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Last modified
5/1/2019 11:53:33 AM
Creation date
5/1/2019 11:52:36 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1900 - Hazardous Materials Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0540566
PE
1921
FACILITY_ID
FA0000876
FACILITY_NAME
Raleys # 311
STREET_NUMBER
1280
STREET_NAME
LATHROP
STREET_TYPE
RD
City
ADDISON
Zip
95336
APN
202-030-060-000
CURRENT_STATUS
01
SITE_LOCATION
1280 LATHROP RD
P_LOCATION
04
P_DISTRICT
003
QC Status
Approved
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EHD - Public
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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 /> Raleys#311 1280 LATHROP RD,ADDISON April 11, 2019 <br /> SUMMARY OF VIOLATIONS <br /> (CLASS I,CLASS II,or MINOR-Notice to Comply) <br /> Item# Remarks <br /> 5 HSC 25505(a)(1) Failed to complete and/or submit hazardous materials inventory for all reportable materials on site. <br /> 200 pounds of carbon dioxide were found on site that have not been reported.The repotable amount for carbon <br /> dioxide is 137 pounds. Any material that meets or exceeds the reportable quantity shall be reported in the facility's <br /> business plan.The helium is currently at 1,168 cubic feet.The reportable quatity for helium is 1,200 cubic feet. The <br /> helium is not required to be listed on inventory but it is becoming close to the reportable quantity amount. Photos <br /> were taken of the helium and carbon dioxide. <br /> Immediately log into the California Environmental Reporting System (CERS)at http://cers.calepa.ca.gov/, add the <br /> materials to the hazardous material inventory, 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 site map was not complete as part of the business plan. The site map is missing utilities shut offs, helium, <br /> carbon dioxide,fire extinguishers. an evacuation staging area, and loading areas. <br /> A site map shall contain a north orientation, loading areas, internal roads, adjacent streets, storm and sewer <br /> drains, access and exit points, emergency shutoffs, evacuation staging areas, hazardous material handling and <br /> storage areas, and emergency response equipment. If a site map element is not applicable for your facility then list <br /> it on the map and label as"NA". Immediately log into the California Environmental Reporting System (CERS)at <br /> http://cers.calepa.ca.gov/, upload the correct or updated information, and submit to the EHD for approval. <br /> This is a minor violation. <br /> 7 HSC 25505(a)(3) Failed to establish and/or submit emergency response procedures for a release or threatened <br /> release. <br /> The emergency response procedures were not complete. the emergency response procedures has the wrong <br /> phone number listed in the local Unified Program Agency(UPA)on line C3. Pleas add 209-468-3420 as the local <br /> UPA phone number on line C3. <br /> A business plan shall include the following emergency response procedures for a release or threatened release of <br /> hazardous materials, including, but not limited to,the following: <br /> -immediate notification of local emergency personnel and the Environmental Health Department(EHD) <br /> -procedures for the mitigation of a release or threatened release to minimize any potential harm or damage to <br /> persons, property, or the environment <br /> -evacuation plans and procedures, including immediate notice,for the site <br /> Immediately log into the California Environmental Reporting System (CERS)at http://cers.calepa.ca.gov/, upload the <br /> correct or updated information, and submit to the EHD for approval. <br /> This is a repeat violation, Class ll. <br /> FA0000876 PR0540566 SCO01 04/11/2019 <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 />
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