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SAN JOAQUIN COUNTY <br />VIRONMENTAL HEALTH DEPARTMENT <br />600 East Main Street, Stockton, California 93202-3029 <br />Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: www.sigov.org/ehd/unitiii.html <br />HAZARDOUS MATERIALS PROGRAM INSPECTION REPORT <br />Facility Re, <br />Name: S' <br />.0. C A� GJ ay= <br />Facility <br />Address: <br />Inspection _ / ,L <br />Date: A <br />Facility <br />Contact: <br />/� // / <br />gIlcieLll lei � t e-, C( <br />Title: 394f, e <br />fT'O -lL vi <br />�t C <br />2.-O <br />Phone:/7j0/e/VT 10 <br />(( / <br />Inspection <br />Type: <br />❑ Routine D Follow up O Complaint - ID#: E CI ! O <br />1L <br />yvther: ��, 1. <br />' <br />(Authority HSC 25508) <br />Consent for. O Inspection 0 Sampling ❑ Photos Granted by: <br />Title: <br />VIOLATIONS <br /># C1 <br />C2 <br />M Code Section HSC = California Health and Safe ode; CCR = Califomia Code of Regulations <br />C1 =Class 1 violation; C2 = Class 2 violation; M = Minor violation <br />1 <br />HSC 25505(e) Failed to maintain a complete copy of the business plan on site <br />2 <br />CCR 2729.2(a)(1) Failed to complete and submit the Business Owner/Operator Identification information [HSC25509] <br />3 <br />CCR 2729.2(a)(2) Failed to complete and submit the Hazardous Mat rials - Chemical description information [HSC 255091 <br />4 <br />5 <br />CCR 2729.2(a)(3) Failed to complete and submit an Annotated Site map [HSC 25509] <br />CCR 2731 Failed to include emergency response procedures for a release or threatened release of hazardous materials <br />HSC 25504(b)] <br />6 <br />Failed to include a training program that includes at minimum: (1) safe handling of hazardous materials; (2) <br />CCR 2732(a) procedure for coordination with local emergency response organizations; (3) use of emergency equipment <br />and supplies; and 4 emergency response erocedures IHSC 25504 c <br />7 <br />8 <br />CCR 2732(b) Failed to provide initial and/or refresher training to appropriate personnel [HSC 25504(c)] <br />CCR 2703 Failed to verbally report a release or threatened release immediately to the Environmental Health Department <br />EHD and/or the California Emer en Management Agency CaIEMA HSC 25507 a <br />g <br />HSC 25505(b) Failed to update and submit revisions to the business plan when substantial changes occur <br />ggg <br />Other: See attached "Continuation - Official Inspection Report' for violation(s) not listed above. <br />SUMMARY OF VIOLATIONS <br />C SS I, CLASS 11, or MINOR -N tice to 4orn I <br />6L C- Q0 C. L <br />p,.C/ o- ct <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 11 d �� I /Z 0 1) /1.0 ,& ZOO <br />Received by: 10 /t e_ CL. <br />Paae 1 HM INSPECTION REPORT <br />