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SAN JOAQUIN COUNTY <br /> ONVIRONMENTAL HEALTH DEPARTMENT 16 <br /> 600 East Main Street, Stockton, California 95202-3029 <br /> Telephone: (209) 468-3420 Fax:(209)468-3433 Web:www.s'qov.oro/ehd/unitiii.html <br /> HAZARDOUS MATERIALS PROGRAM INSPECTION REPORT <br /> Facility � / Inspection ? ` _ <br /> Name. a �e Address: I1 �d VOA G Date: 7 6` <br /> OL <br /> Facility / / Title: � Phone: � <br /> Contact: p. [,Q/� <br /> Inspection Routine C Follow up D Complaint—ID#: D Other: <br /> Type: <br /> (Authority HSC 25508) C <br /> Consent for: 0 Inspection 11Sampling D Photos Granted by: l Q 0-4 Title: <br /> VIOLATIONS <br /> HSC=California Health and safety Code;CCR=California Code of Regulations <br /> # C1 C2 M Code Section Cl=Class 1 violation;C2=Class 2 violabom 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 <br /> [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 emergency response procedures THSC 25504(2)] <br /> 7 CCR 2732(b) Failed to provide initial and <br /> 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 FHSC 25507 a <br /> Fa- <br /> g HSC 25505(b) Failed to update and submit revisions to the business plan when substantial changes occur <br /> 999 Other: See attached"Continuation—Official Inspection Report"for violation(s)not listed above. <br /> SUMMARY OF VIOLATIONS <br /> CLASS I,CLASS II,or MINOR-Notice to Comply) <br /> U Map <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 /> Phone: <br /> Inspector . I <br /> ROL <br /> It <br /> Received by: I Tile: p <br /> EHD 18-01 IV. Page 1 HM INSPECTION REPORT <br />