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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: www . s ' cehd . com HAZARDOUS MATERIALS PROGRAM INSPECTION REPORT Facility o Facility InsVR Name : O,� 0 V,` Phone: 209qb Q •— Q DaFacilityCEAddress: � � C Of bLO t� ID : Inspectiontitle : Phone: Contact: y� N a o Cl �i � lt- 0. v1c c .e &. 20R oc30 74OQ Inspecti Program : Type � ` ' 5ki �C nsent Given For:Inspection Photos ❑ Sampling 0.V\ CCR = California Code of Regulations HSC = Health and Safety Code C R = ode of Feferal Regulations SJO = San Joaquin County Ordinance V = Violation R = Repeat COS = Corrected on site during inspection Violations V R COS 1 SJO 4432 Failed to pay annual operating fees (V851 ) ❑ ❑ ❑ 2 HSC 255051 Failed to complete and electronically submit a hazardous materials business Ian V335 25508 a 1 P ( ) x ❑ ❑ 3 HSC 25507 Failed to establish and implement a hazardous materials business plan (V334) ❑ ❑ 4 HSC 25508(a) ( 1 ) Failed to complete and/or submit the Business Activities or Owner/Operator Identification page (V345) ❑ ❑ 5 HSC 25506 (a) Failed to complete and/or submit hazardous materials inventory for all reportable materials on site (V343) ❑ ❑ 6 HSC 25505 (a) (3) Failed to complete and/or submit a site map with all required content (V347) �" ❑ ❑ 7 HSC 25505(a) (3) Failed to establish and/or submit emergency response procedures for a release or threatened release (V349) ❑ ❑ 8 HSC 25505 (a) (4) Failed to submit a training program or program is not reasonable or adequate for facility (V350) ❑ ❑ 9 HSC 25508 . 2 Failed to annually review and certify that the business plan is complete , accurate , and up to date (V342) ❑ ❑ Cl 10 HSC 25508 . 1 (a-f) Failed to submit revisions to HtvlBP within 30 days of substantial change in operations (V346 ) ❑ ❑ ❑ 11 HSC 25505 (a) (4) Failed to provide or document initial and/or refresher training to appropriate personnel (V349) ❑ ❑ 12 HSC 25505 (c) Failed to have the business plan readily available to facility or EHD personnel (V850) ❑ ❑ 13 HSC 25505 . 1 Failed to notify property owner that facility is subject to and in compliance with the HMBP program (V341 ) ❑ ❑ ❑ 14 HSC 25510 Failed to report actual or threatened release to the EHD and/or CalOES Warning Center (V338) ❑ ❑ ❑ 15 HSC 25507. 1 Failed to submit emergency response plan when not meeting Ag handler exemption requirements (351 ) ❑ ❑ ❑ 16 HSC 25507 . 1 Failed to submit training program when not meeting Ag handler exemption requirements (V352) ❑ ❑ ❑ 17 HSC 25507.2 Failed to establish and implement a HMBP when not meeting remote unstaffed facility exemptions (V353) ❑ ❑ ❑ 18 HSC 25511 Failed to submit a written response within 30 days of receiving an inspection report (V808) ❑ ❑ ❑ 1010 See below Unlisted Administration/Documentation violation (V355) ❑ ❑ ❑ 1040 See below Unlisted Release/Leaks/Spills violation (V356) ❑ ❑ SUMMARY OF VIOLATIONS CLASS I, CLASS II , or MINOR — Notice to Comply Gape G44a r , GC.. A*O 1L Q441 o . ti /&.,4 ` S ssIset a ALL EHD STAFF TIME ASSOCIATED WITH FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL BE BILLED AT THE CURRENT HOURLY RATE , THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD ' S CURRENT HOURLY RATE . Receivedby (signature): Title: Date : Received by (printed name) : Insp ector: / Inspector phone * / O e✓ C. o ,P Z— ZOZ- EHD 19-01 REV 07/28/16 Pagel HM INSPECTION REPORT