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SAN 10AOUIN <br />Environmental Health Department <br />Hazardous Materials Program Inspection Report <br />Facility Name: --� <br />Facility Atltlreaa: <br />COUNTRYSIDE LIQUORS 8 GAS _14971 N HVVY 88, LODI <br />Dab'. <br />HSC 25505(a)(3) Failed to establish andfor submit emergency response procedures for a release or threatened <br />release. <br />The emergency response procedures were lacking the completion of section E3, evacuation staging area . A <br />business plan shall include the following emergency response procedures for a release or threatened release of <br />hazardous materials, including, but not limited to, the following <br />- immediate notification of local emergency personnel and the Environmental Health Department (EHD) <br />- procedures for the mitigation of a release or threatened release to minimize any potential harm or damage to <br />persons, property, or the environment <br />- evacuation plans and procedures, including immediate notice, for the site <br />Immediately log into the California Enviroomenlal Reporting System (CERS) at http://oem.ulepa.cegov/, upload the <br />correct or updated information, and subrtlit to the EHD for approval. <br />This is a Class 11 violation. <br />11 HSC 2550.5(a)(4) Failed to provide or do ment initial and/or refresher trainingto <br />appropriate personnel. <br />No proof of training available for inspecti . The business plan shall include provisions for ensuring that <br />appropriate personnel receive initial and nnual refresher training. This training shall be documented electronically <br />or by hard copy and shall be matle avails le for a minimum of three years. Immediately provide employee training <br />for appropriate personnel and submit a copy of the training records to the EHD. <br />This is a Class II violation. <br />�— Overall Inspection Comments: <br />Complete and submit a copy of the Return to Compliance Certification form to the EHD with a statement <br />documenting the corrective actions that have been or will be taken for each violation, and any supporting <br />paperwork, by 5/6/2018. <br />Please be aware as of January 1, 2013, all qusinesses are required to submit all hazardous materials <br />information online to the California Environmental Reporting System (CERS) at http://cers.calepa.ca.gov, Be <br />sure to include your hazardous material activity in the Businesses Activities section in CERS in addition to any <br />other relevant activities and required fields. <br />Propane can be deleted from the chemical iriventory, there is 49 gallons. The reporting quantity is 55 gallons <br />2018 <br />AFTER THE COMPLIANCE DATE, EH4 WILL BILL FOR ALL TIME AND ACTIVITIES ASSOCIATED WITH BRINGING <br />THIS FACILITY BACK INTO COMPLIANCE. <br />THIS FACILITY IS SUBJECT T REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br />Received by: 01110 <br />April OQ 2018 Impeder: <br />IMpedor Phone: <br />JAMIE LIMA, Haz Mal Specialist II 1 (209) 953-6211 <br />Aslf Khan, Cashier <br />FAOO o PR0520027 SCO01 04AW Ota <br />EHD 1941 Rev, 10912017 Paye 2 of 2 Hevb Mrenele <br />Program OR <br />1868 E. Hazelton Avenue I Stock100, California 952051 T 209468-3420 1 F 209464-0138 1 w .sjCeho.Com <br />