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SANJ O 1` Q U I `IA,II, Environmental Health Department <br /> COUNTY <br /> Hazardous Materials Program Inspection Report <br /> Facility Name: Facility Address: Date: <br /> Safeway 1648 2449 W Kettleman Ln, Lodi January 28, 2019 <br /> SUMMARY OF VIOLATIONS <br /> (CLASS I,CLASS II,or MINOR-Notice to Comply) <br /> Item# Remarks <br /> 10 HSC 25508.1(a)-(f) Failed to submit revisions to business plan within 30 days of substantial change in operations. <br /> During the inspection, it was found that there is currently 6132 cubic feet of propane and 1872 cubic feet is reported. <br /> The largest container is 128 cubic feet and the updated information has not been submitted. <br /> Within 30 days of one the following events, business shall electronically updatethe information submitted to the <br /> California Environmental Reporting System (CERS): <br /> -A 100 percent or more increase in the quantity of a previously disclosed material. <br /> -Any handling of a previously undisclosed hazardous materials <br /> -A change of business address, business ownership, or business name. <br /> Immediately log into the California Environmental Reporting System (CERS)at http://cers.calepa.ca.gov/, enter the <br /> correct or updated information, and submit to the EHD for approval. <br /> This is a Class II violation. <br /> Overall Inspection Comments: <br /> Complete and submit a copy of the Return to Compliance Certification form to the EHD with a statement <br /> documenting the corrective actions that have been or will be taken for each violation, and any supporting <br /> paperwork, by 2/17/2019 <br /> Starting September 1, 2018, all in-office CERS help will be provided at EHD hourly rate ($152). To schedule an <br /> appointment, please call (209)468-3420. <br /> Facility does not have internal roads and this element was not addressed on the site map. Please address this <br /> by either writing "NA"for not applicable or a statement that says the element is not on site. Please correct this <br /> by the next submittal. <br /> AFTER THE COMPLIANCE DATE, EHD WILL BILL FOR ALL TIME AND ACTIVITIES ASSOCIATED WITH BRINGING <br /> THIS FACILITY BACK INTO COMPLIANCE. <br /> THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br /> Received by: Date: January 28, 2019 Inspector: Inspector Phone: <br /> Printed Name and Title: JAMIE LIMA, Haz Mat Specialist II (209)953-6211 <br /> David Carranza, Manager <br /> FA0012254 PR0538960 SCO01 01/28/2019 <br /> EHD 19-01 Rev.09/27/2018 Page 2 of 2 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 />