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SAN J OAQ U I N Environmental Health Department <br /> COUNTY <br /> Iii <br /> Greotness grows here. <br /> Hazardous Materials Program Inspection Report <br /> Facility Name: Facility Phone: Date: <br /> VERIZON WIRELESS HWY 120 S MAIN (866)694-2415 August 19, 2020 <br /> Facility Address: CERS ID: <br /> 1153 VANDERBILT CIR, MANTECA, CA 95336 10143651 <br /> Inspection Contact: Title: Phone: <br /> Melvin Mercado Engineer III 1 (209)262-0716 <br /> Inspection Type: Program: <br /> ROUTINE INSPECTION-Operating Permit 11921 - HMBP-Regular-Primary Location <br /> Consent For: Consent Given By: <br /> ❑x Inspection ❑x Photos ❑ Samples I Melvin Mercado, Engineer III <br /> CCR=Title 19 California Code of Regulations HSC=Health and Safety Code CFR=Code of Federal Regulations <br /> V=Violation R=Repeat violation COS=Corrected on site during inspection <br /> Violations <br /> 1 SJO 4432 Failed to pay annual operating fees ❑V ❑R ❑COS <br /> 2 HSC 25505,25508(a) Failed to initially complete and electronically submit a HMBP ❑V ❑R ❑COS <br /> (1) <br /> 3 HSC 25507 Failed to establish and implement a hazardous materials business plan ❑V ❑R ❑COS <br /> 4 HSC 25508(a)(1) Failed to electronically submit the Business Activities or Owner/Operator Identification page ❑V ❑R ❑COS <br /> 5 HSC 25505(a)(1) Failed to electronically submit hazardous materials inventory for all reportable materials on site ❑V ❑R ❑COS <br /> 6 HSC 25505(a)(2) Failed to electronically submit a site map with all required content ❑V ❑R ❑COS <br /> 7 HSC 25505(a)(3) Failed to electronically submit an adequate ER procedures for a release or threatened release ❑V ❑R ❑COS <br /> 8 HSC 25505(a)(4) Failed to establish and electronically submit a reasonable or an adequate training program ❑V ❑R ❑COS <br /> 9 HSC 25508(a)(1) Failed to annually review and certify that the HMBP is complete and accurate by the due date ❑V ❑R ❑COS <br /> 10 HSC 25508.1(a)-(f) Failed to electronically update the HMBP within 30 days of substantial change in operations ❑V ❑R ❑COS <br /> 11 HSC 25505(a)(4) Failed to provide or document initial and/or refresher training to appropriate personnel ❑V ❑R ❑COS <br /> 12 HSC 25505(c) Failed to have the HMBP readily available to facility or EHD personnel ❑V ❑R ❑COS <br /> 13 HSC 25505.1 Failed to notify property owner that facility is subject to and in compliance with the HMBP program ❑V ❑R ❑COS <br /> 14 HSC 25505.1 Business on leased property failed to provide copy of HMBP Win 5 days of request by property owner ❑V ❑R ❑COS <br /> 15 HSC 25510(a) Failed to report actual or threatened release to the EHD and/or CalOES Warning Center ❑V ❑R ❑COS <br /> 16 HSC 25507.1 Failed to electronically submit ER plan when not meeting Ag handler exemption requirements ❑V ❑R ❑COS <br /> 17 HSC 25507.1 Failed to electronically submit training program when not meeting Ag handler exemption requirements ❑V ❑R ❑COS <br /> 18 HSC 25505,25507.2 Failed to establish and implement a HMBP when not meeting remote unstaffed facility exemptions ❑V ❑R ❑COS <br /> 19 HSC 25404.1.2 Failed to submit a certification and written response within 30 days for minor violations ❑V ❑R ❑COS <br /> 20 HSC 25507.1(a)(2) Failure of Ag handler to post adequate warning signs to meet exemption requirements ❑V ❑R ❑COS <br /> 1010 See below Unlisted Administration/Documentation violation ❑V ❑R ❑COS <br /> 1020 See below Unlisted Training violation ❑V ❑R ❑COS <br /> 1030 See below Unlisted Operations/Maintenance violation ❑V ❑R ❑COS <br /> 1040 See below Unlisted Release/Leaks/Spills violation ❑V ❑R ❑COS <br /> 1045 See below Unlisted Release/Leaks/Spills-Local Ordinance ❑V ❑R ❑COS <br /> 1050 See below Unlisted Abandonment/Illegal Disposal/Unauthorized Treatment violation ❑V ❑R ❑COS <br /> 1055 See below Unlisted Abandonment/Illegal Disposal/Unauthorized Treatment-Local Ordinance ❑V ❑R ❑COS <br /> FA0022078 PR0538206 SCO01 08/19/2020 <br /> EHD 19-01 Rev.9/20/2019 Page 1 of 2 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 />