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San Joaquin County Environmental Health Department 1868 East Hazelton Avenue, Stockton, California 95205-6232 Telephone: (209) 468-3420 Fax:(209) 468-3433 Web:www.siaoy.orq/ehd Hazardous Materials Program Inspection Report Facility Name: Facility Phone: Date: 7-ELEVEN INC#32190 209 939-0679 Aril 0, Facility Address: CERS to: 4943 S STATE RT 99 Stockton, CA 95215 10166( Inspection Contact: Title: Phone: JIVTESH S. GILL FRANCHISEE 209 939-067' Inspection Type: Program: ROUTINE INSPECTION- Operating Permit 1921 - HMBP-Re ular-Priv Consent For: Consent Given By: Inspection Photos SamolinQ I JIVTESH S FRANCHISEE CCR=California Code of Regulations HSC=Health and Safety Code CFR=Code of Federal Regulations V=Violation R=Repeat violation COS=Corrected on site during inspection Violations 1 HSC 25507 Failed to establish and implement a hazardous materials business plan o V o R o COS 2 HSC 25508(a)(1) Failed to electronically submit a business plan ❑V u R o COS 3 HSC 25508(c) Failed to annually review and certify that the business plan is complete,accurate,and up to date ❑V ❑R n COS 4 HSC 25505.1 Failed to notify property owner that facility is subject to and in compliance with the HMBP program ❑V ❑R u COS 5 HSC 25510 Failed to report actual or threatened release to the EHD and/or CaIOES Warning Center ❑V o R ❑COS 6 HSC 25508(a)(1) Failed to complete and/or submit the Business Activities or Owner/Operator Identification page o V ❑ R u COS 7 HSC 25506(a) Failed to complete and/or submit hazardous materials Inventory for all reportable materials on site w V o R ❑COS 8 HSC 25508.1(a)-(e) Failed to submit revisions to HMBP within 30 days of change in business info or inventory n V ❑R ❑COS 9 HSC 25508.1(f) Failed to submit revisions to HMBP within 30 days of substantial change in operations u V o R ❑COS 10 HSC 25505(a)(2) Failed to complete and/or submit a site map with all required content ■V ❑R o COS 11 HSC 25505(,)(3) Failed to establish and/or submit emergency response procedures for a release or threatened release n V o R o COS 12 HSC 25505(a)(4) Failed to submit a training program or program is not reasonable or adequate for facility o V ❑R u COS 13 HSC 25605(a)(4) Failed to provide or document initial and/or refresher training to appropriate personnel ❑V n R ❑COS 14 HSC 25507.1 Failed to submit emergency response plan when not meeting Ag handler exemption requirements n V n R u COS 15 HSC 25507.1 Failed to submit training program when not meeting Ag handler exemption requirements u V ❑R ❑COS 16 HSC 25507.2 Failed to establish and implement a HMBP when not meeting remote unstaffed facility exemptions u V ❑R ❑COS 17 HSC 25511 Failed to submit a written response within 30 days of receiving an inspection report o V n R ❑COS 1010 See below Unlisted Administration/Documentation violation ❑V ❑R ❑COS 1040 See below Unlisted Release/Leaks/Spills violation n V ❑R n COS SUMMARY OF VIOLATIONS (CLASS I,CLASS II,or MINOR-Notice to Comply) Item# Remarks 7 HSC 25506(a) Failed to complete and/or submit hazardous materials inventory for all reportable materials on site. The Hazardous Materials Inventory form forthe waste absorbent was not complete. The amounts of the waste absorbent, a solid, must be identified in pounds, not gallons . This information must be current and submitted as part of the business plan. Immediately log into the California Environmental Reporting System(CERS) at http://cers.calepa.ca.gov/, enter the correct or updated information, and submit to the EHD for approval. This is a 11 violation. Received by Inspector: Phone: Date: (initial): ROBERT LOPEZ, HM Specialist II (209) 953-6214 04/07/2015 Page 1 of 2