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SAN J OA Q U I N Environmental Health Department COUNTY Hazardous Materials Program Inspection Report Facility Name : . Facility Phone: Date: mw i 4 33 - 7 - O 8' Facility Address: 2 4 /!_ CER ID: 23 I 7 �r s r l0 Inspe tion Co ct: Title: , Phone: ryl Ck � 0 •f iv" LIM 5i O 1 ecti o Type: WProgram: _ p O Q, �d -Q✓ � � O Consent For: Consent iven L ns ection I�hotos ❑ Samples 4e �- T CCR = Title 19 California Code of Regulations HSC = Health and Safety Code c..oFCFR = 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 D V D R D COS 2 HSC 255059 25508(a) Failed to initially complete and electronically submit a HMBP / D R /1111 OS (1 ) 3 HSC 25507 Failed to establish and implement a hazardous materials business plan D R PKICOS 4 HSC 25508(a)(1 ) Failed to electronically submit the Business Activities or Owner/Operator Identification page D R ACOS 5 HSC 25505(a) (1 ) Failed to electronically submit hazardous materials inventory for all reportable materials on site �VV',V'. D R ACOS 6 HSC 25505(a)(2) Failed to electronically submit a site map with all required content �`� D R D COS 7 HSC 25505(a) (3) Failed to electronically submit an adequate ER procedures for a release or threatened release XV D R IWOS 8 HSC 25505(a)(4) Failed to establish and electronically submit a reasonable or an adequate training program &V ❑ R COS / A 9 HSC 25508.2 Failed to annually review and certify that the HMBP is complete and accurate by the due date 10 HSC 25508. 1 (a)-(t) Failed to electronically update the HMBP within 30 days of substantial change in operations D V D R D COS 11 HSC 25505(a) (4) Failed to provide or document initial and/or refresher training to appropriate personnel < " D R D COS 12 HSC 25505(c) Failed to have the HMBP readily available to facility or EHD personnel 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 D V D R o COS 14 HSC 25505. 1 Business on leased property failed to provide copy of HMBP Win 5 days of request by property owner ❑ V D R D COS 15 HSC 25510(a) Failed to report actual or threatened release to the EHD and/or CalOES Warning Center D V D R D COS 16 HSC 25507. 1 Failed to electronically submit ER plan when not meeting Ag handler exemption requirements D V D R D COS 17 HSC 25507. 1 Failed to electronically submit training program when not meeting Ag handler exemption requirements D V D R D COS 18 HSC 25505, 25507.2 Failed to establish and implement a HMBP when not meeting remote unstaffed facility exemptions D V D R D COS 19 HSC 25404. 1 .2 Failed to submit a certification and written response within 30 days for minor violations D V ❑ R D COS 20 HSC 25507. 1 (a) (2) , T19 Failure of Ag handler to post adequate warning signs to meet exemption requirements D V D R D COS 2671 1010 See below Unlisted Administration/Documentation violation D V D R ❑ COS 1020 See below Unlisted Training violation D V D R D COS 1030 See below Unlisted Operations/Maintenance violation D V D R D COS 1040 See below Unlisted Release/Leaks/Spills violation D V ❑ R ❑ COS 1045 See below Unlisted Release/Leaks/Spills - Local Ordinance D V D R D COS 1050 See below Unlisted Abandonment/illegal Disposal/Unauthorized Treatment violation D V D R D COS 1055 See below Unlisted Abandonment/Illegal Disposal/Unauthorized Treatment - Local Ordinance D V D R D COS FA0009065 PR0519356 SCO03 02/01 /2021 EHD 19-01 Rev. 9/16/2020 Pagel of 2 Hazardous Materials Program OIR 1868 E . Hazelton Avenue I Stockton , California 952051 T 209 468-34201 F 209 464-0138 1 www. sjgov. org/EHD I