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SAN J OA Q O I N Environmental Health Department f= ni j - V Hazardous Materials Program Inspection Report Facih Name: Facility Phone: Date: iso LO 4J LJa.w c Q Facility Address • CERS 11 I I ot.. v o � O � IOS�B Ins peFt I o 6A Fa, l Title: � Ic4 �4 (Zo9 2 L Z — f 57 Inspection Type: Program : / v, �E!A/* . � 9 Z Consent For: Consent Given By: 1 Ins ection Photos ❑ Sam les V ` . � ` Q CCR = Title 19 California Code of Regulations HSC = Health and Safety Code CFR = Code of Feder4 Regulations V = Violation R = Repeat violation COS = Corrected on site during Inspection Violations 1 SJO 4432 Failed to pay annual operating fees ❑ V 06040 COS 2 HSC 25505, 25508(a) Failed to initially complete and electronically submit a HMBP 'KV 7 XCOS (1 ) 3 HSC 25507 Failed to establish and implement a hazardous materials business plan AV COS 4 HSC 25508(a)(1 ) Failed to electronically submit the Business Activities or Owner/Operator Identification page XCOS 5 HSC 25505(a)(1 ) Failed to electronically submit hazardous materials inventory for all reportable materials on site P V ❑ 6 HSC 25505(a)(2) Failed to electronically submit a site map with all required content V ❑ R 7 HSC 25505(a)(3) Failed to electronically submit an adequate ER procedures for a release or threatened release AV ❑ R ACOS 8 HSC 25505(a)(4) Failed to establish and electronically submit a reasonable or an adequate training program X V ❑ R e0s 9 HSC 25508.2 Failed to annually review and certify that the HMBP is complete and accurate by the due date o V ❑ R o COS 10 HSC 25508A (a)-(f) Failed to electronically update the HMBP within 30 days of substantial change in operations ❑ V ❑ R ❑ COS 11 HSC 25505(a)(4) Failed to provide or document initial and/or refresher training to appropriate personnel xV ❑ R ❑ COS 12 HSC 25505(c) Failed to have the HMBP readily available to facility or EHD personnel V ❑ R o COS 13 HSC 255405. 1 Failed to notify property owner that facility is subject to and in compliance with the HMBP program ❑ V o R ❑ 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 ❑ R o COS 15 HSC 25510(a) Failed to report actual or threatened release to the EHD and/or CalOES Warning Center o V ❑ R o COS 16 HSC 25507. 1 Failed to electronically submit ER plan when not meeting Ag handler exemption requirements ❑ V o R ❑ COS 17 HSC 25507. 1 Failed to electronically submit training program when not meeting Ag handler exemption requirements ❑ V ❑ R o COS 18 HSC 255051 25507.2 Failed to establish and implement a HMBP when not meeting remote unstaffed facility exemptions o V ❑ R ❑ COS 19 HSC 25404. 1 .2 Failed to submit a certification and written response within 30 days for minor violations o V ❑ R ❑ COS 20 HSC 25507A (a)(2) , T19 Failure of Ag handler to post adequate warning signs to meet exemption requirements ❑ V ❑ R ❑ COS 2671 1010 See below Unlisted Administration/Documentation violation ❑ V o R o COS 1020 See below Unlisted Training violation o V ❑ R ❑ COS 1030 See below Unlisted Operations/Maintenance violation ❑ V ❑ R ❑ COS 1040 See below Unlisted Release/Leaks/Spills violation ❑ V ❑ R ❑ COS 1045 See below Unlisted Release/Leaks/Spills - Local Ordinance ❑ V o R ❑ COS 1050 See below Unlisted Abandonment/Illegal Disposal/Unauthorized Treatment violation o V ❑ R ❑ COS 1055 See below Unlisted Abandonment/illegal Disposal/Unauthorized Treatment - Local Ordinance ❑ V o R ❑ COS FA0009065 PRO519355 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 209 468-34201 F 209 464-0138 1 www . sjgov. org/EHD