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U <br /> San Joaquin County p 2015 <br /> Environmental Health Department JUN <br /> 1868 East Hazelton Avenue, Stockton, California95205-6232 1®®//�'t�pI���eNCC T <br /> Telephone: (209) 468-3420 Fax: (209) 468-3433 Web:www.siaov.ora/eh0 IVIr1VNMEN l AL <br /> - n�pn pTPPC�IT <br /> Hazardous Materials Program Inspection Report <br /> Facility Name: Facility Phone: Date: <br /> SUBWAY#5967 209 2c 19 June 18 2015 <br /> Facility Address: CERS to: <br /> 678 N WILSON Way, STOCKTON, CA95205 10419730 <br /> Inspection Contact: Title: Phone: <br /> Samatha Martinez Shift Su ervisor 209 466-2433 <br /> Inspection Type: Program: <br /> ROUTINE INSPECTION- Operating Permit 1 1921 - HMBP-Regular-Primary Location <br /> Consent For: I Consent Given By: <br /> O Ins ection X Photos ❑ Samples I Samatha Martinez Shift Supervisor <br /> CCR=California Code of Regulations HSC=Heahh and SafetyCoda GFR=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 I -V a R o COS <br /> 2 HSC 25508(a)(1) Failed to electronically submit a business plan I .V ❑R ❑COS <br /> 3 HSC 25508.2 Failed to annually review and certify that the business plan is complete,accurate,and up to date ■V o R ❑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 ❑R ❑COS <br /> 5 HSC 25510 Failed to report actual orthreatened release to the EHD and/or CaIOES Warning Center ❑V ❑R ❑COS <br /> 6 HSC 25508(a)(1) Failed to complete and/or submit the Business Activities or Owner/Operator Identification page ■V ❑R ❑COS <br /> 7 HSC 25506(a) Failed to complete and/or submit hazardous materials inventory for all reportable materials on site ■V ❑R ❑COS <br /> 8 HSC 25508.1(a)-(e) Failed to submit revisions to HMBP within 30 days of change in business info or inventory o V o R o COS <br /> 9 HSC 25508.1(0 Failed to submit revisions to HMBP within 30 days of substantial change in operations ❑V ❑R ❑COS <br /> 10 HSC 25505(a)(2) Failed to complete and/or submit a site map with all required content ■V o R ❑COS <br /> 11 HSC 25505(11)(3) Failed to establish and/or submit emergency response procedures fora release orthreatened release ■V ❑R ❑COS <br /> 12 HSC 25505(a)(4) Failed to submit a training program or program is not reasonable or adequate for facility ■V ❑R ❑COS <br /> 13 HSC 25505(a)(4) Failed to provide or document initial and/or refresher training to appropriate personnel ■V ❑R ❑COS <br /> 14 HSC 25507.1 Failed to submit emergency response plan when not meeting Ag handler exemption requirements ❑V o R o COS <br /> 15 HSC 25507.1 Failed to submit training program when not meeting Ag handler exemption requirements a V o R o COS <br /> 16 HSC 25507.2 Failed to establish and implement a HMBP when not meeting remote unstaffed facility exemptions ❑V ❑R o COS <br /> 17 HSC 25511 Failed to submit a written response within 30 days of receiving an inspection report n V ❑R ❑COS <br /> 1010 See below Unlisted Administration/Documentation violation o V o R o COS <br /> 1040 See below Unlisted Release/Leaks/Spills violation ❑V o R ❑COS <br /> SUMMARY OF VIOLATIONS <br /> (CLASS 1,CLASS II,or MINOR-Notice to Comply) <br /> Item # Remarks <br /> Received by Inspector: Phone: Date: <br /> (initial): NICHOLAS LOEHRER, HM Specia, (209) 468-0623 06/18/2015 <br /> Page 1 of 4 <br />