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SAN JOAQUIN - COUNTY. Environmental Health Department Hazardous Materials Program Inspection Report Facility Name: AMERICAN MEDICAL RESPONSE Facility Phone: (209) 948-5136 Date: July 17; 2019 Facility Address: 3755 N WEST LN, STOCKTON, CA 95204 CERS ID: 10182793 Inspection Contact: Mike Peterson Title: Deployment Coordinator Phone: (209) 405-0622 Inspection Type: ROUTINE INSPECTION - Operating Permit Program: 1921 - HMBP-Regular-Primary Location Consent For: 0 Inspection 0 Photos ❑ Samples I Consent Given By: I Denise Esparza, Administrative Supervisor C R = a ifomia ode of Regulations HSC =Heath and Safety Code CFR =Code of Federal Regulations V = Violation R = Repeat violation COS = Corrected on site during inspection Violations 1 SJO 4432 Failed to pay annual operating fees ❑ V ❑ R ❑ COS 2 HSC 25505, 25508(a) 1 Failed to complete and electronically submit a hazardous materials business plan ❑ V ❑ R ❑ COS 3 HSC 25507 Failed to establish and implement a hazardous materials business plan ❑ V ❑ R ❑ COS 4 HSC 25508(a)(1) Failed to complete and/or submit the Business Activities or Owner/Operator Identification page ❑ V ❑ R ❑ COS 5 HSC 25505(a)(1) Failed to complete and/or submit hazardous materials inventory for all reportable materials on site ■ V ❑ R ❑ COS 6 HSC 25505(a)(2) Failed to complete and/or submit a site map with all required content ■ V ❑ R ❑ COS 7 HSC 25505(a)(3) Failed to establish and/or submit emergency response procedures for a release or threatened release ❑ V ❑ R ❑ COS 8 HSC 25505(a)(4) Failed to submit a training program or program is not reasonable or adequate for facility ■ V ❑ R ❑ COS 9 HSC 25508(a)(1) Failed to annually review and certify that the business plan is complete, accurate, and up to date ❑ V ❑ R ❑ COS 10 HSC 25508.1(a) -(f) Failed to submit revisions to business plan within 30 days of substantial change in operations ❑ V ❑ R ❑ COS 11 HSC 25505(a)(4) Failed to provide or document initial and/or refresher training to appropriate personnel ❑ V ❑ R ❑ COS 12 HSC 25505(c) Failed to have the business plan readily available to facility or EHD personnel ❑ V ❑ R ❑ COS 13 HSC 25505.1 Failed to notify property owner that facility is subject to and in compliance with the HMBP program ❑ V ❑ R ❑ COS 14 HSC 25505.1 Business on leased property failed to provide copy of HMBP wfin 5 days of request by property owner ❑ V ❑ R ❑ COS 15 HSC 25510(a) Failed to report actual or threatened release to the EHD and/or CalOES Warning Center ❑ V ❑ R ❑ COS 16 HSC 25507.1 Failed to submit emergency response plan when not meeting Ag handler exemption requirements ❑ V ❑ R ❑ COS 17 HSC 25507.1 Failed to submit training program when not meeting Ag handler exemption requirements ❑ V ❑ R ❑ COS 18 HSC 25505, 25507.2 Failed to establish and implement a HMBP when not meeting remote unstaffed facility exemptions ❑ V ❑ R ❑ COS 19 HSC 25404.1.2 Failed to submit a certification and written response within 30 days for minor violations ❑ V ❑ R ❑ COS 20 HSC 25507.1(a)(2) Failure of Ag handler to post adequate warning signs to meet exemption requirements ❑ V ❑ R ❑ COS 1010 See below Unlisted Administration/Documentation violation ❑ V ❑ R ❑ COS 1020 See below Unlisted Training violation ❑ V ❑ R ❑ COS 1030 See below Unlisted Operations/Maintenance violation ❑ V ❑ R ❑ COS 1040 See below Unlisted Release/Leaks/Spills violation ❑ V ❑ R ❑ COS 1045 See below Unlisted Release/Leaks/Spills - Local Ordinance ❑ V ❑ R ❑ COS 1050 See below Unlisted AbandonmenUlllegal Disposal/Unauthorized Treatment violation ❑ V ❑ R ❑ COS 1055 See below Unlisted Abandonment/illegal Disposal/Unauthorized Treatment - Local Ordinance ❑ V ❑ R ❑ COS FA0009595 PRO519756 SCO01 07/17/2019 EHD 19-01 Rev. 09/17/2018 Page 1 of 3 Hazardous Materials Program OIR 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com