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San Joaquin County r <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, California 95205-6232 <br /> Telephone:(209)468-3420 Fax:(209)468-3433 Web:www.sigov.orG/ehd <br /> Hazardous Materials Program Inspection Report <br /> Facility Name: Facility Phone: Date: <br /> CHEVRON STATION#307709' 209 952-2213 March 28 2016 <br /> Facility Address: CERS ID: <br /> 10858 TRINITY PKWY STOCKTON CA 95219 10186665 <br /> Inspection Contact: Title: Phone: <br /> rosella olummer rosella pfurnmer - <br /> Inspection Type: Program: <br /> ROUTINE INSPECTION-Operating Permit 1921 -HMBP-Regular-Primal Location <br /> Consent For: I Consent Given By: <br /> O Ins ection 21 Photos ❑Sam les rosella lummer manager <br /> CCR=California Code of Regulations HSC=Health and Safety Code CFR=Code of Federal Regulations <br /> V=Violation R=Repeat violation COS=Corrected on site during Inspection <br /> Violations <br /> 1 HSC 25507 Failed to establish and implement a hazardous materials business plan o V o R o COS <br /> 2 HSC 25508(a)(1) Failed to electronically submit a business plan in V in R in COS <br /> 3 HSC 25508.2 Failed to annually review and certify that the business plan is complete,accurate,and up to date in V o R in COS <br /> 4 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 <br /> 5 HSC 25510 Failed to report actual or threatened release to the EHD and/or CalOES Warning Center o V o R a COS <br /> e HSC 25508(a)(1) Failed to complete and/or submit the Business Activities or Owner/Operator Identification page in V in R o COS <br /> 7 HSC 25506(a) Failed to complete and/or submit hazardous materials inventory for all reportable materials on site in V in R a COS <br /> e j HSC 25508.1(.)-(e) Failed to submit revisions to HMBP within 30 days of change in business info or inventory o V o R n COS <br /> 9 1 HSC 25501 Failed to submit revisions to HMBP within 30 days of substantial change in operations o V o R in COS <br /> 10 HSC 25505(a)(2) Failed to complete and/or submit a site map with all required content o V o R in COS <br /> 11 HSC 25505(a)(3) Failed to establish and/or submit emergency response procedures for a release or threatened release o V o R o COS <br /> 12 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 <br /> 13 HSC 25505(x)(4) Failed to provide or document initial and/or refresher training to appropriate personnel a V o R o COS <br /> 14 HSC 25507.1 Failed to submit emergency response plan when not meeting Ag handler exemption requirements in V in R o COS <br /> 15 HSC 25507.1 Failed to submit training program when not meeting Ag handier exemption requirements o V o R c COS <br /> 16 HSC 25507.2 Failed to establish and implement a HMBP when not meeting remote unstaffed facility exemptions o V o R o COS <br /> 17 HSC 25511 Failed to submit a written response within 30 days of receiving an inspection report o V o R o COS <br /> 1010 See below Unlisted Administration/Documentation violation a V o R o COS <br /> 1040 See below Unlisted Release/Leaks/Spills violation o V o R o COS <br /> SUMMARY OF VIOLATIONS <br /> (CLASS I,CLASS 11,or MINOR-Notice to Comply) <br /> Item Remarks <br /> Overall Inspection Comments: <br /> There were no violations at the time of the inspection. <br /> Page 1 of 2 <br />