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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: vwvw.siclov.orcl/ehd Hazardous Materials Program Inspection Report Facility Name: KINGS CROWN PACKING INC DBA GLORIANN FARMS, INC. Facility Phone: (209) 834-8100 Date: August 09, 2018 Facility Address: 11605 W CLIFTON COURT RD, STOCKTON, CA 95206 CERS ID: 10637092 Inspection Contact: Shaina Lovitt Title: Director of Food Safety Phone: (209) 835-2224 Inspection Type: ROUTINE INSPECTION - Operating Permit Program: 1 1921 - HMBP-Regular-Primary Location Consent For: ❑x Inspection 0 Photos ❑ Sample Consent Given By: Shaina Lovitt, Director of Food Safety 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 SJO 4432 Failed to pay annual operating fees c V ❑ R ❑ COS 2 HSC 25505, 25508(a) (1) Failed to complete and electronically submit a hazardous materials business plan ❑ V o R o COS 3 HSC 25507 Failed to establish and implement a hazardous materials business plan ❑ V o R o COS 4 HSC 25508(a)(1) Failed to complete and/or submit the Business Activities or Owner/Operator Identification page ❑ V o R o COS 5 HSC 25506(a)(1) Failed to complete and/or submit hazardous materials inventory for all reportable materials on site ❑ V ❑ R c COS 6 HSC 25505(a)(2) Failed to complete and/or submit a site map with all required content ■ V ❑ R ❑ COS 7 HSC 25505(a)(3) Failed to establish and/or submit emergency response procedures for a release or threatened release ❑ V o R c COS 8 HSC 25505(a)(4) Failed to submit a training program or program is not reasonable or adequate for facility o V c R ❑ COS 9 HSC 25508(a)(1) Failed to annually review and certify that the business plan is complete, accurate, and up to date o V o R ❑ COS 10 HSC 25508.1(a) -(f) Failed to submit revisions to business plan within 30 days of substantial change in operations ❑ V ❑ R ❑ COS 11 HSC 25505(a)(4) Failed to provide or document initial and/or refresher training to appropriate personnel ❑ V ❑ R ❑ COS 12 HSC 25505(c) Failed to have the business plan readily available to facility or EHD personnel ❑ V o R o COS 13 HSC 25505.1 Failed to notify property owner that facility is subject to and in compliance with the HMBP program c V o R o COS 14 HSC 25505.1 Business on leased property failed to provide copy of HMBP w/in 5 days of request by property owner o V o R o COS 15 HSC 25510(a) Failed to report actual or threatened release to the EHD and/or CalOES Warning Center o V o R o COS 16 HSC 25507.1 Failed to submit emergency response plan when not meeting Ag handler exemption requirements ❑ V ❑ R ❑ COS 17 HSC 25507.1 Failed to submit training program when not meeting Ag handler exemption requirements o V o R o COS 18 HSC 25505, 25507.2 Failed to establish and implement a HMBP when not meeting remote unstaffed facility exemptions ❑ V ❑ R ❑ COS 19 HSC 25511 Failed to submit a written response within 30 days of receiving an inspection report o V ❑ R ❑ COS 1010 See below Unlisted Administration/Documentation violation c V o R o COS 1020 See below Unlisted Training violation c V o R o COS 1030 See below Unlisted Operations/Maintenance violation ❑ V ❑ R ❑ COS 1040 See below Unlisted Release/Leaks/Spills violation o V ❑ R ❑ COS 1045 See below Unlisted Release/Leaks/Spills - Local Ordinance o V ❑ R o COS 1050 See below Unlisted Abandonment/Illegal Disposal/Unauthorized Treatment violation o V o R o COS 1055 See below Unlisted Abandon menUlllegal Disposal/Unauthorized Treatment - Local Ordinance ❑ V c R c COS SUMMARY OF VIOLATIONS (CLASS 1, CLASS ll, or MINOR - Notice to Comply) Item # Remarks FA0023051 PR0540326 SCO01 08/09/2018 EHD 19-01 Rev. 09/22/16 Pagel of 2 Hazardous Materials Program OIR