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S A J D A I Environmental Health Department <br /> Hazardous Materials Program Compliance Review Report <br /> Facility Name: Facility Phone: Date: <br /> Walmart#1554 209 473-2796 August 05 2020 <br /> Facility Address: CERS ID: <br /> 3223 E Hammer Ln Stockton CA 95212 10148931 <br /> Inspection Contact: Title: Phone: <br /> Rickey Robertson FStore Manager (209)473-2796 <br /> VIOLATIONS <br /> The following non-inspection related violations listed below from the California Health and Safety Code (HSC), California Code <br /> Requlations (CCR) and/or the Code of Federal Regulations (CFR)were found. <br /> #15 HSC 25510(a) Failed to report actual or threatened release to the EHD and/or CalOES Warning Center <br /> OBSERVATIONS:A release of motor oil occurred on July 15, 2020 and was not reported to the EHD and Cal OES <br /> Immediately upon occurrence or discovery. A release or threatened release of a hazardous material shall be verbally <br /> reported immediately to the EHD and Cal OES. Submit a written statement to EHD stating any future releases or threatened <br /> releases of a hazardous material will be reported immediately to the EHD and Cal OES. <br /> This is a Class I violation. <br /> OVERALL NOTES AND COMMENTS <br /> Complete and submit a copy of the Return to Compliance Certification form to the EHD with a statement documenting the <br /> corrective actions that have been or will be taken for each violation, and any supporting paperwork, by September 4, 2020. <br /> Release occurred or was discovered on July 15, 2020 and has not been reported to the EHD and was not reported to Cal <br /> OES until July 31, 2020. <br /> To minimize person to person contact EHD is choosing to write the name of person receiving the report instead of having <br /> them sign. Starting September 1, 2018, all in-office CERS help will be provided at EHD hourly rate ($152). To schedule an <br /> appointment, please call (209)468-3420. <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 ANY TIME AT EHD'S CURRENT HOURLY RATE <br /> Please submit all requested documentation to the address below, attention to: ROBERT LOPEZ, Haz Mat Specialist ll. <br /> If you have any questions, please contact ROBERT LOPEZ at(209) 953-6214. <br /> FA0015721 PR0523451 SC011 08/05/2020 <br /> Rev.04/11/2019 Page 1 of 1 Hazardous Materials Program Compliance Review Report <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />