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• SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, California 95205-6232 <br /> Telephone:(209)468-3420 Fax:(209)468-3433 Web:www.siaov.oro/ehcl <br /> HAZARDOUS MATERIALS PROGRAM INSPECTION REPORT <br /> Facility Facility Inspection <br /> Name: Prism Team Services of the... Address; 3656 Perlman Dr., Stockton 95206 Date; Jun.18, 2013 <br /> Cont Mike Mayo rge: Director of Operations Phone'209-983-9985 <br /> Inspection XRoudne ❑Follow up uComplamt—ID#: PR0520626 ❑Other: <br /> Type: <br /> (amhomyHSC 25sbe) Mike MDirector of Operation <br /> Consent For: Inspection ❑ e a <br /> Sampling $Photos Granted by: yo Tide <br /> VIOLATIONS <br /> # C1 C2 M Code S,,Uon HSC=California Health and Safety Code;CCR=Celifomie Code of Regulificvs <br /> Cl=Class 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 X CCR 2729.2(a)(1) Failed to complete and Submit the Business Owner/Operator Identification information[HSC25509] <br /> 3 X CCR 27292(a)(2) Failed to complete and submit the Hazardous Materials—Chemical description information[HSC 2 <br /> 4 X 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 CalEMA HSC 25507(a)] <br /> 9 1 1 1 HSC 25505(b) Failed to update and submit revisions to the business plan when substantial changes occur <br /> 999I I 10ther: See attached"Continuation—Official Inspection Report"for violation(s)not listed above. <br /> SUMMARY OF VIOLATIONS <br /> CLASS I,CLASS 11,or MINOR-Notice to Com <br /> #2 - CCR 2729.2(a)(1). The Facility Information; Business Activities and Business Owner/Operator <br /> Information have not been entered in to the California Environmental Reporting System (CERS). <br /> #3 - CCR 2729.2(a)(2). The reportable amount of propane present at this facility has not been <br /> added to the CERS Hazardous Materials Inventory. <br /> #4 - CCR 2729.2(a)(3). A completed Annotated Site Map has not been uploaded to the CERS <br /> website. <br /> To address the above noted violations: <br /> 1. Log on to the California Environmental Reporting System (CERS) website at http://cers.calepa. <br /> ca.gov/ where you will need to: <br /> a. Create a New Account. <br /> b. At a minimum, complete and submit the Facility Information Section and the Hazardous <br /> Materials Section which includes uploading a facility map. <br /> c. Submit a CERS Lead User form provided at the time of inspection for your facility to the <br /> Environmental Health Department. <br /> ALL END STAFF TIME ASSOCIATED WITH FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL BE BILLED AT THE CURRENT HOURLY RATE. <br /> THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br /> Invp .. Phone: <br /> 0 6 er' e L 209-953-6214 <br /> R. by Title: <br /> m J UP 6' 0 <br /> EHD 18-01 Rev 00/19/12 Page 1 HM OFFICIAL INSPECTION REPORT <br />