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Environmental Health Department AMENDED 2/9/2022 Facility Name: NORTH POLE GAS & FOOD INC Facility Address: 574 W GRANT LINE RD, TRACY, CA 95376 Facility Phone: (209) 833-3416 Program: 1921 - HMBP-Regular-Primary Location Inspection Type: ROUTINE INSPECTION - Operating Permit Date: December 13, 2021 CERS ID: 10181065 Inspection Contact: Gurvinder Singh Consent For: Consent Given By: Gurvinder Singh, Owner Title: Owner Phone: (925) 701-1111 T Inspection T Photos £ Samples Hazardous Materials Program Inspection Report R = Repeat violation COS = Corrected on site during inspectionV = Violation CCR = Title 19 California Code of Regulations HSC = Health and Safety Code SJO = San Joaquin County Ordinance EHD = Environmental Health Department Violations 1 □ V □ R □ COSFailed to pay annual operating feesSJO 4432 2 □ V □ R □ COSFailed to initially complete and electronically submit a hazardous materials business plan (HMBP)HSC 25505, 25508(a) (1) 3 □ V □ R □ COSFailed to establish and implement a HMBPHSC 25507 4 □ V □ R □ COSFailed to electronically submit the Business Activities or Owner/Operator Identification pageHSC 25508(a)(1) 5 □ V □ R □ COSFailed to electronically submit hazardous materials inventory for all reportable materials on siteHSC 25505(a)(1) 6 ■ V □ R □ COSFailed to electronically submit a site map with all required contentHSC 25505(a)(2) 7 □ V □ R □ COSFailed to electronically submit an adequate ER procedures for a release or threatened releaseHSC 25505(a)(3) 8 □ V □ R □ COSFailed to establish and electronically submit a reasonable or an adequate training programHSC 25505(a)(4) 9 ■ V □ R □ COSFailed to annually review and certify that the HMBP is complete and accurate by the due dateHSC 25508.2 10 □ V □ R □ COSFailed to electronically update the HMBP within 30 days of substantial change in operationsHSC 25508.1(a)-(f) 11 □ V □ R □ COSFailed to provide or document initial and/or refresher training to appropriate personnelHSC 25505(a)(4) 12 □ V □ R □ COSFailed to have the HMBP readily available to facility or EHD personnelHSC 25505(c) 13 □ V □ R □ COSFailed to notify property owner that facility is subject to and in compliance with the HMBP programHSC 25505.1 14 □ V □ R □ COSBusiness on leased property failed to provide copy of HMBP w/in 5 days of request by property ownerHSC 25505.1 15 □ V □ R □ COSFailed to report actual or threatened release to the EHD and/or CalOES Warning CenterHSC 25510(a) 16 □ V □ R □ COSFailed to electronically submit ER plan when not meeting Ag handler exemption requirementsHSC 25507.1 17 □ V □ R □ COSFailed to electronically submit training program when not meeting Ag handler exemption requirementsHSC 25507.1 18 □ V □ R □ COSFailed to establish and implement a HMBP when not meeting remote unstaffed facility exemptionsHSC 25505, 25507.2 19 □ V □ R □ COSFailed to submit a certification and written response within 30 days for minor violationsHSC 25404.1.2 20 □ V □ R □ COSFailure of Ag handler to post adequate warning signs to meet exemption requirementsHSC 25507.1(a)(2), CCR 2671 1010 □ V □ R □ COSUnlisted Administration/Documentation violation See below 1020 □ V □ R □ COSUnlisted Training violation See below 1030 □ V □ R □ COSUnlisted Operations/Maintenance violation See below 1040 □ V □ R □ COSUnlisted Release/Leaks/Spills violation See below 1045 □ V □ R □ COSUnlisted Release/Leaks/Spills - Local Ordinance See below 1050 □ V □ R □ COSUnlisted Abandonment/Illegal Disposal/Unauthorized Treatment violation See below 1055 □ V □ R □ COSUnlisted Abandonment/Illegal Disposal/Unauthorized Treatment - Local Ordinance See below FA0003164 PR0520494 SC001 12/13/2021 EHD 19-01 Rev. 12/06/2021 Hazardous Materials Program OIRPage 1 of 3 1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjgov.org/EHD