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Page 1 of 2 San Joaquin County Environmental Health Department 1868 East Hazelton Avenue, Stockton, California 95205-6232 Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: www.sjgov.org/ehd Hazardous Materials Program Inspection Report Facility Name: SJC PUBLIC WORKS/UTILITIES-FAIR OAKS WELL #3 Facility Phone: 0 - Date: Aril 14 2016 Facility Address: 28181 S GREENWOOD WAY TRACY CA95304 CERS ID: 0 Inspection Contact: Matt Meyer Title: Supervisor Phone: 209 468-3090 Inspection Type: ROUTINE INSPECTION - Operating Permit Program: 1926 - HMBP-Unstaffed Network Location Consent For: Z Ins ection 0 Photos ❑ Sam les I Consent Given By: I Matt Meyer, Supervisor 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 ❑ V ❑ R ❑ COS 2 HSC 25508(a)(1) Failed to electronically submit a business plan ❑ V ❑ R ❑ COS 3 HSC 25508.2 Failed to annually review and certify that the business plan is complete, accurate, and up to date ❑ V ❑ R o COS 4 HSC 25505.1 Failed to notify property owner that facility is subject to and in compliance with the HMBP program ❑ V ❑ R ❑ COS 5 HSC 25510 Failed to report actual or threatened release to the EHD and/or CalOES Warning Center ❑ V ❑ R ❑ COS 6 HSC 25508(a)(1) Failed to complete and/or submit the Business Activities or Owner/Operator Identification page ❑ V ❑ R o COS 7 HSC 25506(a) Failed to complete and/or submit hazardous materials inventory for all reportable materials on site ❑ V ❑ R ❑ COS 8 HSC 25508.1(a) -(e) Failed to submit revisions to HMBP within 30 days of change in business info or inventory ❑ V ❑ R ❑ COS 9 HSC 25508.1(f) Failed to submit revisions to HMBP within 30 days of substantial change in operations ❑ V c R o COS 10 HSC 25505(a)(2) Failed to complete and/or submit a site map with all required content o V ❑ R ❑ COS 11 HSC 25505(a)(3) Failed to establish and/or submit emergency response procedures for a release or threatened release ❑ 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 ❑ V ❑ R ❑ COS 13 HSC 25505(a)(4) Failed to provide or document initial and/or refresher training to appropriate personnel ❑ V ❑ R ❑ COS 14 HSC 25507.1 Failed to submit emergency response plan when not meeting Ag handler exemption requirements ❑ V ❑ R ❑ COS 15 HSC 25507.1 Failed to submit training program when not meeting Ag handler exemption requirements ❑ V ❑ R ❑ COS 16 HSC 25507.2 Failed to establish and implement a HMBP when not meeting remote unstaffed facility exemptions o V ❑ R ❑ COS 17 HSC 25511 Failed to submit a written response within 30 days of receiving an inspection report ❑ V ❑ R ❑ COS 1010 See below Unlisted Administration/Documentation violation ❑ V ❑ R ❑ COS 1040 See below Unlisted Release/Leaks/Spills violation ❑ V ❑ R ❑ COS SUMMARY OF VIOLATIONS (CLASS I, CLASS Il, or MINOR - Notice to Comply) Item # Remarks Overall Inspection Comments: No violations noted at time of inspection. Complete and submit a copy of the Return to Compliance Certification form to the EHD with a statement documenting the corrective actions that have been or will be taken for each violation, and any supporting paperwork, by 5/13/2016. Page 1 of 2