets, storm and sewer drains, access and exit points, emergency shutoffs, evacuation staging <br />areas, hazardous material handling and storage areas, and emergency response equipment. If a site map element <br />is not applicable for your facility then list it on the map and la el as `NA'. Immediately log into the California <br />Environmental Reporting System (CERS) at hftp://cers.caIL-pE ca.gov/, upload the correct or updated information, <br />and submit to the EHD for approval. <br />This is a minor violation. <br />Overall Inspection Comments: <br />Complete and submit a copy of the Return to Compliance Cei'fication form to the EHD with a statement <br />documenting the corrective actions that have been or will be taken for each violation, and any supporting <br />paperwork, by 7/13/2018. <br />i <br />Please be aware as of January 1, 2013, all businesses are required to submit all hazardous materials <br />information online to the California Environmental Reporting System (CERS) at http://cers.calepa.ca.gov. Be <br />sure to include your hazardous material activity in the Businesses Activities section in CERS in addition to any <br />other relevant activities and required fields. <br />AFTER THE COMPLIANCE DATE, END WILL BILL. FOR ALL TIME AND ACTIVITIES ASSOCIATED WITH BRINGING <br />THIS FACILITY BACK INTO COMPLIANCE. <br />THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT Ii CURRENT HOURLY RATE. <br />Retelved by: Date. June 13, 2018 <br />Inspector: <br />Inspector Phone: <br />Printed Name and Title: <br />JAMIE LIMA, Haz Mat Specialist II <br />(209) 953-6211 <br />Chuck Canady, Third <br />EHD 19-01 Rev. i 013 1 12 71 7 Page 2 of 7 <br />1868 E. Hazelton Avenue I Stockton, California 952051 T <br />FAC002417 PR0539350 SCOOS 0&1312ii <br />Hazardous Matariais Program OR <br />209 468-3420 1 F 209 464-0138 1 vnvw.s;cehd.com <br />