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0 <br />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 />EHD 19-01 REV 07/29/14 Page 1 HM INSPECTION REPORT <br />HAZARDOUS MATERIALS PROGRAM INSPECTION REPORT <br />Facility <br />VanUnen/Miersma Propane <br />Facility <br />ne 823-1305 <br />oe <br />Pho <br />Inspection <br />Dae: <br />8/5/14 <br />Facility 20504 S. Highway 99 frontage <br />Address: <br />IID <br />13 R <br />Facility Jack Culberston <br />Contact <br />Contact <br />Phone: <br />Contact during inspection, if <br />different from facility contact: <br />Type: Routine HMMP <br />Program: <br />CCR = California Code of Regulations HSC = Health and Safety Code CFR = Code of Federal Regulations <br />V = Violation R = Repeat COS = Corrected on site during inspection <br />Violations <br />VR 'COS <br />1 <br />HSC 25507 Failed to establish and implement a hazardous materials business plan (V334) <br />❑ ❑ ❑ <br />2 <br />HSC 25508(a)(1) Failed to complete and/or electronically submit a business plan (V335) <br />o ❑ ❑ <br />3 <br />HSC 25508(c) Failed to annually review and certify that the business plan is complete, accurate, and up to date (V342) <br />❑ ❑ ❑ <br />4 <br />HSC 25505.1 Failed to notify property owner that facility is subject to and in compliance with the HMBP program (V341) <br />❑ ❑ o <br />5 <br />HSC 25510 Failed to report actual or threatened release to the EHD and/or CalOES Warning Center (V338) <br />❑ ❑ ❑ <br />6 <br />HSC 25508(a)(1) Failed to complete arta/or submit the Business Activities or Owner/Operator Identification page (V345) <br />❑ ❑ ❑ <br />7 <br />HSC 25506(a) Failed to complete and/or submit hazardous materials inventory for all reportable materials on site (V343) <br />❑ ❑ o <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 />o ❑ ❑ <br />9 <br />HSC 25508.1(0 Failed to submit revisions to HMBP within 30 days of substantial change in operations (V344) <br />❑ ❑ o <br />10 <br />HSC 25505(a)(2) Failed to complete and/or submit a site map with all required content (V347) <br />❑ ❑ ❑ <br />11 <br />HSC 25505(a)(3) Failed to establish and/or submit emergency response procedures for a release or threatened release (v B) <br />❑ ❑ ❑ <br />12 <br />HSC 25505(a)(4) No training program or program is not reasonable or adequate for facility (V350) <br />X ❑ ❑ <br />13 <br />HSC 25505(a)(4) Failed to provide initial and/or refresher training to appropriate personnel (V349) <br />❑ ❑ ❑ <br />14 <br />HSC 25507.1 Failed to submit emergency response plan when not meeting Ag handier exemption requirements (351) <br />❑ ❑ ❑ <br />15 <br />HSC 25507.1 Failed to submit training program when not meeting Ag handler exemption requirements (V352) <br />o o ❑ <br />16 <br />HSC 25507.2 Failed to establish and implement a HMBP when not meeting remote unstaffed facility exemptions (V353) <br />❑ ❑ ❑ <br />17 <br />HSC 25511 Failed to submit a written response within 30 days of receiving an inspection report (V808) <br />❑ ❑ ❑ <br />1010 <br />See below Unlisted Administration/Documentation violation (V355) <br />❑ ❑ ❑ <br />1040 <br />See below Unlisted Release/Leaks/Spills violation (V356) <br />❑ ❑ ❑ <br />SUMMARY OF VIOLATIONS <br />CLASS I, CLASS II, or MINOR — Notice to Comply <br />13 - Provide current employee training records by September 9, 2014 <br />Consent to perform inspection granted by Jack Culbertson <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 />Re ' <br />by <br />Title: <br />Date: <br />/ <br />In <br />M. Parissi <br />Title <br />HM Specialist II <br />Date: <br />8/5/14 <br />EHD 19-01 REV 07/29/14 Page 1 HM INSPECTION REPORT <br />