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JAN^^ .J FAQ N I N Environmental Health Department Hazardous Materials Program Inspection Report Facility Name: Facility Phone: Date : gpf� >t►'� � � {� �( :� l 8r Gl r ; I I �.a � • - � ss -3 i/ y- c o � i � Facility Z � O IDO co I _ L.. ► V e� T � • rr �'�Y`�'� 9S xmz. 7 CERGa... Inspection Contact: 19 Title: Phone: - ° 1 C;k- A CL 0 V Zo 7 - 7, 3 // � Insection Type: Pro r m: i +— I 14 2 O Consent For: Comr6nt Given By: Kins ection KPhotos L1Samples ` kca� � yt A L6 LtIrck.+ I CCR = Title 19 California Code of Regulations HSC = Health and Safety Code CFR = 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 n V OR o COS 2 HSC 25505, 25508(a) Failed to initially complete and electronically submit a HMBP AV o R o COS (1 ) 3 HSC 25507 Failed to establish and implement a hazardous materials business plan 4kV o R o COS 4 HSC 25508(a)(1 ) Failed to electronically submit the Business Activities or Owner/Operator Identification page V o R o COS 5 HSC 25505(a)(1 ) Failed to electronically submit hazardous materials inventory for all reportable materials on site WV o R o COS 6 HSC 25505(a)(2) Failed to electronically submit a site map with all required content / o R o COS 7 HSC 25505(a)(3) Failed to electronically submit an adequate ER procedures for a release or threatened release N V o R o COS 8 HSC 25505(a) (4) Failed to establish and electronically submit a reasonable or an adequate training program jl11/ o R o COS 9 HSC 25508.2 Failed to annually review and certify that the HMBP is complete and accurate by the due date / o R o COS 10 HSC 25508, 1 (a)-(f) Failed to electronically update the HMBP within 30 days of substantial change in operations dV o R o COS 11 HSC 25505(a)(4) Failed to provide or document initial and/or refresher training to appropriate personnel / OR o COS 12 HSC 25505(c) Failed to have the HMBP readily available to facility or EHD personnel XV o R o COS 13 HSC 25505. 1 Failed to notify property owner that facility is subject to and in compliance with the HMBP program o V o 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 o V OR o COS 15 HSC 25510(a) Failed to report actual or threatened release to the EHD and/or CalOES Warning Center o V OR o COS 16 HSC 25507. 1 Failed to electronically submit ER plan when not meeting Ag handler exemption requirements o V OR o COS 17 HSC 25507. 1 Failed to electronically submit training program when not meeting Ag handler exemption requirements o V OR o COS 18 HSC 25505, 25507.2 Failed to establish and implement a HMBP when not meeting remote unstaffed facility exemptions o V OR o COS 19 HSC 25404. 1 .2 Failed to submit a certification and written response within 30 days for minor violations o V o R o COS 20 HSC 25507A (a) (2) , T19 Failure of Ag handler to post adequate warning signs to meet exemption requirements o V o R o COS 2671 1010 See below Unlisted Administration/Documentation violation o V o R o COS 1020 See below Unlisted Training violation o V o R o COS 1030 See below Unlisted Operations/Maintenance violation o V o R o COS 1040 See below Unlisted Release/Leaks/Spills violation ❑ V o R o COS 1045 See below Unlisted Release/Leaks/Spills - Local Ordinance o V OR o COS 1050 See below Unlisted Abandonment/Illegal Disposal/Unauthorized Treatment violation o V o R o COS 1055 See below Unlisted Abandonment/illegal Disposal/Unauthorized Treatment - Local Ordinance o V OR o COS FA0009065 PR0519356 SCO03 02/01 /2021 EHD 19-01 Rev, 9/16/2020 Page 1 of 2 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