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�r <br />San Joaquin County <br />Environmental Health Department <br />1868 East Hazelton Avenue, Stockton, California 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: www.sjgov.org/ehd <br />Hazardous Materials Program Inspection Report <br />Facility Name: <br />PREMIUM TRUCK SERVICE <br />Facility Phone: <br />209 242-6721 Ext.0 <br />Date: <br />July 28 2015 <br />Facility Address: <br />1530 E ALPINE AVE STOCKTON CA 95205 <br />CERS ID: <br />10187763 <br />Inspection Contact: <br />luis hernandez <br />Title: <br />Phone: <br />0 - <br />Inspection Type: <br />ROUTINE INSPECTION <br />-Supervisor <br />- Operating Permit <br />Program: <br />1920 - HMBP-Common Materials <br />Consent For: I Consent Given By: <br />D Inspection 0 Photos ❑ Samples I luis hernandez Supervisor <br />CCR = Califomia Code of Regulations HSC = Health and Safety Code CFR = Code of Federal Regulations <br />V = Violation R = Repeat violation COS = Corrected on site during inspection <br />Violations <br />1 <br />HSC 25507 <br />Failed to establish and implement a hazardous materials business plan <br />■ V ❑ R COS <br />2 <br />HSC 25508(a)(1) <br />Failed to electronically submit a business plan <br />❑ V ❑ R ❑ COS <br />3 <br />HSC 25508.2 <br />Failed to annually review and certify that the business plan is complete, accurate, and up to date <br />■ V ❑ R iKCOS <br />4 <br />HSC 25505.1 <br />Failed to notify property owner that facility is subject to and in compliance with the HMBP program <br />❑ V ❑ R ❑ COS <br />5 <br />HSC 25510 <br />Failed to report actual or threatened release to the EHD and/or CalOES Warning Center <br />❑ V ❑ R ❑ COS <br />6 <br />HSC 25508(a)(1) <br />Failed to complete and/or submit the Business Activities or Owner/Operator Identification page <br />❑ V ❑ R ❑ COS <br />7 <br />HSC 25506(a) <br />Failed to complete and/or submit hazardous materials inventory for all reportable materials on site <br />❑ V ❑ R ❑ COS <br />8 <br />HSC 25508.1(a) -(e) <br />Failed to submit revisions to HMBP within 30 days of change in business info or inventory <br />❑ V ❑ R ❑ COS <br />9 <br />HSC 25508.1(f) <br />Failed to submit revisions to HMBP within 30 days of substantial change in operations <br />❑ V ❑ R ❑ COS <br />10 <br />HSC 25505(a)(2) <br />Failed to complete and/or submit a site map with all required content <br />■ V ❑ R ACOS <br />11 <br />HSC 25505(a)(3) <br />Failed to establish and/or submit emergency response procedures for a release or threatened release <br />■ V ❑ R .ACOS <br />12 <br />HSC 25505(a)(4) <br />Failed to submit a training program or program is not reasonable or adequate for facility <br />■ V ❑ R '*,COS <br />13 <br />HSC 25505(a)(4) <br />Failed to provide or document initial and/or refresher training to appropriate personnel <br />■ V ❑ R ❑ COS <br />14 <br />HSC 25507.1 <br />Failed to submit emergency response plan when not meeting Ag handler exemption requirements <br />❑ V ❑ R ❑ COS <br />15 <br />HSC 25507.1 <br />Failed to submit training program when not meeting Ag handler exemption requirements <br />❑ V ❑ R ❑ COS <br />16 <br />HSC 25507.2 <br />Failed to establish and implement a HMBP when not meeting remote unstaffed facility exemptions <br />❑ V ❑ R ❑ COS <br />17 <br />HSC 25511 <br />Failed to submit a written response within 30 days of receiving an inspection report <br />❑ V u R ❑ COS <br />1010 <br />See below <br />Unlisted Administration/Documentation violation <br />❑ V ❑ R ❑ COS <br />1040 <br />See below <br />Unlisted Release/Leaks/Spills violation <br />❑ V ❑ R ❑ COS <br />SUMMARY OF VIOLATIONS <br />(CLASS I, CLASS 11, or MINOR - Notice to Comply) <br />Item # <br />Remarks <br />Received b <br />(initial): <br />Inspector: <br />HAZA SAEED, HM Specialist 1 <br />Phone: <br />(209) 953-6212 <br />Date: <br />07/28/2015 <br />Page 1 of 3 <br />