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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.s'cehd.com HAZARDOUS MATERIALS PROGRAM INSPECTION REPORT Facility 7((1� C 1 Facility Inspection o Name: 5 a G k'1'd v C� 6 0. Phone:Z-45y. 7 Z 7-3 Y-00 Date: Facility / / 7 ^'� Address: / d3.s •� 001 9S ?J / ID: -'- � Inspection Title: /(/ Contact: Lt !�i��a4;2c, Phone: �wu� ✓ ✓t e✓ Ph Inspectio L Program: p Type' 1© �v �: 1 Q✓.�► r -� I Cl 1 Consent Given For: Consent Inspection Photos ❑ Sampling Given By: 9u,✓k %IF sIA, CCR=California Code of Regulations HSC=Health and Safety Code CFR=Code of Fe era]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 HSC 25505, 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(V34e( ❑ ❑ ❑ 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) 71 ❑ 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 Warring 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) 71 71 SUMMARY OF VIOLATIONS CLASS I, CLASS II,or MINOR-Notice to Comply 140 cagy 6 c'.4 d;o'Kd.e- I �- `,, .� - Cope6l .e. CA as- t C,,- X J a cc C'o v"'I -e d t l0"Z5'i-Zo ALL EHD STAFF TIME ASSOCIATED WITH FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL BE-BILLED AT THE CURRENT-HOURLY RATE. THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. Received by(signature): Title:OW4VA- .-- Gz � Date: t Received by(printed namO: Inspector: / Inspector phone: 7 EHD 19-01 REV 07/28/16 v Pagel HM INSPECTION REPORT