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S A N J 0 A Q I I I Irl Environmental Health Department <br /> CCUN r <br /> Hazardous Materials Program Inspection Report <br /> Facility Name: Facility Address: Date: <br /> LBA RV-COMPANY XIX LP 1 14900 W SCHULTE RD,TRACY July 07, 2020 <br /> SUMMARY OF VIOLATIONS <br /> (CLASS I,CLASS II,or MINOR-Notice to Comply) <br /> Item# Remarks <br /> 4 HSC 25508(a)(1) Failed to complete and/or submit the Business Activities or Owner/Operator Identification page. <br /> The Business Owner/Operator Identification form was not submitted for the year of 2020. <br /> This information must be current and submitted as part of the business plan. Immediately log into the California <br /> Environmental Reporting System (CERS)at http://cers.calepa.ca.gov/, enter the correct or updated information, and <br /> submit to the EHD for approval. <br /> This is a minor violation. <br /> 5 HSC 25505(a)(1) Failed to complete and/or submit hazardous materials inventory for all reportable materials on site. <br /> The inventory was not submitted for the year of 2020. <br /> This information must be current and submitted as part of the business plan. Immediately log into the California <br /> Environmental Reporting System (CERS)at http://cers.calepa.ca.gov/, enter the correct or updated information, and <br /> submit to the EHD for approval. <br /> This is a minor violation. <br /> 6 HSC 25505(a)(2) Failed to complete and/or submit a site map with all required content. <br /> A site map was not submitted as part of the business plan. The emergency response and contingency plan has <br /> been uploaded into the site map section. Please put the emergency response and contingency in the the emergency <br /> response and contingency plan section. Then upload a site map with all of the required elements that are listed <br /> below. The site map was also not submitted for the year of 2020. <br /> A site map shall contain a north orientation, loading areas, internal roads, adjacent streets, storm and sewer drains, <br /> access and exit points, emergency shutoffs, evacuation staging areas, hazardous material handling and storage <br /> areas, and emergency response equipment. If a site map element is not applicable for your facility then list it on the <br /> map and label as"NA". Immediately log into the California Environmental Reporting System (CERS)at <br /> http://cers.calepa.ca.gov/, upload the correct or updated information, and submit to the EHD for approval. <br /> This is a minor violation. <br /> FA0025493 PR0544858 SCO01 07/07/2020 <br /> EHD 19-01 Rev.9/20/2019 Page 2 of 5 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 />