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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.sicehd.com <br />SUMMARY OF VIOLATIONS <br />CLASS I, CLASS II, or MINOR — Notice to Comply <br />6 ! GGL��D� i D GZ IZ -cpt <br />Eva, n i)'ob m/1- <br />1 re- n Le- 71-Z712 D <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 />Receive by (signature)- <br />/ <br />"HAZARDOU&MATERIALS PROGRAM INSPECTION REPORT <br />Violations <br />Facility <br />Name: <br />G <br />HSC 25507 <br />Failed to establish and implement a hazardous materials business plan (V334) <br />Facility -- j <br />Phone: �� Y/ �/ <br />Inspection <br />Date: �p �Z�p/��lj <br />FacilityCERS <br />Address: <br />Li� Sart� <br />❑ ❑ <br />ID: <br />Inspection <br />Contact: <br />1 <br />f �/ l%L�- / Z <br />Title: �y� / <br />j�t�� <br />4 <br />Phone: J <br />Z -Z-7/ <br />Inspection' <br />/ �,p <br />kom-t it <br />5 <br />HSC 25510 <br />Program: /) <br />❑ ❑ ❑ <br />Type: <br />U..- <br />Failed to complete and/or submit the Business Activities or Owner/Operator Identification page (V345) <br />❑ ❑ <br />7 <br />HSC 25506(a) <br />Co ent Given For. <br />nspection hotos ❑ Sampling <br />X, <br />Consent <br />TGiven By: e fl� lG P— <br />t' <br />HSC 25508.1(a) -(e) <br />= California Code of Regulations HSC = Health and Safety Code CFR = <br />Code of Federal Regulations <br />9 <br />HSC 25508.1(0 <br />Failed to submit revisions to HMBP within 30 days of substantial change in operations (V344) <br />V = Violation R = Repeat COS = Corrected on site during inspection <br />SUMMARY OF VIOLATIONS <br />CLASS I, CLASS II, or MINOR — Notice to Comply <br />6 ! GGL��D� i D GZ IZ -cpt <br />Eva, n i)'ob m/1- <br />1 re- n Le- 71-Z712 D <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 />Receive by (signature)- <br />/ <br />Title: <br />Violations <br />V R COS <br />1 <br />HSC 25507 <br />Failed to establish and implement a hazardous materials business plan (V334) <br />❑ ❑ <br />2 <br />HSC 25508(a)(1) <br />Failed to electronically submit a business plan (V335) <br />❑ ❑ <br />3 <br />HSC 25508.2 <br />Failed to annually review and certify that the business plan is complete, accurate, and up to date (V342) <br />❑ ❑ <br />4 <br />HSC 25505.1 <br />Failed to notify property owner that facility is subject to and in compliance with the HMBP program (V341) <br />❑ ❑ ❑ <br />5 <br />HSC 25510 <br />Failed to report actual or threatened release to the EHD and/or CaIOES Warning Center (V338) <br />❑ ❑ ❑ <br />6 <br />HSC 25508(a)(1) <br />Failed to complete and/or submit the Business Activities or Owner/Operator Identification page (V345) <br />❑ ❑ <br />7 <br />HSC 25506(a) <br />Failed to complete and/or submit hazardous materials inventory for all reportable materials on site (V343) <br />tv ❑ ❑ <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 (\/346) <br />❑ ❑ ❑ <br />9 <br />HSC 25508.1(0 <br />Failed to submit revisions to HMBP within 30 days of substantial change in operations (V344) <br />Cl ❑ ❑ <br />10 <br />HSC 25505(a)(2) <br />Failed to complete and/or submit a site map with all required content (V347) <br />❑ ❑ <br />11 <br />HSC 25505(a)(3) <br />Failed to establish and/or submit emergency response procedures for a release or threatened release (048) <br />❑ ❑ <br />12 <br />HSC 25505(a)(4) <br />Failed to submit a training program or program is not reasonable or adequate for facility (V350) <br />❑ ❑ <br />13 <br />HSC 25505(a)(4) <br />Failed to provide or document initial and/or refresher training to appropriate personnel (V349) <br />❑ ❑ <br />14 <br />HSC 25507.1 <br />Failed to submit emergency response plan when not meeting Ag handier exemption requirements (351) <br />❑ ❑ ❑ <br />15 <br />HSC 25507.1 <br />Failed to submit training program when not meeting Ag handler exemption requirements (V352) <br />❑ ❑ ❑ <br />16 <br />HSC 25507.2 <br />Failed to establish and implement a HMBP when not meeting remote unstaffed facility exemptions (V353) <br />❑ ❑ ❑ <br />17 <br />HSC 25511 <br />Failed to submit a written response within 30 days of receiving an inspection report (V808) <br />❑ ❑ ❑ <br />1010 <br />See below <br />Unlisted Administration/Documentation violation (V355) <br />❑ ❑ ❑ <br />1040 <br />See below <br />Unlisted Release/Leaks/Spills violation (V356) <br />❑ ❑ ❑ <br />SUMMARY OF VIOLATIONS <br />CLASS I, CLASS II, or MINOR — Notice to Comply <br />6 ! GGL��D� i D GZ IZ -cpt <br />Eva, n i)'ob m/1- <br />1 re- n Le- 71-Z712 D <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 />Receive by (signature)- <br />/ <br />Title: <br />Date: % r <br />O <br />Received by (print name): <br />, Z,,, <br />Inspector. <br />N; �� Loeh6ec <br />Inspector phone: <br />Zo 9— L -062.3 <br />Y , <br />EHD 19-01 REV 04/23/15 Page 1 HM INSF'LUI IUN Kt:VUKI <br />