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SAN JO.AQUIN/COUNTY <br /> RONMENTAL HEALTH DEPARTMENT so <br /> 1868 East Hazelton Avenue, Stockton, Califomia 95205.6232 <br /> Telephone:(209) 468-3420 Fax:(209) 468-3433 Web:www.s]aov.orci/ehd/unitiii.htmi <br /> HAZARDOUS MATERIALS PROGRAM INSPECTION REPORT <br /> Facility acility •3�?,$�{f 11"'�" "r'L�"` ^' Inspection <br /> Name: Otv�t A- ed'1�++� ss: �{�"i'O.n 9 S -0/j Date: <br /> Facility �, Title: Phone: <br /> contact: L 09 2 Y ©W/� uY 28 9 4 O-/4 <br /> Inspection Routine F low up complaint X Other: p <br /> Type: �Ow-e-- V .�✓'. { C-�i, e0 cq <br /> (Authority HSC 25508) <br /> Consent for:Kinspection Sampling Photos Granted by: p Title: <br /> VIOLATIONS <br /> # C1 C2 M Code Section HSC=California Health and safety Code;CCR=California Code of Regulations <br /> Ct=Claw 1 violation;C2=Class 2 violation;M=Minor violation <br /> 1 HSC 25505(e) Failed to maintain a complete copy of the business plan on site <br /> 2 CCR 2729.2(a)(1) Failed to complete and submit the Business Owner/Operator Identification information[HSC25509] <br /> 3 CCR 2729.2(a)(2) Failed to complete and submit the Hazardous Materials-Chemical description information[HSC 255091 <br /> 4 CCR 2729.2(a)(3) Failed to complete and submit an Annotated Site map[HSC 25509] <br /> 5 CCR 2731 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 supplies;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 /> 8 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 1 1 1 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 /> s~1 . t -- <br /> Jz✓ C' JV4 S <br /> g OTo / oc <br /> V-6 1A,e.SS- G-S 6 . J4. . r 0 C.0. , eL t_V O <br /> I4a-fl eL 01;s : -:Po-TIox 3oC-V is C '1S2 13 —Z3 / <br /> ALL END STAFF TIME ASSOCIATED WITH FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL BE BILLEb AT THE CURRENT HOURLY RATE. <br /> THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br /> Insp�or. II Phone: <br /> R .e.f 2 2 0 <br /> ReceiveC by: o Title: ,S-,3 <br /> EHD 18-01 Page 1 HM OFFICIAL INSPECTION REPORT <br />