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S A N J D AR I N Environmental Health Department lj ;'�J i y Hazardous Materials Program Inspection Report Facility Name: Facility Address: Date: UNITED#5447 1469 E HAMMER LN, STOCKTON August 05, 2021 SUMMARY OF VIOLATIONS (CLASS I,CLASS II,or MINOR-Notice to Comply) Item# Remarks 6 HSC 25505(a)(2) Failed to electronically submit a site map with all required content. OBSERVATION: The site map is inaccurate.The following inacurracies were observed on site: -The water shut of valve listed along Hammer Lane was not observed -The carbon dioxide tank was observed on the opposite side of the store, on the same side of the spill control equipment. -There were 2 emergency gas pump shut offs located on the outside walls of the store that were not listed on the map. -A fire extinguisher listed in the cashier area was not observed.The second fire extinguisher was observed in front of the cold box. REGULATION GUIDANCE:A site map shall contain a north orientation, loading areas, internal roads, adjacent streets, storm and sewer drains, access and exit points, emergency shutoffs, evacuation staging areas, hazardous material handling and storage areas, and emergency response equipment. If a site map element is not applicable for your facility then list it on the map and label as"NA". CORRECTIVE ACTION: Immediately log into the California Environmental Reporting System (CERS)at http://cers.calepa.ca.gov/, upload the correct or updated information, and submit to the EHD for approval. This is a minor violation. 7 HSC 25505(a)(3) Failed to electronically submit an adequate ER procedures for a release or threatened release. OBSERVATION: The emergency response(ER)procedures were lacking or inadequate. The Local Unified Program Agency(UPA/CUPA) phone number is listed incorrectly on the Consolidated Emergency Response/Contingency Plan. The listed phone number is 209-953-6200 which is SJC Office of Emergency Services.The SJC CUPA phone number is 209-468-3420. REGULATION GUIDANCE:A business plan shall include the following emergency response procedures for a release or threatened release of hazardous materials, including, but not limited to,the following: -immediate notification of local emergency personnel and the Environmental Health Department(EHD) -procedures for the mitigation of a release or threatened release to minimize any potential harm or damage to persons, property, or the environment -evacuation plans and procedures, including immediate notice,for the site CORRECTIVE ACTION: Immediately log into the California Environmental Reporting System (CERS)at http://cers.calepa.ca.gov/, upload the correct or updated information, and submit to the EHD for approval. This is a Class II violation. Overall Inspection Comments: Conducted a Hazardous Materials Business Plan (HMBP) inspection. There were two violation(s) during the inspection. Complete and submit a copy of the Return to Compliance Certification form to the EHD with a statement documenting the corrective actions that have been or will be taken for each violation, and any supporting paperwork, by 9/4/2021. To minimize person to person contact EHD is choosing to write the name of person receiving the report instead FA0001570 PR0519433 SCO01 08/05/2021 EHD 19-01 Rev.9/16/2020 Page 2 of 3 Hazardous Materials Program OIR 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/EHD