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SAN JOAQUIN COUNTY <br /> WNVIRONMENTAL HEALTH DEPARTMENT• <br /> 1868 East Hazelton Avenue, Stockton, California 95205-6232 <br /> Telephone:(209) 468-3420 Fax:(209)468-3433 Web:www.s'goy.org/ehd/unitiii.html <br /> HAZARDOUS MATERIALS PROGRAM INSPECTION REPORT <br /> Facility Facility ,I �/` Inspection <br /> Name: E tr dkTo cwt/• Address: TV5 S ryV r- Date: <br /> FacilityTitle: <br /> Contact: ^1C—W,/ey✓ Sr-c"'1/c C��- �t7� Phone: <br /> Zo9y7)- p`1 <br /> Inspection outine Follow up Complaint Type: P P Other: <br /> (Authority HSC <br /> Consent for. spectio Sampling Photos Granted by: GLt K6±1 j t--Vt— Title: <br /> VIOLATIONS <br /> # C1 C2 M Code Section HSC=California Health and SafetyCode;CCR=California Code of Regulations <br /> C1 =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 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 emegency response procedures rHSC 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 HSC 25505(b) Failed to update and submit revisions to the business plan when substantial changes occur <br /> 999 Other: I See attached'Continuation—Official Inspection Report'for violation(s)not listed above. <br /> SUMMARY OF VIOLATIONS <br /> CLASS 1,CLASS II or MINOR-Notice to Comply) <br /> 77- t /-' r O/— W-,r <br /> ALL EHD 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 /> Inspector: Phone: <br /> 6727 L <br /> Received by. Title: <br /> EHD 19-01 Pagel HM OFFICIAL INSPECTION REPORT <br /> 8/2/12 <br />