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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.s4cehd.com <br /> HAZARDOUS MATERIALS PROGRAM INSPECTION REPORT <br /> Facilityp Facilit <br /> 1v�e c Y 7 %_S�J Inspection <br /> Name: <br /> &� � Phone: 4.v f7%�S Date: / e�12-O1 i7 <br /> FacilityERS <br /> 22 I � <br /> Address: 7��� L4�ifv� /JC � �- /' ID ���2. 7��� <br /> Inspection Title: L/ / Phone: <br /> Contact: 'UlLe �LsG7'Z1G GZ n <br /> Inspection Program: <br /> Type: 4,'74,t�117 <br /> e— 1��z A 10aS 1�6 l ,��awif,%, fC 192-1 <br /> 7ent Given For:./ Consent <br /> pection 'Photos ❑ Sampling I Given By: 0 S' )Polecl <br /> CCR=California Code of Regulations HSC=Health and Safety Code CFR=Code of Federal Regulations SJO=San Joaquin County Ordinance <br /> V=Violation R=Repeat COS=Corrected on site during inspection <br /> Violations V R COS <br /> 1 SJO 4432 Failed to pay annual operating fees(V851) El <br /> ❑ ❑ <br /> 2 HSC 25505,25508(a)(1) Failed to complete and electronically submit a hazardous materials business plan(V335) d <br /> 3 HSC 25507 Failed to establish and implement a hazardous materials business plan(V334) ❑ <br /> 4 HSC 25508(a)(1) Failed to complete and/or submit the Business Activities or Owner/Operator Identification page(V345) 1 ❑ ❑/ <br /> 5 HSC 25506(a) Failed to complete and/or submit hazardous materials inventory for all reportable materials on site(V343) QA ❑ <br /> 6 HSC 25505(a)(3) Failed to complete and/or submit a site map with all required content(V347) ❑ D/ <br /> 7 HSC 25505(a)(3) Failed to establish and/or submit emergency response procedures for a release or threatened release cv34el ❑ <br /> 8 HSC 25505(a)(4) Failed to submit a training program or program is not reasonable or adequate for facility(V350) ivcf <br /> 9 HSC 25508.2 Failed to annually review and certify that the business plan is complete,accurate,and up to date(V342) <br /> 10 HSC 25508.1(a-f) Failed to submit revisions to HMBP within 30 days of substantial change in operations(V346) ❑ <br /> 11 HSC 25505(a)(4) Failed to provide or document initial and/or refresher training to appropriate personnel(V349) ❑ <br /> 12 HSC 25505(c) Failed to have the business plan readily available to facility or EHD personnel(V850) ❑ �/ <br /> 13 HSC 25505.1 Failed to notify property owner that facility is subject to and in compliance with the HMBP program (V341) ❑ ❑ ❑ <br /> 14 HSC 25510 Failed to report actual or threatened release to the EHD and/or CalOES Warning Center(V338) ❑ ❑ ❑ <br /> 15 HSC 25507.1 Failed to submit emergency response plan when not meeting Ag handler exemption requirements(351) ❑ ❑ ❑ <br /> 16 HSC 25507.1 Failed to submit training program when not meeting Ag handler exemption requirements(V352) ❑ ❑ ❑ <br /> 17 HSC 25507.2 Failed to establish and implement a HMBP when not meeting remote unstaffed facility exemptions(V353) 71 ❑ <br /> 18 HSC 25511 Failed to submit a written response within 30 days of receiving an inspection report(V808) ❑ ❑ ❑ <br /> 1010 See below Unlisted Administration/Documentation violation(V355) ❑ ❑ ❑ <br /> 1040 See below Unlisted Release/Leaks/Spills violation(V356) <br /> SUMMARY OF VIOLATIONS <br /> CLASS I, CLASS 11, or MINOR-Notice to Comply <br /> o L e- site 'Th �L zAfj,94o �C1,7 5 G� <br /> '�-D6fie""'� A <br /> ALL E STAFF TIME ASSOCIATED WITH FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL BE BILLED AT THE CURRENT HOURLY RATE. <br /> MIS FACILITY IS SUB CT TO REINSPECTION AT ANY TIME AT END'S CURRENT HOURLY RATE. <br /> Receive (signature): Title: Date: <br /> Rec ived by rinted.. ): Inspector: Inspector phone: <br /> EHD 1 -01 RE 7/28/16 Page 1 HM INSPECTION REPORT <br />