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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 . socehd . com HAZARDOUS MATERIALS PROGRAM INSPECTION REPORT Facility Facility ' /�, Inspection Name: d Phone : v8� � �i ;. � Date : FacilityN. f7 A . ��O _ Ilh/ nn q / CERS Address : L� lam. ! S C_,s ID : Inspection Title : Contact: �✓G6 S �� hone : is 4. 49 •2 v Inspection Yp �• ;7 / Program :L / Consent Given For: Consent ;)Clnspection Photos ❑ Sampling Given By: ljqq jiGp 7L CCR = California Code of Regulations HSC = Health and Safety Code CFR = Code of Federal 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 plan (V335) ❑ ❑ ❑ 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) >9 ❑ ❑ 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 (V348) ❑ ❑ ❑ 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) ❑ ❑ 10 HSC 25508 . 1 (a4) Failed to submit revisions to HMBP 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) ❑ i 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 • l�L.�ss7 i Lis- ` / ✓��l c� , � O itC ��L / 'S' /l �.C7�'! < ,C- T" lit / Z ' 6c�t OF a czvar ' l a. ' ALL EHD STAFF TIME, SSOCIATED WITH FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL BE BILLED AT THE CURRENT HOURLY RATE. THIS FA I Y IS SUBJECT TO REINSPECTION AT ANY TIME AT EHDJ' S CURRENT HOURLY RATE . Received by gnat , — Title: � � r � Date : Receivedri name): Inspector: j Inspector phone: (�urGr7< 445 46 b � ,�� z Coq ., 9 EHD 19-01 REV 7 8/16 Page 1 HM INSPECTION REPORT