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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, Califomia 95205-6232 <br /> Telephone:(209)468-3420 Fax:(209)468-3433 Web:www.siaov.oro/ehd <br /> CONTINUATION FORM Page: 5 of 5 <br /> OFFICIAL INSPECTION REPORT Date: 12/13/12 <br /> Facility Address: 1021 Industrial Dr., Stockton Program: HW <br /> SUMMARY OF VIOLATIONS <br /> CLASS I,CLASS II,or MINOR-Notice to Comply) <br /> - An emergency coordinator and modified contingency plan information was lacking. There must be at <br /> least one emergency coordinator on site or on call to coordinate emergency response measures, and <br /> the following information must be posted by a phone: the name and phone number of the emergency <br /> coordinator; location of fire extinguishers, spill control equipment, and if present, fire alarm; and the <br /> phone number of the fire department, unless the facility has a direct alarm. A modified contingency plan <br /> was completed and posted in the control room at the time of inspection. <br /> ** A full contingency plan may be used instead of the modified contingency information <see above>. A <br /> contingency plan must be kept current at all times and shall include all of the following: <br /> -actions facility personnel shall take in response to fires, explosions, and unplanned release to air, <br /> soil, or surface water <br /> -arrangements agreed to by local police departments, fire departments, hospitals, cleanup <br /> contractors, and state & local emergency response teams <br /> -names, addresses & phone numbers (office & home) of the Emergency Coordinator and any <br /> alternates <see definition below> <br /> -list of all emergency equipment at the facility (fire, spill, communications/alarms, decontamination), <br /> including location, physical description, and a brief outline of its capabilities <br /> -evacuation plan, including at least two routes and signals to be used <br /> -telephone number of Cal EMA <br /> **At all times there shall be at least one employee either on the facility premises or on call (available to <br /> respond to an emergency by reaching the facility within a short period of time) with the responsibility for <br /> coordinating all emergency response measures. This emergency coordinator shall be thoroughly <br /> familiar with. <br /> - all aspects of the facility's contingency plan (and have the authority to commit the resources needed <br /> to carry out the contingency plan) <br /> - all operations and activities at the facility <br /> - the location and characteristics of waste handled <br /> - the location of all records within the facility <br /> - the facility layout <br /> Provided: Modified Contingency Plan template, CERS Lead User Authorization form, CERS HMMP flyer, <br /> Return to Compliance Certification form <br /> ALL EHD STAFF TIME ASSOCIATED WITH FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL BE BILLED AT THE CURRENT HOURLY RATE. <br /> THIS FACILITY IS SUBJECT TO REINSPECTION AT ANYTIME AT EHOIS CURRENT HOURLY RATE. <br /> EHD inspector i of By, Tid <br /> Stacy Rivera (209) 468-3440 , <br /> EMD 23-02-003 Ra 04/19/12 ONTINUATION FORM <br />