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SAN J OA Q O I N Environmental Health Department Hazardous Materials Program Inspection Report Facility Name: Facility Phone : Date: Y L e � �a c� �.vo� a ,i � 2c� _ 7 27 - 37 / 1/02-0/2 0 2 Facility Ad ss: CtRS ID: I Ar 4 to Ale J/ w I? (? 5E8/ Inspec ion ontact Title: P Phone : � r L ✓ a,orfo..� or nspecU n T pe: ProgramQ O .L t �• V t.+� eta Pots ✓t' ! Consent For: Cant GiYen By: ns ection C!Photos ElSam les l� is � G V CCR = Title 19 California Code of Regulations HSC = Health and Efafety 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 o V o R o COS 2 HSC 25505, 25508(a) Failed to initially complete and electronically submit a HMBP / ❑ R XOS 3 HSC 25507 Failed to establish and implement a hazardous materials business plan AV o R /rCOS 4 HSC 25508(a)(1 ) Failed to electronically submit the Business Activities or Owner/Operator Identification page V o R ICOS 5 HSC 25505(a) (1 ) Failed to electronically submit hazardous materials inventory for all reportable materials on site XV o R XCOS 6 HSC 25505(a)(2) Failed to electronically submit a site map with all required content Vo R o COS 7 HSC 25505(a)(3) Failed to electronically submit an adequate ER procedures for a release or threatened release o R %%COS 8 HSC 25505(a) (4) Failed to establish and electronically submit a reasonable or an adequate training program hV o R )(COS 9 HSC 25508.2 Failed to annually review and certify that the HMBP is complete and accurate by the due date o V o R . ❑ COS 10 HSC 25508. 1 (a)-(f) Failed to electronically update the HMBP within 30 days of substantial change in operations o V o R o COS 11 HSC 25505(a) (4) Failed to provide or document initial and/or refresher training to appropriate personnel xV o R o COS 12 HSC 25505(c) Failed to have the HMBP readily available to facility or EHD personnel o R ,LCOS 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 o R ❑ COS 15 HSC 25510(a) Failed to report actual or threatened release to the EHD and/or CalOES Warning Center o V o R o COS 16 HSC 25507. 1 Failed to electronically submit ER plan when not meeting Ag handler exemption requirements o V o R o COS 17 HSC 25507. 1 Failed to electronically submit training program when not meeting Ag handler exemption requirements o V o R o COS 18 HSC 255051 25507. 2 Failed to establish and implement a HMBP when not meeting remote unstaffed facility exemptions o V o R 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)3 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 ❑ COS 1 Q40 See below Unlisted Release/Leaks/Spills violation o V o R o COS 1045 See below Unlisted Release/Leaks/Spills - Local Ordinance o V o R 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 o R 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 , Califomia 952051 T 209 468-3420 1 F 209 464-0138 1 www. sigov. org/EHD