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SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East Hazelton Avenue, Stockton, Califomia 95205-6232 <br />Telephone. (209) 468-3420 Fax. (209) 468-3433 Web: www.sicehd.com <br />HAZARDOUS MATERIALS PROGRAM INSPFCTInN RI`PnRT <br />Facility <br />Name: d✓ ! O <br />Violations <br />Facility <br />Phone: (�� 99Z -7,5' <br />Inspect'o <br />Date: 2 2 $ <br />Facility <br />Address: 144 <br />j! %% <br />CA <br />Failed to pay annual operating fees (V851) <br />❑ ❑ ❑ <br />CERS <br />sZ <br />-4(pol <br />� C? <br />E]Failed <br />❑ <br />ID: r �� <br />Inspection r _ <br />Contact: e J <br />HSC 25507 <br />T' e: <br />X( ❑ ❑ <br />Inspector: <br />hone: <br />�l Q GLv� ✓ s <br />Failed to complete and/or submit the Business Activities or Owner/Operator Identification page (V345) <br />❑ ❑ <br />LA) 1/11- V ' <br />5 <br />1(2 vR r1'9e- — 7, O <br />Inspection <br />X ❑ ❑ <br />Program: <br />HSC 25505(a)(3) <br />Type: Q.AA <br />R ❑ ❑ <br />i <br />11 9 Z <br />HSC 25505(a)(3) <br />Co sent Given For. <br />Consent <br />8 <br />HSC 25505(a)(4) <br />Inspection hotos ❑ Sampling <br />Given By: <br />_ <br />J G <br />Y v <br />HSC 25508.2 <br />CCR = Califomia Code of Regulations HSC = Health and Safety Code <br />I CFR = Code of Federal Regulations <br />SJO = San Joaquin County Ordinance <br />10 <br />HSC 25508.1(a-9 <br />V = Violation R = Repeat <br />COS = Corrected on site during inspection <br />SUMMARY OF VIOLATIONS <br />(CLASS I, CLASS 11, or MINOR - Notice to Comply <br />Violations <br />V R COS <br />A <br />1 <br />SJO 4432 <br />Failed to pay annual operating fees (V851) <br />❑ ❑ ❑ <br />2 <br />HSC 25505, 25508(a)(1) <br />to complete and electronically submit a hazardous materials business plan (V335) <br />E]Failed <br />❑ <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 ANYTIME AT EHD'S CURRENT HOURLY RATE. <br />3 <br />HSC 25507 <br />Failed to establish and implement a hazardous materials business plan (V334) <br />X( ❑ ❑ <br />Inspector: <br />4 <br />HSC 25508(a)(1) <br />Failed to complete and/or submit the Business Activities or Owner/Operator Identification page (V345) <br />❑ ❑ <br />5 <br />HSC 25506(a) <br />Failed to complete and/or submit hazardous materials inventory for all reportable materials on site (V343) <br />X ❑ ❑ <br />6 <br />HSC 25505(a)(3) <br />Failed to complete and/or submit a site map with all required content (V347) <br />R ❑ ❑ <br />7 <br />HSC 25505(a)(3) <br />Failed to establish and/or submit emergency response procedures for a release or threatened release (v348) <br />A ❑ ❑ <br />8 <br />HSC 25505(a)(4) <br />Failed to submit a training program or program is not reasonable or adequate for facility (V350) <br />❑ ❑ ❑ <br />9 <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 />10 <br />HSC 25508.1(a-9 <br />Failed to submit revisions to HMBP within 30 days of substantial change in operations (V346) <br />❑ ❑ ❑ <br />11 <br />HSC 25505(a)(4) <br />Failed to provide or document initial and/or refresher training to appropriate personnel (V349) <br />❑ ❑ ❑ <br />12 <br />HSC 25505(c) <br />Failed to have the business plan readily available to facility or EHD personnel (V850) <br />k ❑ ❑ <br />13 <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 />14 <br />HSC 25510 <br />Failed to report actual or threatened release to the EHD and/or CalOES Warning Center (V338) <br />❑ ❑ ❑ <br />15 <br />HSC 25507.1 <br />Failed to submit emergency response plan when not meeting Ag handler exemption requirements (351) <br />❑ ❑ ❑ <br />16 <br />HSC 25507.1 <br />Failed to submit training program when not meeting Ag handler exemption requirements (V352) <br />❑ ❑ ❑ <br />17 <br />HSC 25507.2 <br />Failed to establish and implement a HMBP when not meeting remote unstaffed facility exemptions (V353) <br />❑ ❑ ❑ <br />18 <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 11, or MINOR - Notice to Comply <br />A <br />�i <br />6mAZC . (,•ori1 <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 ANYTIME AT EHD'S CURRENT HOURLY RATE. <br />Receiv _ <br />Title: �q / <br />V�C�l ii <br />Date: <br />t� �✓ <br />eceived by (printed name): <br />J � <br />Inspector: <br />Inspector phone: <br />poq C'6342_14 <br />EHD 19-01 REV 7/28/16 Page 1 HM INSPECTION REPORT <br />