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S0 JOA U 1 Environmental Health Department <br /> u ;� i I <br /> Hazardous Materials Program Inspection Report <br /> Facility Name: Facility Address: Date: <br /> WALGREENS #10766 2810 S Tracy Blvd,Tracy September 08, 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: The Hazardous Materials Business Plan site map is incomplete since it does not include the <br /> propane(LPG)cylinder loading and unloading area. This loading area is at the LPG storage outside the west side <br /> of the building. <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 repeat violation, Class II. <br /> Overall Inspection Comments: <br /> Complete and submit a copy of the Return to Compliance Certification form to the EHD with a statement <br /> documenting the corrective actions that have been or will be taken for each violation, and any supporting <br /> paperwork, by October 8, 2022 . <br /> Hazardous material reported: Propane (LPG)containers. <br /> To minimize person to person contact EHD is choosing to write the name of person receiving the report instead <br /> of having them sign. <br /> AFTER THE COMPLIANCE DATE, EHD WILL BILL FOR ALL TIME AND ACTIVITIES ASSOCIATED WITH BRINGING <br /> THIS FACILITY BACK INTO COMPLIANCE. <br /> THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br /> Received by: Date: September 08, 2022 Inspector: Inspector Phone: <br /> Printed Name and Title: GARRETT BACKUS, Lead Senior REHS (209)468-2986 <br /> emailed to Ramon Rico, Store Manager <br /> FA0020414 PR0539325 SCO01 09/08/2022 <br /> EHD 19-01 Rev.12/06/2021 Page 2 of 2 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 />