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SAN '�d DAQ II II Environmental Health Department <br /> COUNT`o' <br /> Hazardous Materials Program Inspection Report <br /> Facility Name: Facility Address: Date: <br /> MID VALLEY AG SVC 15658 ESCALON BELLOTA RD, ESCALON June 09, 2020 <br /> Chemical Inventory: <br /> discard chemicals, such as Bifenthrin 2 EC, Parazone 3S from CERS chemical inventory that you are no longer <br /> storing or selling at this facility. <br /> 1536 gallons of Intrepid 2F found on-site and reported 992 gallons. <br /> Site Map: <br /> The facility submitted two separate site maps to CERS to meet the requirement. The site maps are not <br /> numbered. Either consolidate the site map or number them. Site map must contain the following information: <br /> north orientation, loading areas, internal roads, adjacent streets, storm and sewer drains, access and exit points, <br /> emergency shutoffs, evacuation staging areas, hazardous material handling and storage areas and emergency <br /> response equipment. If a site map element is not applicable for your facility then list it on the map and label as <br /> 'NA', or include a statement on the map that says the element is not on site. Chemicals Storage Areas need to <br /> be labeled with the type of chemicals stored at the location(s) or list the chemicals stored at the location(s). <br /> To minimize person to person contact EHD is choosing to write the name of person receiving the report instead <br /> of having them sign. <br /> AFTER THE COMPLIANCE DATE, EHD WILL BILL FOR ALL TIME AND ACTIVITIES ASSOCIATED WITH BRINGING <br /> THIS FACILITY BACK INTO COMPLIANCE. <br /> THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br /> Received by: Date: June 11, 2020 Inspector: Inspector Phone: <br /> Printed Name and Title: HAZA SAEED, Lead Senior REHS (209)953-6212 <br /> Sam Robinson, Compliance/Safety Officer <br /> FA0010322 PR0520234 SCO01 06/09/2020 <br /> EHD 19-01 Rev.9/20/2019 Page 4 of 4 Hazardous Materials Program OIR <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />