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1p <br /> r <br /> r SAN 10AQ U I N Environmental Health Department <br /> COUNTY <br /> Greatness grows here. <br /> HAZARDOUS MATERIALS PROGRAM INSPECTION REPORT <br /> Facility � 1 Facility Inspection <br /> Name: we,.-14 4?-I I �('� �V C Q Phone:(Zc1ct Date: –7 4 /, <br /> FacilityS ` q // CERS <br /> Address: �— , Z> C � /SZa b ID: <br /> InspectionTitle: hone: � <br /> Contact: 0 � i O–W 14)AU4 2J Gcc2C� ' 1Z✓' ZCF9 cko7-7P' 2- <br /> Type:Inspection a+'4 � Q �� _ ; ,' Program: <br /> 2 ) <br /> Consent Given For: IConsent LL <br /> Inspection Photos ❑ Sampling Given By: ; f u �t 2J 1JG'✓a T e <br /> CCR=California Code of Regulations HSC=Health and Safety Code CFR=Code of Federal Regulations SJO=San Joaquin County Ordinance <br /> V=Violation R=Repeat COS=Corrected on site during inspection <br /> Violations V R COS <br /> 1 SJO 4432 Failed to pay annual operating fees(V851) ❑ ❑ ❑ <br /> 2 HSC 25505, Failed to complete and electronically submit a hazardous materials business plan(V335) ❑ ❑ <br /> 25508 a 1 <br /> 3 HSC 25507 Failed to establish and implement a hazardous materials business plan(V334) ❑ ❑ <br /> 4 HSC 25508(a)(1) Failed to complete and/or submit the Business Activities or Owner/Operator Identification page(V345) ac ❑ ❑ <br /> 5 HSC 25506(a)(1) Failed to complete and/or submit hazardous materials inventory for all reportable materials on site(V343) jk ❑ ❑ <br /> 6 HSC 25505(a)(2) Failed to complete and/or submit a site map with all required content(V347) ❑ ❑ <br /> 7 HSC 25505(a)(3) Failed to establish and/or submit emergency response procedures for a release or threatened release M48) 1k ❑ c <br /> 8 HSC 25505(a)(4) Failed to submit a training program or program is not reasonable or adequate for facility(V350) ❑ ❑ <br /> 9 HSC 25508(a)(1) Failed to annually review and certify that the business plan is complete,accurate,and up to date(V342) )1[ ❑ ❑ <br /> 10 HSC 25508.1(a-f) Failed to submit revisions to HMBP within 30 days of substantial change in operations(V346) ❑ Cl ❑ <br /> 11 HSC 25505(a)(4) Failed to provide or document initial and/or refresher training to appropriate personnel(V349) ❑ ❑ ❑ <br /> 12 HSC 25505(c) Failed to have the business plan readily available to facility or EHD personnel(V850) ❑ ❑ <br /> 13 HSC 25505.1 Failed to notify property owner that facility is subject to and in compliance with the HMBP program(V341) ❑ ❑ ❑ <br /> 14 HSC 25505.1 Business <br /> sin ss on leased property failed to provide copy of HMBP within 5 days of request by property owner Cl 11 El <br /> (V336 <br /> 15 HSC 25510(a) Failed to report actual or threatened release to the EHD and/or CalOES Warning Center(V338) ❑ ❑ ❑ <br /> 16 HSC 25507.1 Failed to submit emergency response plan when not meeting Ag handler exemption requirements(351) Cl ❑ ❑ <br /> 17 HSC 25507.1 Failed to submit training program when not meeting Ag handler exemption requirements(V352) ❑ ❑ ❑ <br /> 18 HSC 25505, Failed to establish and implement a HMBP when not meeting remote unstaffed facility exemptions(V353) ❑ ❑ ❑ <br /> 25507.2 <br /> 19 HSC 25511 Failed to submit a written response within 30 days of receiving an inspection report(V808) ❑ ❑ ❑ <br /> 1010 See below Unlisted Administration/Documentation violation(V355) ❑ ❑ ❑ <br /> 1020 See below Unlisted Training violation(V339) ❑ ❑ ❑ <br /> 1030 See below Unlisted Operations/Maintenance violation(V340) ❑ ❑ ❑ <br /> 1040 See below Unlisted Release/Leaks/Spills violation(V356) ❑ ❑ ❑ <br /> 1045 See below Unlisted Release/Leaks/Spills-Local Ordinance(V914) ❑ ❑ ❑ <br /> 1050 See below Unlisted Abandonment/Illegal Disposal/Unauthorized Treatment violation(V357) ❑ ❑ ❑ <br /> 1055 See below Unlisted Abandonment/Illegal Disposal/Unauthorized Treatment-Local Ordinance(V915) ❑ ❑ ❑ <br /> ALL EHD STAFF TIME ASSOCIATED WITH FAILING TO COMPLY BY THE DATES NOTED IN THIS REPORT WILL BE BILLED AT THE CURRENT HOURLY RATE. <br /> THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHUS CURRENT HOURLY RATE. <br /> Receiv by ig a e): TitDate: <br /> /�ICIUa E < Oa P W <br /> Received qqy( ted name): 17 Inspector: Inspector phone: <br /> awleS�vcc\A ���5 �� �Z C20<� q,!' 1 <br /> EHD 19-01 REV 11/13/2017 Page 1 HM INSPECTION REPORT <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-34201 F 209 464-0138 1 www.sjcehd.com <br />