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Environmental Health Department <br />Facility Name: <br />STKN OAK PARK <br />Facility Address: <br />500 E ALPINE AVE, STOCKTON, CA 95204 <br />Facility Phone: <br />(209) 937-8257 <br />Program: <br />1921 - HMBP-Regular-Primary Location <br />Inspection Type: <br />ROUTINE INSPECTION - Operating Permit <br />Date: <br />June 15, 2018 <br />CERS ID: <br />10182953 <br />Inspection Contact: <br />Jose Fregoso <br /> Consent For: Consent Given By: <br />Danial Johns, Pool Manager <br />Title: <br />Supervisor <br />Phone: <br />(209) 598-2821 <br />Inspection Photos Samples <br />Hazardous Materials Program Inspection Report <br />R = Repeat violation COS = Corrected on site during inspectionV= Violation <br />CCR = California Code of Regulations HSC = Health and Safety Code CFR = Code of Federal Regulations <br />Violations <br />1 □ V □ R □ COSFailed to pay annual operating feesSJO 4432 <br />2 □ V □ R □ COSFailed to complete and electronically submit a hazardous materials business planHSC 25505, 25508(a) <br />(1) <br />3 □ V □ R □ COSFailed to establish and implement a hazardous materials business planHSC 25507 <br />4 □ V □ R □ COSFailed to complete and/or submit the Business Activities or Owner/Operator Identification pageHSC 25508(a)(1) <br />5 □ V □ R □ COSFailed to complete and/or submit hazardous materials inventory for all reportable materials on siteHSC 25506(a)(1) <br />6 □ V □ R □ COSFailed to complete and/or submit a site map with all required contentHSC 25505(a)(2) <br />7 □ V □ R □ COSFailed to establish and/or submit emergency response procedures for a release or threatened releaseHSC 25505(a)(3) <br />8 □ V □ R □ COSFailed to submit a training program or program is not reasonable or adequate for facilityHSC 25505(a)(4) <br />9 □ V □ R □ COSFailed to annually review and certify that the business plan is complete, accurate, and up to dateHSC 25508(a)(1) <br />10 □ V □ R □ COSFailed to submit revisions to business plan within 30 days of substantial change in operationsHSC 25508.1(a)-(f) <br />11 □ V □ R □ COSFailed to provide or document initial and/or refresher training to appropriate personnelHSC 25505(a)(4) <br />12 □ V □ R □ COSFailed to have the business plan readily available to facility or EHD personnelHSC 25505(c) <br />13 □ V □ R □ COSFailed to notify property owner that facility is subject to and in compliance with the HMBP programHSC 25505.1 <br />14 □ V □ R □ COSBusiness on leased property failed to provide copy of HMBP w/in 5 days of request by property ownerHSC 25505.1 <br />15 □ V □ R □ COSFailed to report actual or threatened release to the EHD and/or CalOES Warning CenterHSC 25510(a) <br />16 □ V □ R □ COSFailed to submit emergency response plan when not meeting Ag handler exemption requirementsHSC 25507.1 <br />17 □ V □ R □ COSFailed to submit training program when not meeting Ag handler exemption requirementsHSC 25507.1 <br />18 □ V □ R □ COSFailed to establish and implement a HMBP when not meeting remote unstaffed facility exemptionsHSC 25505, 25507.2 <br />19 □ V □ R □ COSFailed to submit a written response within 30 days of receiving an inspection reportHSC 25511 <br />1010 □ V □ R □ COSUnlisted Administration/Documentation violation See below <br />1020 □ V □ R □ COSUnlisted Training violation See below <br />1030 □ V □ R □ COSUnlisted Operations/Maintenance violation See below <br />1040 □ V □ R □ COSUnlisted Release/Leaks/Spills violation See below <br />1045 □ V □ R □ COSUnlisted Release/Leaks/Spills - Local Ordinance See below <br />1050 □ V □ R □ COSUnlisted Abandonment/Illegal Disposal/Unauthorized Treatment violation See below <br />1055 □ V □ R □ COSUnlisted Abandonment/Illegal Disposal/Unauthorized Treatment - Local Ordinance See below <br />SUMMARY OF VIOLATIONS <br />(CLASS I, CLASS II, or MINOR - Notice to Comply) <br />Page 1 of 2 <br />FA0009847 PR0519914 SC001 06/15/2018 <br />EHD 19-01 Rev. 10/31/2017 Hazardous Materials Program OIR <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjcehd.com