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SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East Hazelton Avenue, Stockton, California 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: www.sicehd.com <br />1 <br />HAZARDOUS. MATERIALS PROGRAM INSPECTION REPORT <br />Violations <br />Failed to establish and implement a hazardous materials business plan (V334) <br />V ._R-. _COS, <br />❑ ❑ <br />Facility <br />Name: <br />HSC 25508(a)(1) <br />- <br />❑ ❑ <br />Facili <br />Photy�^ <br />n 9 <br />` <br />4 7 2--"T <br />Inspection <br />Date: <br />dC ❑ ❑ <br />Facility <br />Address: Z� <br />HSC 25505.1 <br />1 <br />l v �/' v� , t <br />f <br />' 1 O c/� 9� <br />CERS <br />ID:i Q 47 <br />f,5-(Yff <br />Inspection <br />Contact: <br />❑ ❑ ❑ <br />6 <br />Title: <br />Failed to complete and/or submit the Business Activities or Owner/Operator Identification page (V345) <br />Phone'(, <br />t 83- <br />HSC 25506(a) <br />Failed to complete and/or submit hazardous materials inventory for all reportable materials on site (V343) <br />❑ ❑ <br />8 <br />TV`C-t V/� <br />-,,',j <br />9 <br />Inspection_ <br />Type 6 l •t <br />/ -� <br />^" G c,�� <br />Q-1- AAL <br />Program: <br />t9 <br />Failed to complete and/or submit a site map with all required content (V347) <br />X ❑ ❑ <br />Rnsent Given For. <br />HSC 25505(a)(3) <br />Failed to establish and/or submit emergency response procedures for a release or threatened release m4s) <br />Cons nt <br />12 <br />HSC 25505(a)(4) <br />Failed to submit a training program or program is not reasonable or adequate for facility (V350) <br />Inspection Photos <br />❑ Sampling <br />HSC 25505(a)(4) <br />Given By: b N. <br />v 4-A/h <br />14 <br />HSC 25507.1 <br />CCR = California Code of Regulations <br />HSC = Health and Safety Code <br />CFR - Code of Federal Regulations <br />HSC 25507.1 <br />Failed to submit training program when not meeting Ag handler exemption requirements (V352) <br />❑ ❑ ❑ <br />16 <br />HSC 25507.2 <br />V = Violation R = Repeat COS = Corrected on site during <br />inspection <br />1 <br />HSC 25507 <br />Violations <br />Failed to establish and implement a hazardous materials business plan (V334) <br />V ._R-. _COS, <br />❑ ❑ <br />2 <br />HSC 25508(a)(1) <br />Failed to electronically submit a business plan (V335) <br />❑ ❑ <br />3 <br />HSC 25508.2 <br />Failed to annually review and certify that the business plan is complete, accurate, and up to date (V342) <br />dC ❑ ❑ <br />4 <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 />5 <br />HSC 25510 <br />Failed to report actual or threatened release to the EHD and/or CalOES Warning Center (V338) <br />❑ ❑ ❑ <br />6 <br />HSC 25508(a)(1) <br />Failed to complete and/or submit the Business Activities or Owner/Operator Identification page (V345) <br />X ❑ ❑ <br />7 <br />HSC 25506(a) <br />Failed to complete and/or submit hazardous materials inventory for all reportable materials on site (V343) <br />❑ ❑ <br />8 <br />HSC 25508.1(a) -(e) Failed to submit revisions to HMBP within 30 days of change in business info or inventory (V346) <br />❑ Cl ❑ <br />9 <br />HSC 25508.1(f) <br />Failed to submit revisions to HMBP within 30 days of substantial change in operations (V344) <br />❑ ❑ ❑ <br />10 <br />HSC 25505(a)(2) <br />Failed to complete and/or submit a site map with all required content (V347) <br />X ❑ ❑ <br />11 <br />HSC 25505(a)(3) <br />Failed to establish and/or submit emergency response procedures for a release or threatened release m4s) <br />❑ ❑ <br />12 <br />HSC 25505(a)(4) <br />Failed to submit a training program or program is not reasonable or adequate for facility (V350) <br />A1C ❑ ❑ <br />13 <br />HSC 25505(a)(4) <br />Failed to provide or document initial and/or refresher training to appropriate personnel (V349) <br />o ❑ ❑ <br />14 <br />HSC 25507.1 <br />Failed to submit emergency response plan when not meeting Ag handler exemption requirements (351) <br />❑ ❑ ❑ <br />15 <br />HSC 25507.1 <br />Failed to submit training program when not meeting Ag handler exemption requirements (V352) <br />❑ ❑ ❑ <br />16 <br />HSC 25507.2 <br />Failed to establish and implement a HMBP when not meeting remote unstaffed facility exemptions (V353) <br />❑ ❑ ❑ <br />17 <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 II, or MINOR- Notice to Comply <br />©iT i c. l <br />rL L. C� vl V G .� v% <br />4t C 0 <br />``✓1 <br />o <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 (si re � <br />Title: <br />j r <br />Date: <br />/ <br />Receiv by (printed me): <br />Inspbc1Qr. f <br />z- <br />Inspector phone: <br />2oa X53-6 Z� Vr <br />EHD 19-01 REV 04/23/15 1 Page 1 HM INSPECTION REPORT <br />7d6 <br />