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COMPLIANCE INFO_2021
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PR0511394
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COMPLIANCE INFO_2021
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Last modified
9/21/2021 9:02:36 AM
Creation date
8/18/2021 9:50:47 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1900 - Hazardous Materials Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0511394
PE
1921
FACILITY_ID
FA0003848
FACILITY_NAME
Verizon Business: KINGCA
STREET_NUMBER
13850
Direction
N
STREET_NAME
DE VRIES
STREET_TYPE
RD
City
LODI
Zip
95240
APN
05524018
CURRENT_STATUS
01
SITE_LOCATION
13850 N DE VRIES RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\kblackwell
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EHD - Public
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SAN J O A g U I N Environmental Health Department <br />Hazardous Materials Program Inspection Report <br />Facility Name: Facility Phone: Date: <br />Verizon Business: KINGCA (916) 554-3300 August 17, 2021 <br />CJniE:i.• AJJ-�-�. <br />13850 IN DE VRIES RD. LODI, CA 95240 <br />Zachary Feingold <br />ROUTINE INSPECTION - O <br />Consent For: <br />0 -Inspection 9 Photos 0 S <br />CCR = Titi. 1q caifinrnlw r -no .,r P., <br />1 SJO 4432 <br />2 MSG 25505,25508(a) <br />(1) <br />3 HSC 25507 <br />4 HSC 2550%a)(1) <br />5 HSC 25505(a)(1 } <br />6 HSC 25505(a)(2) <br />7 <br />1 HSC 25505(a)(3) <br />8 <br />HSC 25505(a)(4) <br />9 <br />HSC 25508,2 <br />10 <br />HSC 25508.1(a) -(f) <br />11 <br />HSC 25505(a)(4) <br />12 <br />HSC 25505(c) <br />13 <br />HSC 25505.1 <br />14 <br />HSC 25505.1 <br />15 <br />HSC 25510(a) <br />16 <br />HSC 25507,1 <br />17 <br />HSC 25507,1 <br />18 <br />MSC 25505, 25507.2 <br />19 <br />HSC 25404.1.2 <br />20 <br />HSC 25507.1(a)(2), T19 <br />2671 <br />1010 <br />See below <br />1020 <br />See below <br />1030 <br />See below <br />1040 <br />See below <br />1045 <br />See below <br />1050 <br />See below <br />1055 <br />i See below <br />Permit <br />Environmental Contact <br />1921 - H <br />consent Given By: <br />Jonathan Pakele, Sr Telecom Tech <br />C = Health and Safetv Code CFR = rnda �f <br />Violations <br />Failed to pay annual operating fees <br />Failed to initially complete and electronically submit a HMBP <br />10181479 <br />879-2712 <br />ular-Primary Location <br />V = Violation R = Repeat violation CDS = Corrected on site during inspection <br />Failed to establish and implement a hazardous materials business plan <br />Failed to electronically submit the Business Activities or Owner/Operator Identification page <br />Failed to electronically submit hazardous materials inventory for all reportable materials on site <br />Failed to electronically submit a site map with all required content <br />Failed to electronically submit an adequate ER procedures for a release or threatened release <br />Failed to establish and electronically submit a reasonable or an adequate training program <br />Failed to annually review and certify that the HMBP is complete and accurate by the due date <br />Failed to electronically update the HMBP within 30 days of substantial change in operations <br />Failed to provide or document initial andlor refresher training to appropriate personnel <br />Failed to have the HMBP readily available to facility or EHD personnel <br />Failed to notify property owner that facility is subject to and in compliance with the HMBP program <br />Business on leased property failed to provide copy of HMBP Win 5 days of request by property owner <br />Failed to report actual or threatened reisase to the EHD andlor CalOES Warning Center <br />Failed to electronically submit ER plan when not meeting Ag handler exemption requirements <br />Failed to electronically submit training program when not meeting Ag handler exemption requirements <br />Failed to establish and implement a HMBP when not meeting remote unstaffed facility exemptions <br />Failed to submit a certification and written response within 30 days for minor violations <br />Failure of Ag handler to post adequate warning signs to meet exemption requirements <br />Unlisted Administration/Documentation violation <br />Unlisted Training violation <br />Unlisted Operations/Maintenance violation <br />Unlisted Release/Leaks/Spills violation <br />Unlisted Release/Leaks/Spills - Local Ordinance <br />Unlisted Abandonment/lllegal Disposal/Unauthorized Treatment violation <br />Unlisted AbandonmenVlllegal Disposal/Unauthorized Treatment - Local Ordinance <br />V - R c COS <br />n V ❑ R COS <br />V ❑ R - Cos <br />.. V R c COS <br />V n R ❑ COS <br />iii ❑R TCOS <br />❑V z cCOS <br />uV o ❑COS <br />n V ❑ R COS <br />❑V n ❑COS <br />❑V u -COS <br />❑V =R ❑COS <br />,V ❑R cCOS <br />P V 7 R COS <br />eV ...R cCOS <br />V R COS <br />:V -R ❑COS <br />V ❑ R COS <br />❑V uR ACOS <br />uV rR cCOS <br />-V r ❑COS <br />❑V ❑R =COS <br />❑V =R cCOS <br />*V ❑R 7iCOS <br />-V .R ^COS <br />o V .: R = COS <br />a V _ R COS <br />FA0003848 PRO511394 SC001 OR11712021 <br />EHD 19-01 Rev, 9/1612020 Page 1 of 2 Hazardous Materials Program O!R <br />1868 E. Hazelton Avenue I Stockton, California 952051 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/EHD <br />
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