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Mar 27 2018 14,38 HP Fax page 3 ,, v�� Environments ��tlt�' ai�p�ir� s ,:.�:� t Nov � zo1� FA0018327 PR0528762 SC001 11ro912o1a EHD 19-01 Rev. 09/27!2018 Page 1 of 3 Hazardous Materials Program OIR 1868 E. Hazelton Avenue � Stockton, California 95205 � T 209 468-3420 � F 209 464-0138 � wevw.sjcehd.com Received Time Nov, 28. 201$ 1:13PM No, 4416 Fj �,� T# -t a � �, n °I f � >{)�: tLri a ` t ` � e:, 7�,�� M,y I fir. r(��{ r � � y� ' y�� t ,; 3 tr� ,�� Y c3�h:E � j � ��L�L�!.t�i��tr�J114x�r��w4��StF^��.7} �,� Facility Name: Facility Phone: � � , .- �z ' z�: 4 3 �'[ 'x", r-. Dater MANTECA GAS &FOOD" (209) 209-2233 November 09, 2018 Facility Addreaa: CERS ID: 1229 E LOUISE AVE, MANTECA, CA 95336 10186837 Inspection Contact: Title: Phone: Jasbir Singh Manager (209) 239-2233 Inspoctlon Type: Program: ROUTINE INSPECTION -Operating Permit 1920 -HMBP-Common Materials Consent For: Consent Given By: ® Ins action ©Photos ❑Sam les Jasbir Singh, Manager CCR =Title 19 Catfornia Code of Regulations HSC =Health and Safety Code CFR =Code o(Federal Regula4ons V =Violation R = Repeal vlaWtlon COS = Cortected on site during Inspedlon _ , hre�§ t.,iyi �. �F __ i a� t 1- tQ��1:jfl8i' (r.- t� -ti _ � �_,X ��i y� a �< - .-r ' 1 SJO 4432 Failed to pay annual operating tees c V o R o COS 2 NSC 25505, 25508(a) (1j Failed to complete and electronically submit a hazardous materials business pian c V ❑ R o COS 3 HSC 25507 Failed to establish and implement a hazardous materials business plan ❑ V ❑ R o COS 4 CCR 2fi52(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 end/or submit a site map with all required content ❑ V v R c COS 7 HSC 25505{a)(3) Failed to establish andlor submH emergency response procedures for a release or threatened release ■ V o R ■COS 8 CCR 2658, 2659 Failed to submit a training program or program is not reasonable or adequate for facility ❑ V ❑ R ❑COS 9 HSC 25508(x)(1) Failod 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 n R ❑COS 11 HSC 25505(a)(4) Failed to provide or document initial and/or refresher training to appropriate porsonnei ❑ V ❑ R ❑COS 12 HSC 25505(c) Failed to have the business plan readily available io facility or EHD personnel ❑ V ❑ R ❑COS 13 HSC 25505.1 Failed to notify property owner Ihat facility is subject to and in compliance wHh the HMBP program o V o R o COS 1d HSC 25505.1 Business on leased property failed to provide copy of HMBP w/in 5 days of request by property owner n V ❑ R ❑COS 15 HSC 25510(a) Failed to report actual or threatened release to the END and/or CatOES Warning Center ❑ V ❑ R ❑COS 16 CCR 2670, 2671 Felled to submit emergency response plan when not meeting Ag handler exemption requirements ❑ V o R ❑COS 17 CCR 2670, 2671 Failed to submit training program whey not meeting Ag handler exemption requirements n V o 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 o V ❑ R ❑COS 20 CCR 2670, 2671 Failure of Ag handler to post adequate warning signs to meet exemption requirements ❑ V ❑ R ❑COS 1010 See below Unlisted AdministralionlDocumentatlon violation ❑ V ❑ R ❑COS 1020 See below Uniisted Training violation � V ❑ R ❑COS 1030 Sse below Unlisted Operations/Maintenance violation o V ❑ R o COS 1040 See below Unlisted ReleaselLeaksl5pil15 violation � V ❑ R ❑COS 1045 See below Unlisted RaleaselLeaks/Spills -Local Ordinance ❑ V ❑ R c COS 1050 See below Unlisted Abandonmenl/lliegal DisposaVUnauthorized Treatment violation ❑ V o R o COS 1055 See below Unlisted AbandonmenUlliegal DisposaVUnauthorized Treatment -Local Ordinance ❑ V ❑ R ❑ GOS FA0018327 PR0528762 SC001 11ro912o1a EHD 19-01 Rev. 09/27!2018 Page 1 of 3 Hazardous Materials Program OIR 1868 E. Hazelton Avenue � Stockton, California 95205 � T 209 468-3420 � F 209 464-0138 � wevw.sjcehd.com Received Time Nov, 28. 201$ 1:13PM No, 4416