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lit NJQAQUL Environmental Health Department <br /> oAs <br /> ttt SP .r I ------_ PCO U N T Yw. <br /> 'F [t _ tat s' ( hi' �:rt Iaae , § T� roivS �l0ri' . <br /> Facility Name : Facility Phone: Date : <br /> BUTLER MOBILE CLEANING SERVICE INC (209) 649- 1094 March 04 , 2020 <br /> Facility Address: CERS ID: <br /> 108 N HOUSTON LN , LODI , CA 95240 10187783 <br /> Inspection Contact: Title: Phone: <br /> Michelle Butler General Manager (209) 235-5074 <br /> Inspection Type: Program: <br /> ROUTINE INSPECTION to, Operating Permit 1921 - HMBP-Regular-Primary Location <br /> Consent For: I Consent Given By : <br /> Inspection (9 Photos ❑ Samples I Albert Butler, Owner <br /> CCR = Tide 19 California Code of Regulations HSC = Health and Safety Code CFR = Code of Federal Regulations <br /> V = Violation R = Repeat violation COS = Corrected Pon site during inspection <br /> 1 SJO 4432 Failed to pay annual operating fees D V D R D COS <br /> 2 HSC 25505 , 25508(a) Failed to complete and electronically submit a hazardous materials business plan ■ V D R ■ COS <br /> ( 1 ) <br /> 3 HSC 25507 Failed to establish and implement a hazardous materials business plan D V D R D COS <br /> 4 HSC 25508(a) ( 1 ) Failed to complete and/or submit the Business Activities or Owner/Operator Identification page e V D R ■ COS <br /> 5 HSC 25505(a) (1 ) Failed to complete and/or submit hazardous materials inventory for all reportable materials on site o V D R ■ COS <br /> 6 HSC 25505(a) (2) Failed to complete and/or submit a site map with all required content ■ V D R ■ COS <br /> 7 HSC 25505(a) (3) Failed to establish and/or submit emergency response procedures for a release or threatened release ■ V D R ■ COS <br /> 8 HSC 25505(a) (4) Failed to submit a training program or program is not reasonable or adequate for facility ■ V D R ■ COS <br /> 9 HSC 25508(a) (1 ) Failed to annually review and certify that the business plan is complete, accurate , and up to date ■ V D R ■ COS <br /> 10 HSC 25508 . 1 (a)-(f) Failed to submit revisions to business plan within 30 days of substantial change in operations D V D R D COS <br /> 11 HSC 25505(a) (4) Failed to provide or document initial and/or refresher training to appropriate personnel e V ❑ R D COS <br /> 12 HSC 25505(c) Failed to have the business plan readily available to facility or EHD personnel D V ❑ R D COS <br /> 13 HSC 25505 . 1 Failed to notify property owner that facility is subject to and in compliance with the HMBP program D V ❑ R D COS <br /> 14 HSC 25505 . 1 Business on leased property failed to provide copy of HMBP w/in 5 days of request by property owner D V D R D COS <br /> 15 HSC 25510(a) Failed to report actual or threatened release to the EHD and/or CaIOES Warning Center D V D R D COS <br /> 16 HSC 25507. 1 Failed to submit emergency response plan when not meeting Ag handler exemption requirements D V D R D COS <br /> 17 HSC 25507 . 1 Failed to submit training program when not meeting Ag handler exemption requirements D V D R D COS <br /> 18 HSC 25505, 25507 . 2 Failed to establish and implement a HMBP when not meeting remote unstaffed facility exemptions D V D R D COS <br /> 19 HSC 25404. 1 . 2 Failed to submit a certification and written response within 30 days for minor violations D V D R D COS <br /> 20 HSC 25507 . 1 (a) (2) Failure of Ag handler to post adequate warning signs to meet exemption requirements D V D R D COS <br /> 1010 See below Unlisted Administration/Documentation violation D V D R D COS <br /> 1020 See below Unlisted Training violation D V D R D COS <br /> 1030 See below Unlisted Operations/Maintenance violation D V D R D COS <br /> 1040 See below Unlisted Release/Leaks/Spills violation D V D R D COS <br /> 1045 See below Unlisted Release/Leaks/Spills - Local Ordinance D V ❑ R D COS <br /> 1050 See below Unlisted Abandonment/Illegal Disposal/Unauthorized Treatment violation D V D R D COS <br /> 1055 See below Unlisted Abandonment/illegal Disposal/Unauthorized Treatment - Local Ordinance D V D R ❑ COS <br /> FA0021238 PRO544651 SCO01 03/04/2020 <br /> EHD 19-01 Rev, 9/20/2019 Page 1 of 4 Hazardous Materials Program OIR <br /> 1868 E . Hazelton Avenue Stockton , California 952051 T 209 468-3420 1 F 209 464-0138 1 www. sjcehd . com <br />