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SAN}JOANIN —COUNTY— Greatness grows here. Environmental Health Department Folly, Name: •±RMRDOUSMATERIALS; PROGRAM .INSP-ECTION'.REPORT. - Feclllry ��)_� Inspectroc Phone' Dale: _ FatlOy, Address: CERS t to. In t ne: Inspection Contact Title _ Ph— Inspection Type: Pro9rem: Consent GNen For. Consent o Ins action o Photos o Sampling Given By: CCR=Califomle Cotlad Regulations HSC=HaMlh antis C R= atla WO= San Joaquin County OrdlnenLre V=Vlolatmn R=R COS= Conacted on site dud Ire 1 SJO 4432 Failed to pay annual operating fees (V851) 0 0 0 2 25505 25508 e 1 HSC , Failed to Complete and electronically submit a hazardous matenals business plan (V335) Fad 0 0 3 HSC 25507 Failed to establish and Implement a hazardous materials business plan (V334) 0 0 4 HSC 25508(a)(1) Failed to complete and/or submit the Business Activities or Ownar/Operator Identification page (V345) 0 0 5 HSC 25508(x)(1) Failed to complete and/or submit hazardous materials inventory for all reportable materials on site (V343) o 6 HSC 25505(x)(2) Failed to Complete and/or submit a site map with all required content (V347) 0 7 HSC 25505(x)(3) Failed to establish andlor submitemergency response procedures for a release or threatened release e'He o 8 HSC 25505(x)(4) Failed to submit a training program or program is not reasonable or adequate for facility(V3W) 0 9 HSC 25508(a)(1) Failed to annually review and certify that the business plan is complete, accurate, and up to date (V342) 0 0 10 HSC 25508.1(a -i) Failed to submit revisions to HMBP within 30 days of substantial change in operations (V346) 0 0 0 11 HSC 25505(6)(4) Failed to provide or document Initial and/or refresher training to appmpdate personnel (V349) a 0 12 HSC 25505(e) Failed to have the business plan readily avaeable to facility or EHD personnel (V850) 0 0 13 HSC 25505.1 Felled to no0fy property owner that facility is subject to and in compliance with the HMBP program (V341) 0 0 0 14 HSC 25505.1 Business on leased pmp6rty failed to provide copy of HMBP within 5 days of request by property, owner 36 0 0 0 15 HSC 25510(a) Failed to report actual or threatened release to the EHD and/or Ca10ES Warning Center (V338) 0 0 0 16 HSC 25507.1 Failed to submit emergency response plan when not meeting Ag handler exemption requirements (351) 0 0 0 17 HSC 25507.1 Failed to sum bit training program when not meeting Ag handier exemption requirements (V352) 0 0 0 i3 HSC 25505, 25507.2 Failed to establish and implement a HMBP when not meeting remote unstaffed fadlity exemptions (V353) o o a 19 HSC 25511 Failed to submit a written response within 30 days of recaNing an inspection report (V808) 0 0 0 1010 See below Unlisted AtlministratiorJDocumentetlen vi.lalon(V355) 0 0 0 1020 See below Unlisted Training violation (V339) 0 0 0 1030 See below Unlisted Operations/Maintenance violation (V340) 0 0 0 1040 See below Unlisted Release/LeaWSpills violation (V358) n o 0 1045 See below Unlisted Releasa/Leaks/Spills- Local Ordinance (V914) 0 0 0 1050 See below UWished Abandonmentllllegal DisposalAJnauthomoed Tseatment Nalatmn(V357) 0 0 0 1055 See below Unlisted Abandonment/Illegal Disposailllnauthomad Treatrnent- Local Ordinance(Val 5) 0 0 ALL EHD STAFF TIME ASSODIATED Wrm FAILING TO COMPLY BY THE DATES NOTED IN THIS REPORT WILL BE BILLED AT THE CURRENT HOURLY RATE THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. Racyalvye+� (64 s eerr I1: //.: ?_ title: Date: > Rby (ptlnted nares): Ina or. In t ne: 1868 E. Hazelton Avenue I Stockton, California 95205 1 T'209 468-34201 F 209 464-0138 1 w .sjcehd.com a 041P Vv_ (_ 33u xZ �� dii, 4.x�Cl�S+ k � A alga, G__z6l t )