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COMPLIANCE INFO_2021
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1900 - Hazardous Materials Program
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PR0546871
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COMPLIANCE INFO_2021
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Entry Properties
Last modified
12/6/2021 8:54:41 AM
Creation date
5/10/2021 5:05:38 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1900 - Hazardous Materials Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0546871
PE
1921
FACILITY_ID
FA0026553
FACILITY_NAME
MANTECA WELL #28
STREET_NUMBER
802
STREET_NAME
SLALOM
STREET_TYPE
DR
City
MANTECA
Zip
95337
CURRENT_STATUS
01
SITE_LOCATION
802 SLALOM DR
P_LOCATION
04
QC Status
Approved
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SJGOV\gmartinez
Tags
EHD - Public
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SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East Hazelton Avenue, Stockton, California 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: www.sjcehd.com <br />EHD19-01 REV 07/28/16 raye i � ���� ����� ��- � �-�� � • •�� -�• • <br />HAZARDOUS MATERIALS PROGRAM <br />INSPECTION <br />REPORT <br />COS <br />Facilit <br />Namey <br />I ^ / f <br />� L <br />�7 <br />�Ij <br />Facility <br />Phone: 2�9" <br />Q <br />�6' U�C- <br />° <br />Inspection 2 242 <br />Date: J��/ 1 <br />HSC 25505, <br />25508 a 1 <br />I'f. V V�/�� <br />� <br />❑ <br />❑ <br />3 <br />HSC 25507 <br />Facility <br />Q /1� I� M <br />V <br />]'�� n ,� �n��C� <br />�/ <br />/� /� <br />L j"� <br />4 <br />HSC 25508(a)(1) <br />CERS <br />ID: <br />Address: <br />(j � C / , ` <br />ll% <br />5 <br />HSC 25506(a) <br />Failed to complete and/or submit hazardous materials inventory for all reportable materials on site (V343) <br />ALL EHD STAFF T 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 />❑ <br />❑ <br />6 <br />HSC 25505(a)(3) <br />Failed to complete and/or submit a site map with all required content (V347) <br />�b � o U�� - � <br />Inspection <br />Contact: <br />/ /��j <br />�� % L l � / v t � �7� l <br />Title: <br />�L�� /�Z�/Z <br />� O e �'�- tr�6 <br />Phone: <br />;�O 9 -' �'i%7"20�'0 <br />Inspection <br />Type: <br />j�t%GQ tl/�� <br />❑ <br />Progra <br />2 / <br />HSC 25505(a)(4) <br />Failed to submit a training program or program is not reasonable or adequate for facility (V350) <br />� <br />❑ <br />❑ <br />9 <br />HSC 25508.2 <br />Failed to annually review and certify that the business plan is complete, accurate, and up to date (V342) <br />Con nt Given For:/ Consent <br />Given By: t'�/ � f Q '� (,L <br />% <br />❑ <br />10 <br />nspection <br />tdPhotos ❑Sampling <br />❑ <br />❑ <br />❑ <br />11 <br />CCR =California Code of Regulations HSC =Health <br />and Safety Code CFR =Code of <br />Federal Regulations <br />SJO =San <br />Joaquin County Ordinance <br />12 <br />HSC 25505(c) <br />V =Violation R = Re eat <br />COS =Corrected on site during inspection <br />EHD19-01 REV 07/28/16 raye i � ���� ����� ��- � �-�� � • •�� -�• • <br />Violations <br />V <br />R <br />COS <br />1 <br />SJO 4432 <br />Failed to pay annual operating fees (V851) <br />❑ <br />❑ <br />° <br />2 <br />HSC 25505, <br />25508 a 1 <br />Failed to complete and electronically submit a hazardous materials business plan (V335) <br />� <br />❑ <br />❑ <br />3 <br />HSC 25507 <br />Failed to establish and implement a hazardous materials business plan (V334) <br />� �� c17.� 6► <br />❑ <br />❑ <br />4 <br />HSC 25508(a)(1) <br />Failed to complete and/or submit the Business Activities or Owner/Operator Identification page (V345) <br />❑ <br />❑ <br />5 <br />HSC 25506(a) <br />Failed to complete and/or submit hazardous materials inventory for all reportable materials on site (V343) <br />ALL EHD STAFF T 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 />❑ <br />❑ <br />6 <br />HSC 25505(a)(3) <br />Failed to complete and/or submit a site map with all required content (V347) <br />�b � o U�� - � <br />❑ <br />❑ <br />7 <br />HSC 25505(a)(3) <br />Failed to establish and/or submit emergency response procedures for a release or threatened release Iv3aal <br />r� <br />❑ <br />❑ <br />8 <br />HSC 25505(a)(4) <br />Failed to submit a training program or program is not reasonable or adequate for facility (V350) <br />� <br />❑ <br />❑ <br />9 <br />HSC 25508.2 <br />Failed to annually review and certify that the business plan is complete, accurate, and up to date (V342) <br />❑ <br />❑ <br />10 <br />HSC 25508.1 (a -f) <br />Failed to submit revisions to HMBP within 30 days of substantial change in operations (V346) <br />❑ <br />❑ <br />❑ <br />11 <br />HSC 25505(a)(4) <br />Failed to provide or document initial and/or refresher training to appropriate personnel (V349) <br />❑ <br />❑ <br />❑ <br />12 <br />HSC 25505(c) <br />Failed to have the business plan readily available to facility or EHD personnel (V850) <br />❑ <br />❑ <br />13 <br />HSC 25505.1 <br />Failed to notify property owner that facility is subject to and in compliance with the HMBP program (V341) <br />❑ <br />❑ <br />❑ <br />14 <br />HSC 25510 <br />Failed to report actual or threatened release to the EHD and/or CaIOES Warning Center (V338) <br />❑ <br />❑ <br />❑ <br />15 <br />HSC 25507.1 <br />Failed to submit emergency response plan when not meeting Ag handler exemption requirements (351) <br />❑ <br />❑ <br />❑ <br />16 <br />HSC 25507.1 <br />Failed to submit training program when not meeting Ag handler exemption requirements (V352) <br />❑ <br />❑ <br />❑ <br />17 <br />HSC 25507.2 <br />Failed to establish and implement a HMBP when not meeting remote unstaffed facility exemptions (V353) <br />❑ <br />❑ <br />❑ <br />18 <br />HSC 25511 <br />Failed to submit a written response within 30 days of receiving an inspection report (V808) <br />❑ <br />❑ <br />❑ <br />1010 <br />See below <br />Unlisted Administration/Documentation violation (V355) <br />❑ <br />❑ <br />❑ <br />1040 <br />See below <br />Unlisted Release/LeakslSpills violation (V356) <br />❑ <br />❑ <br />° <br />EHD19-01 REV 07/28/16 raye i � ���� ����� ��- � �-�� � • •�� -�• • <br />SUMMARY OF VIOLATIONS <br />CLASS <br />I, CLASS II, or MINOR —Notice to Com I <br />�� s 'a ��c <br />o�� n s <br />�� � �.Ls � v��'�.� <br />nf2 /tom �hol,�" <br />�c ui�� h -e � sin �s s <br />�0 SC���n � � ol- �t.2� 5C�J1-Ls at -e �� �. G <br />f;�ss ` <br />�r� h�� <br />�� �h,� �L� �foan;f.�- <br />�i ��r���-z`� <br />�,� <br />S • � � � <br />IZ5' � �'� 'yri� �� SD o <br />� �� c17.� 6► <br />�. � ll <br />�r -� 'f s CI 1(Jo <br />l��rty o� <br />.�� <br />a log , <br />ALL EHD STAFF T 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 />Received by (signature): <br />Ivo �� i2 d u{ <br />�b � o U�� - � <br />Title: <br />T6��,�i�{� � D c �R �'� � <br />Date: <br />5'%3 / z.o zl <br />Received b (printed name): <br />Inspector: <br />Inspector phone: <br />A,��I�lO �ii�.lti5j <br />� <br />IG� L.o�h,�f�� <br />2a9—�68�D62-3 <br />�Ti�ni n�nnoT <br />EHD19-01 REV 07/28/16 raye i � ���� ����� ��- � �-�� � • •�� -�• • <br />
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