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S A N J 0 A Q I I I Irl Environmental Health Department <br /> CCUN r <br /> Hazardous Materials Program Inspection Report <br /> Facility Name: Facility Address: Date: <br /> KETTLEMAN CHEVRON 601 E KETTLEMAN LN, LODI July 27, 2021 <br /> SUMMARY OF VIOLATIONS <br /> (CLASS I,CLASS II,or MINOR-Notice to Comply) <br /> Item# Remarks <br /> 4 HSC 25508(a)(1) Failed to electronically submit the Business Activities or Owner/Operator Identification page. <br /> OBSERVATION: The Business Owner/Operator Identification form was not submitted on time. The business <br /> owner/operator identification form was submitted late on 04/08/2019, 04/27/2020, and 04/26/2021. <br /> REGULATION GUIDANCE: The business plan shall be submitted by January 15 of each calendar year and may be <br /> submitted beginning November 1 of the previous year. <br /> CORRECTIVE ACTION: Log into the California Environmental Reporting System (CERS)at <br /> http://cers.calepa.ca.gov/, enter the correct or updated information, and submit to the EHD for approval by January <br /> 15 of each calendar year. <br /> This is a minor violation. <br /> 5 HSC 25505(a)(1) Failed to electronically submit hazardous materials inventory for all reportable materials on site. <br /> OBSERVATION: The following hazardous materials inventory issues were observed: <br /> -Low PH Presoak carwash chemical was observed in the car wash tunnel and has not been reported to CERS. <br /> -the inventory contains obsolete hazard categories <br /> -the hazardous materials inventory was submitted late in 2019,2020, and 2021 <br /> REGULATION GUIDANCE:Any material that meets or exceeds the reportable quantity shall be reported in the <br /> facility's business plan. <br /> CORRECTIVE ACTIONS: This violation was corrected on site. <br /> This is a minor violation. <br /> 6 HSC 25505(a)(2) Failed to electronically submit a site map with all required content. <br /> OBSERVATION: The following site map issues were observed: <br /> -missing loading areas <br /> -missing internal roads <br /> -missing hazardous materials storage areas <br /> -missing all access and exit points <br /> -submitted late in 2019, 2020, and 2021 <br /> REGULATION GUIDANCE:A site map shall contain a north orientation, loading areas, internal roads, adjacent <br /> streets, storm and sewer drains, access and exit points, emergency shutoffs, evacuation staging areas, hazardous <br /> material handling and storage areas, and emergency response equipment. <br /> If a site map element is not applicable for your facility then list it on the map and label as"NA". <br /> CORRECTIVE ACTION: This violation was corrected on site. <br /> This is a minor violation. <br /> FA0003803 PR0520964 SCO01 07/27/2021 <br /> EHD 19-01 Rev.9/16/2020 Page 2 of 4 Hazardous Materials Program OIR <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/EHD <br />