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SA N J O A Q U IN Environmental Health Department <br /> —COUNTY---- <br /> Hazardous Materials Program Inspection Report <br /> Facility Name: TF�acility Address: <br /> FD,te: <br /> A&D RUBBER PRODUCTS CO INC 1438 BOURBON ST, STOCKTON nuary 23, 2019 <br /> SUMMARY OF VIOLATIONS <br /> (CLASS I,CLASS II,or MINOR-Notice to Comply) <br /> Item # Remarks <br /> 1 SJO 4432 Failed to pay annual operating fees. <br /> Facility failed to pay annual operating fees for the year 2019. Fees shall be paid once a year at the time of submittal <br /> of an inventory form. Immediately pay the annual fee to the EHD Accounting Office located at 1868 E Hazelton <br /> Avenue, Stockton, CA 95205. Fee may also be paid online at www.sicehd.com (Convenience fee may apply). <br /> This is a minor violation. <br /> 4 CCR 2652(a)(1) Failed to complete and/or submit the Business Activities or Owner/Operator Identification page. <br /> The Business Owner/Operator Identification form was not accurate. Bernie Aronofsky has retired and is no longer <br /> the production foreman and secondary emergency contact for this facility. This information must be current and <br /> submitted as part of the business plan. Immediately log into the California Environmental Reporting System (CERS) <br /> at http://cers.calepa.ca.gov/, enter the correct or updated information, and submit to the EHD for approval. <br /> This is a minor violation. <br /> 5 HSC 25505(a)(1) Failed to complete and/or submit hazardous materials inventory for all reportable materials on site. <br /> The Hazardous Materials Inventory forms for polymeric isocyanate, urethane resin, hydraulic oil, used hydraulic oil, <br /> teresstic fg 15, stargon, argon, oxygen, and acetylene are not complete/accurate. The Hazardous Materials type <br /> (pure, mixture, waste)for polymeric isocyanate, urethane resin, hydraulic oil, used hydraulic oil, teresstic fg 15, and <br /> stargon has not been identified. The storage pressure for the compressed gasses stargon, argon, oxygen, and <br /> acetylene has been wrongly identified as"ambient'vs. "above ambient'. This information must be current and <br /> submitted as part of the business plan. Immediately log into the California Environmental Reporting System (CERS) <br /> at http://cers.calepa.ca.gov/, enter the correct or updated information, and submit to the EHD for approval. <br /> This is a minor violation. <br /> 6 HSC 25505(a)(2) Failed to complete and/or submit a site map with all required content. <br /> The map does not show the evacuation staging area in the adjacent parking lot. A site map shall contain a north <br /> orientation, loading areas, internal roads, adjacent streets, storm and sewer drains, access and exit points, <br /> emergency shutoffs, evacuation staging areas, hazardous material handling and storage areas, and emergency <br /> response equipment. If a site map element is not applicable for your facility then list it on the map and label as <br /> "NA". Immediately log into the California Environmental Reporting System (CERS) at http://cers.calepa.ca.gov/, <br /> upload the correct or updated information, and submit to the EHD for approval. <br /> This is a minor violation. <br /> FA0016404 PRO524461 SCO01 01/23/2019 <br /> EHD 19-01 Rev.09/27/2018 Page 2 of 3 Hazardous Materials Program OIR <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />