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SAN JOAQUIN <br />C VU+\J I Y <br />Environmental Health Department <br />Hazardous Materials Program Inspection Report <br />CERS submitt <br />Facility Name: Facility Address: <br />Date: <br />WESTERN SQUARE INDUSTRIES INC 1621 N BROADWAY AVE, STOCKTON <br />May 10, 2021 <br />SUMMARY OF VIOLATIONS <br />(CLASS 1, CLASS II, or MINOR- Notice to Comply) <br />Item # <br />Remarks <br />11 <br />HSC 25505(a)(4) Failed to provide or document initial and/or refresher training to appropriate personnel. <br />OBSERVATION: Documentation showing initial and annual refresher training was not available. <br />REGULATION GUIDANCE: The business plan shall include provisions for ensuring that appropriate personnel <br />receive initial and annual refresher training. All employees shall be trained in safety procedures in the event of a <br />release or threatened release of a hazardous material, including, but not limited to, familiarity with the following <br />and procedures: <br />1plans <br />(A) Immediate notification contacts to the appropriate local emergency response personnel and to the unified <br />program agency. <br />(B) Procedures for the mitigation of a release or threatened release to minimize any potential harm or damage to <br />persons, property, or the environment. <br />I (C) Evacuation plans and procedures, including immediate notice, for the business site. <br />This training shall be documented electronically or by hard copy and shall be made available for a minimum of three <br />1 <br />! years. <br />CORRECTIVE ACTION: Immediately Provide employee training for appropriate personnel and submit a copy of the i <br />training records to the EHD. <br />This is a Class II violation. <br />Overall Inspection Comments% <br />Complete and submit a copy of the Return to Compliance Certification form to the EHD with a statement <br />documenting the corrective actions that have been or will be taken for each violation, and any supporting <br />paperwork, by June 9, 2021. <br />al assistance provided at the time of inspection. <br />To minimize person to person contact EHD is choosing to write the name of person receiving the report instead <br />of having them sign. <br />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 />AFTER THE COMPLIANCE DATE, EHD WILL BILL FOR ALL TIME AND ACTIVITIES ASSOCIATED WITH BRINGING <br />THIS FACILITY BACK INTO COMPLIANCE. <br />THIS FACILITY IS SUBJECT TO REINSPECTION Al ANY TIME Al EHD'S CURRENT HOURLY RATE. <br />Date: <br />May 10, 2021 I Inspector: I Inspector Phone: <br />Printed Name and Title: � ROBERT LOPEZ, Haz Mat Specialist II � (209) 953-6214 <br />Emailed to Larry Bartko, Plant Engineer <br />FA0009733 PR0519833 SC001 05/10/2021 <br />EHD 19-01 Rev. 9/16/2020 Page 7 of 7 Hazardous Materials Program QIP <br />1868 E. Hazelton Avenue Stockton, California 95205 1 T 209 468-3420 F 209 464-0138 1 www.sjgov.org/EHD <br />