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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 1868 East Hazelton Avenue , Stockton , California 95205 - 6232 Telephone: (209 ) 46&3420 Fax: (209) 468 -3433 Web: www . slcehd . com HAZARDOUS MATERIALS PROGRAM INSPECTION REPORT Facility FacilityInspection Name: e J to A Phone: Zoo jj _ 4� 72 7 / Date : Z0i 9' Facility CERS Address: ID : / 0 8 .3o3q� G Inspection j Titl Phone: Contact: U. v.� Gt�� V1 CY, v " Of� L � � Qn/ ✓ / ( �� Rl e-vY Zoy �- qit 747 / Inspecti L Program : TYPe : Q 4rcz�T 11 ✓L v � Z. Consent Given or: Consent krispection ) � /Photos ❑ Sampling Given By: t t Y v 1 CCR = California Code of Regulations HSC = Health and Safety Code CFR = Code of Federal 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) ❑ ❑ ❑ 25508 a 1 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 (v348) ❑ ❑ ❑ 8 HSC 25505 (a) (4) Failed to submit a training program or program is not reasonable or adequate for facility (V350) X ❑ ❑ 9 HSC 25508 . 2 Failed to annually review and certify that the business plan is complete , accurate , and up to date (V342) Cl ❑ ❑ 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) K ❑ ❑ 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) ❑ ❑ Cl 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/Spilis violation (V356) ❑ ❑ ❑ SUMMARY OF VIOLATIONS CLASS I , CLASS II, or MINOR — Notice to Comply '� 20 e_/4 ovive o ` e SS N G C ALL EHDtSTAFF TIME ASSOCIATKID WITH FAILING T 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 . Receive (si ature): Title: Date : Z L > UaM � � /YICQ 1 �-� l - -S [ cj Received by (printed na�lnsr Inspec r: Inspector phone : n1 �( Vc l t cV vY��f o -e�T L-O �- Z (z� 95 - �. ZW)L EHD 19-01 REV 07/28/16 Pagel HM INSPECTION REPORT