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San Joaquin County <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue , Stockton , California 95205-6232 <br /> Telephone: (209 ) 468-3420 Fax : (209 ) 468 -3433 Web : www . sigov . org/ehd <br /> Hazardous Materials Program Inspection Report <br /> Facility Name : Facility Phone: Date : <br /> GBM Manufacturing Inc . (888 ) 862-8397 December 28 , 2017 <br /> Facility Address : CERS ID : <br /> 1145 S SIERRA NEVADA ST , STOCKTON , CA 95205 10181589 <br /> Inspection Contact: Title: Phone: <br /> Toni Shi Owner (888 ) 862-8397 <br /> Inspection Type: Program: <br /> Field Activity/Other Inspection (n /c ) 4891 - BUSINESS LICENSE (BL ) <br /> Consent For: Consent Given By: <br /> 0 Inspection O Photos 0 Sam les Tony Shi , Owner <br /> CCR = Califomia Code of Regulations HSC = Health and Safety Code CFR = Code of Federal Regulations <br /> V = Violation R = Repeat violation COS = Corrected on site during inspectio <br /> Violations <br /> 1 SJO 4432 Failed to pay annual operating fees ❑ V ❑ R ❑ COS <br /> 2 HSC 25505 , 25508 (a )(1 Failed to complete and electronically submit a hazardous materials business plan ❑ V ❑ R ❑ COS <br /> 3 HSC 25507 Failed to establish and implement a hazardous materials business plan ❑ V ❑ R ❑ COS <br /> 4 HSC 25508(a)(1 ) Failed to complete and/or submit the Business Activities or Owner/Operator Identification page ❑ V ❑ R ❑ COS <br /> 5 HSC 25506(a )(1 ) Failed to complete and/or submit hazardous materials inventory for all reportable materials on site ❑ V ❑ R ❑ COS <br /> 6 HSC 25505 (a )(2) Failed to complete and/or submit a site map with all required content ❑ V ❑ R ❑ COS <br /> 7 HSC 25505 (a )(3 ) Failed to establish and/or submit emergency response procedures for a release or threatened release ❑ V ❑ R ❑ COS <br /> 8 HSC 25505 (a)(4) Failed to submit a training program or program is not reasonable or adequate for facility ❑ V ❑ R ❑ COS <br /> 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 <br /> 10 HSC 25508 . 1 (a )-(o Failed to submit revisions to business plan within 30 days of substantial change in operations ❑ V ❑ R ❑ COS <br /> 11 HSC 25505 (a )(4 ) Failed to provide or document initial and/or refresher training to appropriate personnel ❑ V ❑ R ❑ COS <br /> 12 HSC 25505(c) Failed to have the business plan readily available to facility or EHD personnel a V ❑ R o COS <br /> 13 HSC 25505 . 1 Failed to notify property owner that facility is subject to and in compliance with the HMBP program ❑ V ❑ R ❑ COS <br /> 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 <br /> 15 HSC 25510 (a ) Failed to report actual or threatened release to the EHD and/or CalOES Warning Center ❑ V ❑ R ❑ COS <br /> 16 HSC 25507 . 1 Failed to submit emergency response plan when not meeting Ag handler exemption requirements ❑ V ❑ R ❑ COS <br /> 17 HSC 25507 . 1 Failed to submit training program when not meeting Ag handler exemption requirements ❑ V ❑ R ❑ COS <br /> 18 HSC 25505 , 25507 .2 Failed to establish and implement a HMBP when not meeting remote unstaffed facility exemptions ❑ V ❑ R ❑ COS <br /> 19 HSC 25511 Failed to submit a written response within 30 days of receiving an inspection report ❑ V ❑ R ❑ COS <br /> 1010 See below Unlisted Administration/Documentation violation ❑ V ❑ R ❑ COS <br /> 1020 See below Unlisted Training violation ❑ V ❑ R ❑ COS <br /> 1030 See below Unlisted Operations/Maintenance violation ❑ V ❑ R ❑ COS <br /> 1040 See below Unlisted Release/Leaks/Spills violation ❑ V ❑ R ❑ COS <br /> 1045 See below Unlisted Release/Leaks/Spills - Local Ordinance ❑ V ❑ R ❑ COS <br /> 1050 See below Unlisted Abandonment/Illegal Disposal/Unauthorized Treatment violation ❑ V ❑ R ❑ COS <br /> 1055 See below Unlisted Abandonment/Illegal Disposal/Unauthorized Treatment - Local Ordinance ❑ V ❑ R ❑ COS <br /> SUMMARY OF VIOLATIONS <br /> (CLASS 1, CLASS II, or MINOR - Notice to Comply) <br /> Item # Remarks <br /> FA0004068 PR0519714 SCO10 12/28/2017 <br /> EHD 19-01 Rev. 09/22/16 Page 1 of 2 Hazardous Materials Program OIR <br />