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SAN JOAQUIN COUNTY <br /> NVIRONMENTAL HEALTH DEPARTMENT • <br /> 600 East Main Street, Stockton, California 95202-3029 <br /> Telephone: (209) 468-3420 Fax: (209)468-3433 Web:www.socoy.or0/ehd/unitiii.html <br /> HAZARDOUS MATERIALS PROGRAM INSPECTION REPORT <br /> Facility Facility // " / ) Inspection <br /> Name: [./i A Y c,/icH Address: Co�� /y, �!_.S'o�/ L✓J� Dateragnity <br /> : <br /> c4Rtaet: <br /> Inspection <br /> Type: outine 0Follow up ❑Complaint—ID#: 0Other: <br /> (Authority HS 2 508) '�1 <br /> Consent for. nspection ❑Sampling 0 Photos Granted by: �aYi 0. �Iv" Title: <br /> VIOLATIONS <br /> # C1 C2 M Code Section HSC=California Health and Sate Code CCR=California Code of Regulations <br /> Ci =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 255691 <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 6 <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 HSC 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 CaIEMA 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: See attached"Continuation—Official Inspection Report'for violation(s)not listed above. <br /> SUMMARY OF VIOLATIONS <br /> CLASS I, CLASS 11, or MINOR-Notice to Comply) <br /> cu c�/r o�J� of <br /> s. 7- —. <br /> # Co �uJ�•/Ess .✓r—��J Y o r��i�/ �^7PC o�VcrS On/ ^4- -,trlAL <br /> /L-Lic-cTIOrt S, LA t' —2l /� /L <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 /> Received W. •�I - ��r/1/t 71 W: <br /> �r.-r t i1/I <br /> EHD 18-01 �1/V 1�gV,,-A`/N` �//�/Il Page 1 {� V (/ HM INSPECTION REPORT <br />