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SANAOAQUIN -COUNTY-- Crri Environmental Health Department Hazardous Materials Program Inspection Report Facility Name: Costco Wholesale #179 Facility Phone: (209) 835-5222 Date: December 22, 2017 Facility Address: 25862 S SCHULTE CT, Tracy, CA 95377 CER ID: 10146187 Inspection Contact•Tile: Ramona Lozada Depot Manager Phone: (209) 835-5222 Inspection Type:Program: ROUTINE INSPECTION - Operating Permit 1921 - HMBP-Regular-Primary Location Consent For.Consent O Inspection ❑ Photos IDSamples Given :y Ramona Lozad:a, Depot Manager CCR = Calromia Code of Regulations HSC = Health and Safety Code CFR = Code of Federal Regulations V = Violation R = Repeat violation COS = Corrected on site during Inspection Violations I SJO 4432 Failed to pay annual operating fees c V o R o COS 2 HSC 25505, 25508(a) 1) Failed to complete and electronically submit a hazardous materials business plan o V o R o COS 3 HSC 25507 Failed to establish and implement a hazardous materials business plan o V o R o COS 4 HSC 25508(a)(1) Failed to complete and/or submit the Business Activities or Owner/Operator Identification page o V o R o COS 5 HSC 25506(a)(1) Failed to Complete and/or submit hazardous materials inventory for all reportable materials on site o V o R o COS 8 HSC 25505(a)(2) Failed to complete and/or submit a site map with all required Content o V o R o COS 7 HSC 25505(a)(3) Failed to establish and/or submit emergency response procedures for a release or threatened release a V o R o COS 8 HSC 25505(a)(4) Failed to submit a training program or program is not reasonable or adequate for facility o V o R o COS e HSC 25508(a)(1) Failed to annually review and certify that the business plan is complete, accurate, and up to date o V c R o COS 10 HSC 25508A(a)-(f) Failed to submit revisions to business plan within 30 days of substantial change in operations o V o R o COS 11 HSC 25505(a)(4) Failed to provide or document initial and/or refresher training to appropriate personnel a V o R c COS 12 HSC 25505(c) Failed to have the business plan readily available to facility or EHD personnel o V o R c COS 13 HSC 25505.1 Failed to notify property owner that facility is subject to and in compliance with the HMBP program o V o R o COS 14 HSC 25505.1 Business on leased property failed to provide Copy of HMBP wrin 5 days of request by property Owner o V o R o COS 15 HSC 25510(a) Failed to report actual or threatened release to the EHD and/or CeIOES Wanting Center o V o R o COS 16 HSC 25507.1 Failed to submit emergency response plan when not meeting Ag handler exemption requirements o V o R o COS 17 HSC 25507.1 Failed to submit training program when not meeting Ag handier exemption requirements o V a R o COS 18 HSC 25505, 25507.2 Failed to establish and implement a HMBP when not meeting remote unstaffed facility exemptions o V a R o COS 19 HSC 25511 Failed to submit a written response within 30 days of receiving an inspection report o V o R o COS 1010 See below Unlisted Administration/Documentation violation o V o R o COS 1020 See below Unlisted Training violation o V o R o COS 1030 See below Unlisted Operations/Maintenance violation o V o R o COS 1040 See below Unlisted Release/Leaks/Spills violation o V in R o COS 1045 See below Unlisted Release/Leaks/Spills - Local Ordinance o V o R o COS 1050 See below Unlisted Abandonmentlillegal Disposal/Unauthorized Treatment violation _ o V o R o COS 1055 See below Unlisted Abandon menllllegal Disposal/Unauthorized Treatment- Local Ordinance o V o R o COS SUMMARY OF VIOLATIONS (CLASS I, CLASS Il, or MINOR - Notice to Comply) FA0010200 PRO520174 SCO01 12/22/2017 EHD 19-01 Rev. 09/22/16 Page t of 2 Hazardous Materials Program OIR 1868 E. Hazelton Avenue I Stockton, California 952051 T 209 468-34201 F 209 464-0138 1 www.sjcehd.com