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COMPLIANCE INFO_PRE 2019
EnvironmentalHealth
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PR0543593
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COMPLIANCE INFO_PRE 2019
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Entry Properties
Last modified
1/17/2019 11:50:43 AM
Creation date
8/7/2018 10:36:34 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1900 - Hazardous Materials Program
File Section
COMPLIANCE INFO
FileName_PostFix
PRE 2019
RECORD_ID
PR0543593
PE
1921
FACILITY_ID
FA0024764
FACILITY_NAME
AVIVA PERFORMANCE
STREET_NUMBER
1414
Direction
W
STREET_NAME
FREMONT
STREET_TYPE
ST
City
STOCKTON
Zip
95203
CURRENT_STATUS
01
SITE_LOCATION
1414 W FREMONT ST STE B
P_LOCATION
01
QC Status
Approved
Scanner
KBlackwell
Tags
EHD - Public
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40 SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> - • - - •- - - - - /AAA\ - - -- _ _ ,_ A ^ ^ ^ A ^ ^ ISO. S. - - - -- - '_- COm <br /> HAZARDOUS MATERIALS PROGRAM INSPECTION REPORT <br /> Facility Facility C Inspection <br /> Name: A (� tv � 1� ' ✓ O ✓' W Qv� C iz C Phone: / / �O -- q5c33 - 3JO6 Date: 7 �it10 / tom <br /> Facility w e O u% . J � lJ��� 3 DE / Q/ 7 (0202.RS <br /> Address: <br /> Inspection Title: Phone: <br /> Contact: El Qo Fla ✓ zS Ot :) vt9/6 � S3 Y306 <br /> Inspectio L. .t . ci � Program:Type: / - <br /> 2 <br /> Consent Given For. ConsefA <br /> p� tnspection iAhotos ❑ Sampling Given By: C d P., o is <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) ❑ ❑ ❑ <br /> 5 HSC 25506(a) Failed to complete and/or submit hazardous materials inventory for all reportable materials on site (V343) ❑ ❑ ❑ <br /> 6 HSC 25505(a) (3) 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 (vaae) ❑ ❑ ❑ <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 .2 Failed to annually review and certify that the business plan is complete , accurate , and up to date (V342) ❑ ❑ ❑ <br /> 10 HSC 25508 . 1 (a-f) Failed to submit revisions to HMBP within 30 days of substantial change in operations (V346) ❑ ❑ ❑ <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 25510 Failed to report actual or threatened release to the EHD and/or CalOES Warning Center (V338) ❑ ❑ ❑ <br /> 15 HSC 25507 . 1 Failed to submit emergency response plan when not meeting Ag handler exemption requirements (351 ) ❑ ❑ ❑ <br /> 16 HSC 25507 . 1 Failed to submit training program when not meeting Ag handler exemption requirements (V352) ❑ Cl ❑ <br /> 17 HSC 25507 .2 Failed to establish and implement a HMBP when not meeting remote unstaffed facility exemptions (V353) ❑ ❑ ❑ <br /> 18 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 /> 1040 See below Unlisted Release/Leaks/Spills violation (V356) ❑ ❑ ❑ <br /> SUMMARY OF VIOLATIONS <br /> 1 ( CLASS I , CLASS II , or MINOR - Notice to Comply <br /> c44 ie <br /> e �C 4(5 <br /> iMa dLIL Ae� 6 A L4 za <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 /> Received by (signature Title: Date: <br /> e4lCr' - 26- l� <br /> ceived by ( Fed name): Inspector: Inspector phone: <br /> EHD 19-01 REV 07t^" 1113 Page 1 HM =1 14C1: "E" " "T <br />
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