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SAN JOAQUIN Environmental Health Department COUNT Y Hazardous Materials Program Inspection Report Facility Name : Facility Phone: Date: TkCQ 16 / Facility Address : s CERS ID : Inspction Contact: Title: one: G fpl Inspection Type: Program: Consent For: Consent Given By : _ )(Inspection XPhotos ❑ Samples Cd.A. � G ✓ CCR = Title 19 California Code of Regulations HSC = Health and Safety Code CFR = Code of Federal Regulations V = Violation R = Repeat violation COS = Corrected on site during inspection Violations 1 SJO 4432 Failed to pay annual operating fees c V c R D COS 2 HSC 25505, 25508(a) Failed to initially complete and electronically submit a HMBP RV D R D COS (1 ) 3 HSC 25507 Failed to establish and implement a hazardous materials business plan XV D R c COS 4 HSC 25508 (a) (1 ) Failed to electronically submit the Business Activities or Owner/Operator Identification page .V c R c COS 5 HSC 25505(a)( 1 ) Failed to electronically submit hazardous materials inventory for all reportable materials on site )V c R c COS 6 HSC 25505(a) (2) Failed to electronically submit a site map with all required content XV c R D COS 7 HSC 25505(a) (3) Failed to electronically submit an adequate ER procedures for a release or threatened release <V c R o COS 8 HSC 25505(a) (4) Failed to establish and electronically submit a reasonable or an adequate training program Iry D R c COS 9 HSC 25508 . 2 Failed to annually review and certify that the HMBP is complete and accurate by the due date c V D R c COS 10 HSC 25508 . 1 (a)-(f) Failed to electronically update the HMBP within 30 days of substantial change in operations c V o R c COS 11 HSC 25505(a)(4) Failed to provide or document initial and/or refresher training to appropriate personnel >(V c R D COS 12 HSC 25505(c) Failed to have the HMBP readily available to facility or EHD personnel *V D R D COS 13 HSC 25505. 1 Failed to notify property owner that facility is subject to and in compliance with the HMBP program o V c R o COS 14 HSC 25505. 1 Business on leased property failed to provide copy of HMBP w/in 5 days of request by property owner c V D R c COS 15 HSC 25510 (a) Failed to report actual or threatened release to the EHD and/or CalOES Warning Center c V D R c COS 16 HSC 25507. 1 Failed to electronically submit ER plan when not meeting Ag handler exemption requirements c V o R c COS 17 HSC 25507. 1 Failed to electronically submit training program when not meeting Ag handler exemption requirements u V c R D COS 18 HSC 255053 25507 . 2 Failed to establish and implement a HMBP when not meeting remote unstaffed facility exemptions o V c R c COS 19 HSC 25404 . 1 . 2 Failed to submit a certification and written response within 30 days for minor violations o V c R o COS 20 HSC 25507 . 1 (a) (2) , T19 Failure of Ag handler to post adequate warning signs to meet exemption requirements c V D R c COS 2671 1010 See below Unlisted Administration/Documentation violation c V c R c COS 1020 See below Unlisted Training violation D V c R D COS 1030 See below Unlisted Operations/Maintenance violation D V c R c COS 1040 See below Unlisted Release/Leaks/Spills violation o V c R o COS 1045 See below Unlisted Release/Leaks/Spills - Local Ordinance c V c R c COS 1050 See below Unlisted Abandon ment/IIlegaI Disposal/Unauthorized Treatment violation c V o R c COS 1055 See below Unlisted Abandon ment/IIlegal Disposal/Unauthorized Treatment - Local Ordinance c V c R c COS FA0009065 PRO519356 SCO03 02/01 /2021 EHD 19-01 Rev. 9/16/2020 Page 1 of 2 Hazardous Materials Program OIR 1868 E . Hazelton Avenue I Stockton , California 95205 1 T 209 468-3420 F 209 464-0138 1 www . sjgov. org/EHD