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SA N ,J O A Q U I N Environmental Health Department <br /> CC)UN i Y -- <br /> Hazardous Materials Program Inspection Report <br /> Facility Name: Facility Address: Date: <br /> KUSTOM MATERIALS LAMINATORS 619 GILLIS AVE, STOCKTON May 03, 2019 <br /> SUMMARY OF VIOLATIONS <br /> (CLASS I,CLASS II,or MINOR-Notice to Comply) <br /> Item# Remarks <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. The Secondary Emergency Contact, Juan <br /> Orozco retired July 2018. This information must be current and submitted as part of the business plan. <br /> Immediately log into the California Environmental Reporting System (CERS) at http-.Hcers.calepa.ca.gov/, enter the <br /> correct or updated information, and submit to the EHD for approval. <br /> This was corrected on site. <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 storm and sewer drains, actual hazardous material handling and storage areas for the <br /> waste oil, new oil and oxygen, emergency response equipment(fire extinguishers), and a legend to identify the <br /> codes/symbols used on the map. A site map shall contain a north orientation, loading areas, internal roads, <br /> adjacent streets, storm and sewer drains, access and exit points, emergency shutoffs, evacuation staging areas, <br /> hazardous material handling and storage areas, and emergency response equipment. If a site map element is not <br /> applicable for your facility then list it on the map and label as"NA". Immediately log into the California <br /> Environmental Reporting System (CERS) at http://cers.calepa.ca.gov/, upload the correct or updated information, <br /> 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 lacking. Section C. the phone number for the Local Unified Program <br /> Agency,209-468-3420 has not been identified. A business plan shall include the following emergency response <br /> procedures for a release or threatened release of 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 was corrected on site. <br /> This is a Class II violation. <br /> FA0013585 PRO521136 SCO01 05/03/2019 <br /> EHD 19-01 Rev.09/27/2018 Page 2 of 3 Hazardous Materials Program OR <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />