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SAN lOAQUIN <br />Environmental Health Department <br />Hazardous Materials Program Inspection Report <br />Facility Name: [Facility Address:patsVerizon <br />Business: KINGCA 850 N DE VRIES RD, LODI <br />August 17 2021 <br />SUMMARY OF VIOLATIONS <br />(CLASS I, CLASS II, or MINOR - Notice to Comply) <br />Item # Remarks <br />6 HSC 25505(a)(2) Failed to electronically submit a site map with all required content. <br />OBSERVATION: The site map is incomplete. The following items were missing: <br />-loading areas <br />-stormisewer drains <br />-all emergency equipment were not listed: an eye wash bottle was observed in the generator room but was not on <br />the site map. Include the location of the spill kit on the map once the kit has been provided to the site. <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: Immediately log into the California Environmental Reporting System (CERS) at <br />http:/lcers.calepa.ca.gov/, upload the correct or updated information, and submit to the EHD for approval. <br />This is a minor violation. <br />Overall Inspection Comments: <br />Conducted a Hazardous Materials Business Plan (HMBP) inspection. There was 1 violation during the <br />inspection. Complete and submit a copy of the Return to Compliance Certification form to the EHD with a <br />statement documenting the corrective actions that have been or will be taken for each violation, and any <br />supporting paperwork, by September 16, 2021. <br />To minimize person to person contact EHD is choosing to write the name of person receiving the report instead <br />of having them sign. Starting September 1, 2018, all in -office CERS help will be provided at EHD hourly rate <br />($152). To schedule an appointment, please call (209) 468-3420. <br />AFTER THE COMPLIANCE DATE, EHD WILL BILL FOR ALL TIME AND ACTIVITIES ASSOCIATED WITH BRINGING <br />THIS FACILITY BACK INTO COMPLIANCE. <br />THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br />Received by: <br />Date: August 17, 2021 <br />Inspector: <br />Inspector Phone: <br />Printed Name and Title: <br />VICKY VANG-LEE, EH Specialist <br />(209) 616-3028 <br />Emailed to Zachary Feingold, Environmental Contact <br />FAD003848 PR0511384 scoot 08117/2021 <br />EHD 19-01 Rev. 8!1612020 Page 2 of 2 Hazardous Materials Program OIR <br />1868 E. Hazelton Avenue I Stockton, California 952051 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/EHD <br />