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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.s'gov,or_q/ehd/unitiii.html <br />HAZARDOUS MATERIALS PROGRAM INSPECTION REPORT <br />Facility <br />Name: <br />Phone: <br />.. S' <br />Facility <br />Address: <br />Inspection <br />Date: <br />Facility <br />Contact: <br />frf <br />Title:C 14 <br />•... 2C <br />Gc-F_tb>.r <br />Phone: <br />` <br />Inspection <br />Type: <br />❑ Routine ❑Follow up <br />��/1111� <br />�T C/ r Ill / 4. <br />❑Complaint— ID#: ��/ yutheir ` /� f ,r , <br />(Authority HSC 25508) <br />Consent for: 0 Inspection 0 Sampling 0 Photos Granted by: Title: <br />VIOLATIONS <br /># Ct <br />C2 M <br />HSC = California Health and Safety Code; CCR = California Code of Regulations <br />Code Section <br />C1 = Class 1 violation; C2 = Class 2 violation; M = Minor violation <br />1 <br />HSC 25505(e) <br />Failed to maintain a complete copy of the business plan on site <br />2 <br />CCR 2729.2(a)(1) <br />Failed to complete and submit the Business Owner/Operator Identification information [HSC25509] <br />3 <br />CCR 2729.2(a)(2) <br />Failed to complete and submit the Hazardous Materials — Chemical description information [HSC 25509] <br />4 <br />CCR 2729.2(a)(3) <br />Failed to complete and submit an Annotated Site map [HSC 25509] <br />5 <br />CCR 2731 <br />Failed to include emergency response procedures for a release or threatened release of hazardous materials <br />HSC 25504(b)] <br />6 <br />CCR 2732(a) <br />Failed to include a training program that includes at minimum: (1) safe handling of hazardous materials; (2) <br />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 <br />CCR 2732(b) <br />Failed to provide initial and/or refresher training to appropriate personnel [HSC 25504(c)] <br />8 <br />CCR 2703 <br />Failed to verbally report a release or threatened release immediately to the Environmental Health Department <br />EHD and/or the California Emergency Management Aenc CaIEMA HSC 25507(a)] <br />9 <br />HSC 25505(b) <br />Failed to update and submit revisions to the business plan when substantial changes occur <br />999 <br />Other: <br />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 />l%.G. i 1 Ali <br />t <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: <br />Phone: <br />Received by: <br />Title: <br />EHD 18-01 Page 1 HM INSPECTION REPORT <br />