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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 HAZARDOUS MATERIALS PROGRAM INSPECTION REPORT Facility I 11 C 10 Facility Inspection Name : L C k v C1 J tJsL b � A Phone : ZB cl .. 7 Z 7- 3 v-� Date: q Facility ^� Address: / a3S � •� 9 S 3 / DERS fG . s Inspection Title: `(/ Contact: GL ✓ / i�G Phone : oce) u � v �� ✓ �l e ✓ Zo Inspectio Z •- 3 l Program : [� O Type: es c.a.T t ri — © : ti i� p.r rw 1 4— —` 1 Consent Given For: Consent (' Inspection Photos ❑ Sampling Given By: u ✓k IF-/ ti J t CCR = California Code of Regulations HSC = Health and Safety Code CFR = Code of Fe eral Regulations SJO = San Joaquin County Ordinance V = Violation R = Repeat COS = Corrected on site during inspection Violations V R COS 1 SJO 4432 Failed to pay annual operating fees (V851 ) ❑ ❑ ❑ 2 2 508 aHSC 5 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) ❑ ❑ ❑ 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 (vane) ❑ ❑ ❑ 8 HSC 25505 (a) (4) Failed to submit a training program or program is not reasonable or adequate for facility (V350) ❑ ❑ ❑ 9 HSC 25508 . 2 Failed to annually review and certify that the business plan is complete , accurate , and up to date (V342) ❑ ❑ ❑ 10 HSC 25508 . 1 (a-f) Failed to submit revisions to HMBP within 30 days of substantial change in operations (V346 ) ❑ ❑ ❑ 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 CalOES 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 ,,ll n (CLASS I, CLASS II, or MINOR — Notice to Comply T O OGL/s^ d j O J :aV 6 t,vt d!O � d -� t r C 01W T1• ae. � L� / 11-2 n Q e. e-� �✓ O „t S a e j ZO [ ; dol Cr s , C Lam / , CA , as f /! 19 .L S' -Z +z- b � J44eit. / .. T4 - C4 f COOLS v ' � •e � X41250 ALL EHD STAFF TIME ASSOCIATED WITH FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL BE BILLED AT THE GUR IDURLY RATE , THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD 'S CURRENT HOURLY RATE . Received by (signature) : Title: Date: Received by (printed narrift Inspector: / *�' Inspector phone :Hask7 (( I 5I L d� -P l 1L � Z S � ' 6Z / / EHD 19-01 REV 07/28/16 v Page 1 HM INSPECTION REPORT