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Environmental Health Department Facility Name: SAFEWAY FUEL CENTER #1769 Facility Address: 2802 COUNTRY CLUB BLVD, STOCKTON, CA 95204 Facility Phone: (925) 467-3000 Program: 1920 - HMBP-Common Materials Inspection Type: ROUTINE INSPECTION - Operating Permit Date: July 07, 2021 CERS ID: 10156809 Inspection Contact: Keith Powers Consent For: Consent Given By: Sandra Harbaugh, Manager Title: Environmental Comp. Mgr Phone: (925) 738-1277 T Inspection T Photos T Samples Hazardous Materials Program Inspection Report R = Repeat violation COS = Corrected on site during inspectionV = Violation CCR = Title 19 California Code of Regulations HSC = Health and Safety Code CFR = Code of Federal Regulations Violations 1 □ V □ R □ COSFailed to pay annual operating feesSJO 4432 2 □ V □ R □ COSFailed to initially complete and electronically submit a HMBPHSC 25505, 25508(a) (1) 3 □ V □ R □ COSFailed to establish and implement a hazardous materials business planHSC 25507 4 □ V □ R □ COSFailed to electronically submit the Business Activities or Owner/Operator Identification pageHSC 25508(a)(1) 5 □ V □ R □ COSFailed to electronically submit hazardous materials inventory for all reportable materials on siteHSC 25505(a)(1) 6 ■ V □ R □ COSFailed to electronically submit a site map with all required contentHSC 25505(a)(2) 7 □ V □ R □ COSFailed to electronically submit an adequate ER procedures for a release or threatened releaseHSC 25505(a)(3) 8 □ V □ R □ COSFailed to establish and electronically submit a reasonable or an adequate training programHSC 25505(a)(4) 9 ■ V □ R ■ COSFailed to annually review and certify that the HMBP is complete and accurate by the due dateHSC 25508.2 10 □ V □ R □ COSFailed to electronically update the HMBP within 30 days of substantial change in operationsHSC 25508.1(a)-(f) 11 □ V □ R □ COSFailed to provide or document initial and/or refresher training to appropriate personnelHSC 25505(a)(4) 12 □ V □ R □ COSFailed to have the HMBP readily available to facility or EHD personnelHSC 25505(c) 13 □ V □ R □ COSFailed to notify property owner that facility is subject to and in compliance with the HMBP programHSC 25505.1 14 □ V □ R □ COSBusiness on leased property failed to provide copy of HMBP w/in 5 days of request by property ownerHSC 25505.1 15 □ V □ R □ COSFailed to report actual or threatened release to the EHD and/or CalOES Warning CenterHSC 25510(a) 16 □ V □ R □ COSFailed to electronically submit ER plan when not meeting Ag handler exemption requirementsHSC 25507.1 17 □ V □ R □ COSFailed to electronically submit training program when not meeting Ag handler exemption requirementsHSC 25507.1 18 □ V □ R □ COSFailed to establish and implement a HMBP when not meeting remote unstaffed facility exemptionsHSC 25505, 25507.2 19 □ V □ R □ COSFailed to submit a certification and written response within 30 days for minor violationsHSC 25404.1.2 20 □ V □ R □ COSFailure of Ag handler to post adequate warning signs to meet exemption requirementsHSC 25507.1(a)(2), T19 2671 1010 □ V □ R □ COSUnlisted Administration/Documentation violation See below 1020 □ V □ R □ COSUnlisted Training violation See below 1030 □ V □ R □ COSUnlisted Operations/Maintenance violation See below 1040 □ V □ R □ COSUnlisted Release/Leaks/Spills violation See below 1045 □ V □ R □ COSUnlisted Release/Leaks/Spills - Local Ordinance See below 1050 □ V □ R □ COSUnlisted Abandonment/Illegal Disposal/Unauthorized Treatment violation See below 1055 □ V □ R □ COSUnlisted Abandonment/Illegal Disposal/Unauthorized Treatment - Local Ordinance See below FA0012764 PR0521072 SC001 07/07/2021 EHD 19-01 Rev. 9/16/2020 Hazardous Materials Program OIRPage 1 of 3 1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjgov.org/EHD