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SAN '�d DAQ II II Environmental Health Department <br /> C01-1 NTY <br /> Hazardous Materials Program Inspection Report <br /> Facility Name: Facility Address: Date: <br /> FIELD TOWER SYSTEMS (KS SOLUTIONS) 28135 E COPPEROPOLIS RD, FARMINGTON February 10, 2022 <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:A site map was not completed and submitted as part of the business plan. <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://cers.calepa.ca.gov/, upload the correct or updated information, and submit to the EHD for approval. <br /> This is a minor violation. <br /> 7 HSC 25505(a)(3) Failed to electronically submit an adequate ER procedures for a release or threatened release. <br /> OBSERVATION: The emergency response(ER)procedures were not uploaded to CERS. <br /> REGULATION GUIDANCE:A business plan shall include the following emergency response procedures for a <br /> release or threatened release of hazardous materials, including, but not limited to,the following: <br /> -immediate notification of local emergency personnel and the Environmental Health Department(EHD) <br /> -procedures for the mitigation of a release or threatened release to minimize any potential harm or damage to <br /> persons, property, or the environment <br /> -evacuation plans and procedures, including immediate notice,for the site <br /> CORRECTIVE ACTION: Log into the California Environmental Reporting System (CERS)at <br /> https://cers.calepa.ca.gov/, and upload the required information. Completely fill out the provided emergency <br /> response/contingency plan template(or equivalent)and upload to CERS . Please ensure that the UPA phone <br /> number and the name and phone number of the nearest medical facility/hospital is provided in the plan. The San <br /> Joaquin County UPA phone number is 209-468-3420. <br /> This is a Class II violation. <br /> 9 HSC 25508.2 Failed to annually review and certify that the HMBP is complete and accurate by the due date. <br /> OBSERVATION: The business plan information has not been reviewed and resubmitted in the California <br /> Environmental Reporting System (CERS)annually by the due date, January 15 since the plan has not been <br /> uploaded to CERS. <br /> REGULATION GUIDANCE: The hazardous materials inventory shall be submitted by January 15 of each calendar <br /> year and may be submitted beginning November 1 of the previous year. <br /> CORRECTIVE ACTION: Log into CERS at https://cers.calepa.ca.gov/once a year between Nov 1 and Jan 15 and <br /> review/edit/resubmit or certify the information. <br /> This is a minor violation. <br /> Overall Inspection Comments: <br /> FA0009386 PR0521234 SCO01 02/10/2022 <br /> EHD 19-01 Rev.12/06/2021 Page 3 of 4 Hazardous Materials Program OIR <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/EHD <br />