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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 . sicehd . com Facility HAZARDOUS MATERIALS PROGRAM INSPECTION REPORT ` Name : i Aoicl Facility Inspection Facility 1 �✓ ` Phone : ZO ti - 10117 � � Date: 7 Address: C1 e4l p e, 4p, p CERS Inspection ! ID : O 4 Contact: Title: $ � � Phone : Inspectio `� ZO goat � ` *7 (� Type : Program : Consent Given For: Conse ❑ Inspection ❑ Photos ❑ Sampling Given By: 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 1 SJO 4432 Failed to pay annual operating fees (V851 ) V R COS HSC 25505 , ❑ ❑ ❑ 2 25508 a 1 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) ,K El❑ 5 HSC 25506 (a) Failed to complete and/or submit hazardous materials inventory for all reportable materials on site (V343) ❑ 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 (v34a) ❑ 8 HSC 25505 (a) (4) Failed to submit a training program or program is not reasonable or adequate for facilityV350 ( ) ,� ❑ dC 9 HSC 25508 .2 Failed to annually review and certify that the business plan is complete , accurate , and up to date (V342) / ❑ 10 HSC 25508A (a-f) Failed to submit revisions to HMBP within 30 days of substantial change in operations (V346 K X 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) ❑ 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 CaIOES 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 000 q C11 ALL EHD STAFF TIME ASS OCIATELr WITH FAILING TOMPLY BY THE A OVE NOTE DATES ILL BE BILLED THE�CURRENT H0� Li� rQ THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD 'S CURRENT HOURLY RATE. Recei�(signature) : Title : Date : - Y� C owe -� Received b (printed name) : Inspector: i Inspector phone: EHD 19-01 REV 07/28/16 Page 1 HM INSPFC;TInN RFpnRT