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i <br /> SAN JUAN <br /> IN Environmental Heath Department <br /> 4. <br /> Hazardous Materials Program inspection Report <br /> Fackllxy Hamo: Facdl[ly Phano: Oale: <br /> A&A GAS FOOD MART (2.09)025-0332 May 24,2023 <br /> Faculty Adnrsss: CERS lo: <br /> 1334 E YOSEMITE AVE,MANTECA,CA 95335 1 10184191 <br /> Inspeatian Cant$0 Title: Phone: <br /> Ghulam Ali Owner (209)825.0332 <br /> Inspection Type: Prapranl; <br /> ROUTINE INSPECTION-Operating Permit 4921 -HMBP-Regular-Pnmary Location <br /> Consent For: col gnit Ginn By: <br /> 0Inspection 0 photos &samples Ghulam Ali,Ownar <br /> CCR=7101 19 Calitdrrra Cgde eg R*0ulaLdli HSC=Nnallh and safety Cade 9Jo=San JCawri Cou my U-d¢,w,60 EH6-Errvaarnr9nUd Hedtrn OOParrment <br /> V=%fpN Wn p-Rvpeat 0090W COS=Carri'd9d an 9,16 durlep WBOKW <br /> V€ol aiiort s <br /> 0 oRr.00.R <br /> 1 S.l4 4432 Faikld to pay annual operat ng fess <br /> 2 HSC 25505,2S"a) Failed to initially=Mplale and electronlca�y submit a hazardous malenals Ms4ess Plen{HMBpI C-06:�V u R a <br /> 1 <br /> r3 v nCOS <br /> 3 FISC 25507 Failed to eslablLsh and rrtlpfemanl a HMUP <br /> 4 HSC 25549(s)l1} Failed to electronically submit the BuS+,ess"t mlias#t�wr,erlQpernlor Idenlifcatian Pa4a <br /> oV oft OCAS <br /> $ <br /> V vR aCOS <br /> HSC 255(a)(1) Fa+krd to e19CIrOnlraay SUM*haxardvus rnawnais,nvem"[vr am repodeble matenats on site <br /> ■ <br /> 5a <br /> a GR CCCS <br /> 6 HSC 25505(a)(2) Failed to elecVoniCaly Suborn a 5110 map YALh all required conlerlt <br /> COS <br /> a V c Ft <br /> 7 HSC 25505(aH3) t=ailed 10 aleCtronicaHy Submil an adoWals ER procedureS ror a re1aa39 or threa[ened release <br /> a <br /> V CR Cos <br /> a H$rr 25505(9}(4) FaHed t8 e9tabiisb and dl¢CtranlCaPY sub,nrl a(Mcnable of an adaquata tralnNng pra�ram <br /> aa <br /> and actura:C try the tlua date •V c R c CCS <br /> 9 msG 25508.2 Failed to annually review and Certify fta 11-HMBP is complete 7 V o R n COS <br /> 50 <br /> iQ HSC 25S.1(ar{f) Failed to ekaMpCnieally update[he HMBP*i[hm W days vt subslantal lchanga in operations <br /> V R ❑GOS <br /> 11 H$C 25S05(a)(4) failed 10 provide w dPc++r�t Init,at andlm rntresher training 10 aPPreprrate gerlonnefl ro <br /> ■v C aCOS <br /> 12 HSG 2554`x O Failed to have the"MBP readily avadable I6 raoilrly or EHA P-Wme p V c R p COS <br /> 13 NSC 25545.1 Failed to notify PMPertY owner that iacillty 1S subio!d to and In CompllanCS with M HMSP P109mm <br /> Business on leased property failed to Provide Dopy or HMBP win S day <br /> s of rogues=by grogerty pwr1r+r �V v R a CCS <br /> 14 NSC 25605.1 Cooter ❑V n R o COS <br /> 15 HSC 25510(a) Failed to report actual or lnreatwed*Neave io the EH0 anNor C34OES Wan"N u V n R o COS <br /> Feibd Io eWironicgjly suhml)Err Plan when not meelirg Ag hEtnd10r aXempt30n WUiremer,ls <br /> i fi HSC 25507.1 a V ❑R a�S <br /> Failed to eieclroniraly subrnd trginrng program wtren rat ream$Ag handler axampti0a regGrrament5 <br /> 17 HSC 25507.1 o V ❑R a COS <br /> 18 NSC 25505,25507.2 Failed tO Bs[aGYeln and irnplernent a HMBP when not <br /> maean9 renters unstated iapldy exempli0ns a V tk R COS <br /> 5d within 30 days fpr minor vlplationa <br /> Faired l0 sUhml!a CeFt><ICaGon and wliRen resp0n 4 V d R o C45 <br /> 19 HSC 25404.1 ns l0 meet exemption requiremenrS <br /> Fanure of Ag handler to post adequate wamiag sig <br /> 20 HSC 25SQ7.1(vX2), o V o R 0 COS <br /> CCR 2ST1 bm <br /> acu9nta[i0n viola[on p V o R C COS <br /> 1010 see below UrtlistedAdrTunistrallarV <br /> Unlisted Training vr01abon n V a R a COS <br /> 1020 See below <br /> unlisted pperations►Malnlenanoe vialaliwl ❑V ❑R a COS <br /> 1 on Sae below kOPHIS violation <br /> Unlisted ReleaseiLeg u V o R o C05 <br /> 1 R40 see 13ekr <br /> [Jnlisted RBrea5e1L6akslSpilPs.Local Ordinance ❑V ❑R u COs <br /> 1045 See bek>ryTrealrnent v10tRti0n n V o R a OOS <br /> IJnfistBd AFlandanmanUrlrEg81 OispaSallun8uthart2etl <br /> 1954 See below al Ois saliUnautho6zed Troatment•(_ocal Ordinance <br /> 1055 See bekrry tJnlis!adAbsrtdonmentlllleg Po PR05NS" SG401 4 24+ 3 <br /> Fpp012355 <br /> rla: 5 Materials p,pgrem t]1R <br /> Page 1 of 2 F 209 464 4138 1 www.S1g0v.org1EHa <br /> €1101941 Rev.t2*612021 �loCklOr1.California 95245 1 T 20946E-3420� <br /> 1868 E, Hazellon Avenge I <br /> { �fill ` 1 <br />