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SAN 10AQUIN <br />--COUNTY- <br />Environmental Health Department <br />Hazardous Materials Program Inspection Report <br />Facility Name: <br />Facility Address: <br />Date: <br />GLORIANN FARM INC <br />11104 W TRACY BLVD, TRACY <br />December 18, 2017 <br />Item # <br />Remarks <br />6 <br />HSC 25505(a)(2) Failed to complete and/or submit a site map with all required content. <br />The site map was not complete because the site map is missing emergency shut offs, storm drain locations, and all <br />chemical locations. A site map shall contain a north orientation, loading areas, internal roads, adjacent streets, <br />storm and sewer drains, access and exit points, emergency shutoffs, evacuation staging areas, hazardous material <br />handling and storage areas, and emergency response equipment. If a site map element is not applicable for your <br />facility then list it on the map and label as "NA". Immediately log into the California Environmental Reporting System <br />(CERS) at hftp://cers.calepa.ca.gov/, upload the correct or updated information, 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 Certification 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 1/17/2018. <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, EHD 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 EHD'S CURRENT HOURLY RATE. <br />Received by: Date: December 18, 2017 <br />Inspector: <br />Inspector Phone: <br />Printed Name and Title: <br />NICHOLAS LOEHRER, Haz Mat Specialist 1 <br />(209) 468-0623 <br />Shaina Lovitt, Director of Food Safety. <br />FA0017060 PRO527491 SCO01 12/18/2017 <br />EHD 19-01 Rev. 09/22/16 Page 2 of 2 Hazardous Materials Program OIR <br />1868 E. Hazelton Avenue I Stockton, California 952051 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />