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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.s4cehd.com <br /> HAZARDOUS MATERIALS PROGRAM INSPECTION REPORT <br /> Facility Facilit <br /> Name: yl <br /> K it Phone• I V 70 -b 83 b Dateecti n 28 /�B <br /> Facility <br /> Address: 17$ cw fit.— CERS <br /> i� �� 9szo ID: <br /> Inspection <br /> Contact:-70 <br /> Title: Q�e <br /> Inspection I.To I. <br /> Type <br /> Program: ` <br /> � —O ✓'C <br /> ConsentFwen For: Cons <br /> ❑ Inspection ❑ Photos ❑ Sampling GivenBy: orsi <br /> CCR=California Code of Regulations HSC=Health and Safety Code C1--N=Code of Federal 5regulations N S4ffl=San Joaquin County Ordinance <br /> V=Violation R=Repeat COS=Corrected on site duringinspection <br /> Violations V R COS <br /> 1 SJO 4432 Failed to pay annual operating fees(V851) <br /> 2 HSC 25505, <br /> 25508(a 1 Failed to complete and electronically submit a hazardous materials business plan(V335) y ❑ ❑ <br /> 3 HSC 25507 Failed to establish and implement a hazardous materials business plan(V334) 71 <br /> �{ <br /> 4 HSC 25508(a)(1) Failed to complete and/or submit the Business Activities or Owner/Operator Identification page(V345) ❑ ❑ <br /> 5 HSC 25506(a) Failed to complete and/or submit hazardous materials inventory for all reportable materials on site(V343) p( ❑ ❑ <br /> 6 HSC 25505(a)(3) Failed to complete and/or submit a site map with all required content(V347) <br /> 7 HSC 25505(a)(3) Failed to establish and/or submit emergency response procedures for a release or threatened release(v34s) ❑ <br /> 8 HSC 25505(a)(4) Failed to submit a training program or program is not reasonable or adequate for facility(V350) X J ❑ <br /> 9 HSC 25508.2 Failed to annually review and certify that the business plan is complete,accurate,and up to date(V342) ❑ <br /> 10 HSC 25508.1(a-f) Failed to submit revisions to HMBP within 30 days of substantial change in operations(V346) ❑ <br /> 11 HSC 25505(a)(4) Failed to provide or document initial and/or refresher training to appropriate personnel(V349) ❑ <br /> 12 HSC 25505(c) Failed to have the business plan readily available to facility or EHD personnel(V850) <br /> 13 HSC 25505.1 Failed to notify property owner that facility is subject to and in compliance with the HMBP program (V341) ❑ ❑ ❑ <br /> 14 HSC 25510 Failed to report actual or threatened release to the EHD and/or CalOES Warning Center(V338) ❑ ❑ ❑ <br /> 15 HSC 25507.1 Failed to submit emergency response plan when not meeting Ag handler exemption requirements(351) ❑ ❑ ❑ <br /> 16 HSC 25507.1 Failed to submit training program when not meeting Ag handler exemption requirements(V352) ❑ ❑ ❑ <br /> 17 HSC 25507.2 Failed to establish and implement a HMBP when not meeting remote unstaffed facility exemptions(V353) ❑ ❑ <br /> 18 HSC 25511 Failed to submit a written response within 30 days of receiving an inspection report(V808) ❑ ❑ _ <br /> 1010 See below Unlisted Administration/Documentation violation(V355) 0 11 El <br /> 1040 See below Unlisted Release/Leaks/Spills violation(V356) <br /> SUMMARY OF VIOLATIONS <br /> CLASS I,CLASS II,or MINOR'—Notice to Comply <br /> 3 k, <br /> le 6-0 <br /> 1 i P,vL G Q <br /> 2 CSr e-1 <br /> I' ¢mx Zoo <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 END'S CURRENT HOURLY RATE. <br /> Received re Title:C Date: <br /> eived y(printed <br /> jnamee)): InsQ2Gto1� Inspector phone: <br /> c5 / (� <br /> /���KJ�� T <br /> EHD 19 01 REV 07/28/16Page 1 HM INSPECTION REPORT <br />