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SAN J O A Q U I N Environmental Health Department <br /> Hazardous ' Materials Program Inspection Report <br /> Facility Name: Facility Phone : Date : <br /> DAMERON HOSPITAL SURGICAL PAVILION 7 (209) 944-5550 April 25 , 2022 <br /> Facility Address : CERS ID : <br /> 445 W ACACIA ST, STOCKTON , CA 95203 10182991 <br /> Inspection Contact: Title : Phone : <br /> Denise Corkill Dir. of Plant Ops & Maint (925) 819-2806 <br /> Inspection Type : Program : <br /> ROUTINE INSPECTION - Operating Permit 11921 - HMBP- Regular-Primary Location <br /> Consent For: Consent Given By : <br /> 0 Inspection ❑x Photos ❑ Samples I Denise Corkill , Dir. of Plant Ops & Maint <br /> CCR = Title 19 California Code of Regulations HSC = Health and Safely Code SJO = San Joaquin County Ordinance EHD = Environmental Health Department <br /> V = Violation R = Repeat violation COS = Corrected on site during inspection <br /> Violations ' <br /> 1 SJO 4432 Failed to pay annual operating fees o V o R o COS <br /> 2 HSC 25505, 25508(a) Failed to initially complete and electronically submit a hazardous materials business plan (HMBP) o V o R o COS <br /> ( 1 ) <br /> 3 HSC 25507 Failed to establish and implement a HMBP o V o R o COS <br /> 4 HSC 25508 (a) ( 1 ) Failed to electronically submit the Business Activities or Owner/Operator Identification page o V o R o COS <br /> 5 HSC 25505(a) ( 1 ) Failed to electronically submit hazardous materials inventory for all reportable materials on site o V o R o COS <br /> 6 HSC 25505(a) (2) Failed to electronically submit a site map with all required content � > ■ V o R o COS <br /> 7 HSC 25505(a) (3) Failed to electronically submit an adequate ER procedures for a release or threatened release ' I ■ V o R o COS <br /> 8 HSC 25505(a) (4) Failed to establish and electronically submit a reasonable or an adequate training program o V o R o COS <br /> 9 HSC 25508 . 2 Failed to annually review and certify that the HMBP is complete and accurate by the due date ■ V o R o COS <br /> 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 <br /> 11 HSC 25505(a) (4) Failed to provide or document initial and/or refresher training to appropriate personnel 1/qiibol �m ■ V o R o COS <br /> 12 HSC 25505(c) Failed to have the HMBP readily available to facility or EHD personnel ■ V o R o COS <br /> 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 <br /> 14 HSC 25505 . 1 Business on leased property failed to provide copy of HMBP w/in 5 days of request by property owner o V o R o COS <br /> 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 <br /> 16 HSC 25507 . 1 Failed to electronically submit ER plan when not meeting Ag handler exemption requirements o V o R o COS <br /> 17 HSC 25507. 1 Failed to electronically submit training program when not meeting Ag handler exemption requirements o V o R o COS <br /> 18 HSC 25505 , 25507 . 2 Failed to establish and implement a HMBP when not meeting remote unstaffed facility exemptions o V o R a COS <br /> 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 <br /> 20 HSC 25507. 1 (a)(2), Failure of Ag handler to post adequate warning signs to meet exemption requirements o V o R o COS <br /> CCR 2671 <br /> 1010 See below Unlisted Administration/Documentation violation o V o R o COS <br /> 1020 See below Unlisted Training violation o V o R o COS <br /> 1030 See below Unlisted Operations/Maintenance violation o V o R o COS <br /> 1040 See below Unlisted Release/Leaks/Spills violation o V o R o COS <br /> 1045 See below Unlisted Release/Leaks/Spills - Local Ordinance o V a R o COS <br /> 1050 See below Unlisted Abandonment/Illegal Disposal/Unauthorized Treatment violation o V o R a COS <br /> 1055 See below Unlisted Abandonment/Illegal Disposal/Unauthorized Treatment - Local Ordinance o V o R o COS <br /> FA0009885 PR0512173 SCO01 04/25/2022 <br /> EHD 19-01 Rev, 12/06/2021 Page 1 of 4 Hazardous Materials Program OIR <br /> 1868 E . Hazelton Avenue I Stockton , California 95205 1 T 209 468- 3420 ( F 209 464-0138 1 www . sjgov . org/EHD <br />