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SAN J OA U I Environmental Health Department <br /> COUNTY <br /> — <br /> Hazardous Materials Program Inspection Report <br /> Facility Name: I Facility Address: Dat : <br /> WAGNER HEIGHTS NURSING & REHAB CTR 9289 BRANSTETTER PL, STOCKTON TAPr!j <br /> l 20, 2022 <br /> Violations <br /> 1055 1 See below Unlisted Abandonment/Illegal Disposal/Unauthorized Treatment-Local Ordinance ❑V ❑R ❑COS <br /> SUMMARY OF VIOLATIONS <br /> (CLASS I,CLASS II,or MINOR-Notice to Comply) <br /> Item# Remarks <br /> 4 HSC 25508(a)(1) Failed to electronically submit the Business Activities or Owner/Operator Identification page. <br /> OBSERVATION: The Business Owner/Operator Identification form was not accurate. The Primary and Secondary <br /> Emergency Contacts, Donald Wessels and Frank Cervantes have not worked for this facility for at least 5 years. <br /> REGULATION GUIDANCE: This information must be current and submitted as part of the business plan. <br /> CORRECTIVE ACTION: Immediately log into the California Environmental Reporting System (CERS) at <br /> http://cers.calep;a.ca.gov/, enter the correct or updated information, and submit to the EHD for approval. <br /> This was corrected on site. <br /> This is a repeat violation, Class ll. <br /> 5 HSC 25505(a)(1) Failed to electronically submit hazardous materials inventory for all reportable materials on site. <br /> OBSERVATION: Twenty 5 gallon pails of paint and ten 1 gallon cans of paint were found on site that have not been <br /> reported to CERS. <br /> REGULATION GUIDANCE: Any material that meets or exceeds the reportable quantity shall be reported in the <br /> facility's business plan. <br /> CORRECTIVE ACTIONS: Immediately log into the California Environmental Reporting System (CERS) at <br /> http://cers.calepa.ca.gov/, add the materials to the hazardous material inventory, and submit to the EHD for <br /> approval. <br /> This was corrected on site. <br /> This is a repeat violation, Class II. <br /> FA0002878 PR0520415 SCO01 04/20/2022 <br /> EHD 19-01 Rev.12/06/2021 Page 2 of 6 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 />