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SANJ 0 A U I Environmental Health Department <br /> 0UIITY <br /> Hazardous Materials Program Inspection Report <br /> Facility Name: Facility Address: Date: <br /> UNIVERSITY OF THE PACIFIC PHYSICAL 1050 W BROOKSIDE RD, STOCKTON August 08 2019 <br /> SUMMARY OF VIOLATIONS <br /> (CLASS I,CLASS II,or MINOR-Notice to Comply) <br /> Item# Remarks <br /> 11 HSC 25505(a)(4) Failed to provide or document initial and/or refresher training to appropriate personnel. <br /> Documentation showing initial and annual refresher training of the following elements was not available at the time of <br /> inspection: <br /> 1. Familiarity with the emergency response plans and procedures in the event of a release or threatened release of a <br /> hazardous material; (Emergency Response/Contingency Plan familiarization). <br /> 2. Immediate notification contacts to the appropriate local emergency response personnel and to the unified program <br /> agency; (spill reporting). <br /> 3. Procedures for the mitigation of a release or threatened release to minimize any potential harm or damage to <br /> persons, property, or the environment; (spill response). <br /> 4. Evacuation plans and procedures, including immediate notice, for the business site; (evacuation training). <br /> The business plan shall include provisions for ensuring that appropriate personnel receive initial and annual refresher <br /> training. This training shall be documented electronically or by hard copy and shall be made available for a minimum <br /> of three years. Immediately provide employee training for appropriate personnel and submit a copy of the training <br /> records to the EHD. <br /> This is a Class II violation. <br /> Overall Inspection Comments: <br /> An inspection checklist was provided to the facility operator on the day of inspection,August 8, 2019. The EHD <br /> has written this complete report which replaces the initial checklist. <br /> Complete and submit a copy of the Return to Compliance Certification form to the EHD with a statement <br /> documenting the corrective actions that have been or will be taken for each violation, and any supporting <br /> paperwork, within 30 days of receiving the completed inspection report. <br /> Starting September 1, 2018, all in-office CERS help will be provided at EHD hourly rate ($152). To schedule an <br /> appointment, please call (209) 468-3420. <br /> AFTER THE COMPLIANCE DATE, EHD WILL BILL FOR ALL TIME AND ACTIVITIES ASSOCIATED WITH BRINGING THIS <br /> FACILITY BACK INTO COMPLIANCE. <br /> THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br /> Received by: Date: August 08, 2019 Inspector: Inspector Phone: <br /> Printed Name and Title: ROBERT LOPEZ, Haz Mat Specialist II (209) 953-6214 <br /> Mike Ubick,Asst. Dir. of EH & S <br /> FA0014405 PR0519263 SCO01 08/08/2019 <br /> EHD 19-01 Rev.09/27/2018 Page 3 of 3 Hazardous Materials Program OIR <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />