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SAN JOAO IN <br />Environmental Health Department <br />Hazardous Materials Program Inspection Report <br />Facility Name: <br />Facility Address: <br />Date: <br />WESTERN SQUARE INDUSTRIES INC <br />1621 N BROADWAY AVE, STOCKTON <br />May 10, 2021 <br />Violations <br />1055 <br />See below <br />Unlisted Abandonment/illegal Disposal/Unauthorized Treatment - Local Ordinance <br />❑ V ❑ R ❑ COS <br />SUMMARY OF VIOLATIONS <br />(CLASS I, CLASS II, or MINOR - Notice to Comply) <br />Item # <br />Remarks <br />HSC 25508(a)(1) Failed to electronically submit the Business Activities or Owner/Operator Identification page. <br />OBSERVATION: The Business Activities and Owner/Operator Identification pages have not been annually <br />certified/submitted as a part of the business. Business Activities and Owner/Operator Identification pages has not <br />been annually certified/submitted since 9/24/2019. <br />REGULATION GUIDANCE: Per H&SC 25508.2, the business owner/operator shall annually review and certify that <br />the business plan is complete, accurate, up4o-date and in compliance with Section 11022 of Title 42 of the United <br />States Code. An annual electronic submittal satisfies these requirements. The annual business plan shall be <br />submitted/certified by January 15 of each calendar year and may be submitted beginning November 1 of the <br />I previous year. i <br />i <br />i <br />I CORRECTIVE ACTION: Immediately log into the CERS at http://cers.calepa.ca.gov/, review and submit/certify the <br />current information. <br />t <br />This was corrected on site. l <br />This is a Class II violation. <br />FA0009733 PR0519833 SCOD1 D5/10lZC:: <br />EHD 19-01 Rev. 9/16/2D20 P��p � Ci` 7 Hazarclous Materials Proaran ^!" <br />1868 E. Hazelton Avenue � Stockton, California 95205 � 7 209 488-3420 � F 209 484-0138 � www.sjgov.org/EHD <br />