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SAN JDARN Environmental Health Department COUNlY G(eoo)ess grows stere. CP22 - HMBP Inspection Report Facility Name: Facility Phone: Date: MID VALLEYAG SVC 209 838-3541 July 25 2024 Facility Address: CERS ID: 15658 ESCALON BELLOTA RD ESCALON CA 95320 10411015 Inspection Contact: Title: Phone: Sam Robinson Safety&Comr)ljance Officer 209 262-5110 Inspection Type: Program: Routine 1921 -HMBP-Regular-PrimarV HMBP-Regular-PrimaLocation Consent For: Consent Given By: ❑x Inspection ❑x Photos ❑ Samples Sam Robinson Safety&Compliance Officer OUT=Violation R=Repeat violation COS=Corrected on site during inspection 1 CA Health and Safety 1010001-Established/implemented a business plan when handling hazardous materials in ❑OUT ❑R ❑COS Code 25507 reportable quantities 2 CA Health and Safety 1010002-Business plan electronically submitted initially,annually,or triennially ❑OUT ❑R ❑COS Code 25505,25508(a) (1) 3 CA Health and Safety 1010017-Business plan readily available to site personnel responsible for emergency response ❑OUT ❑R ❑COS Code 25505(c) or training 4 CA Health and Safety 1010008-Business plan reviewed and electronically certified as complete/accurate on or before ❑OUT ❑R ❑COS Code 25508.2 the due date 5 CA Health and Safety 1010006-Updated within 30 days of 100%increase or new haz;change of ❑OUT o R ❑COS Code 25508.1(a)-(f) address/owner/name;or change in ops 6 CA Health and Safety 1040001-Actual or threatened release reported to the unified program agency and Cal OES ❑OUT ❑R ❑COS Code 25510(a) 7 CA Health and Safety 1010011 -Property owner notified in writing that business is in compliance with business plan ❑OUT ❑R ❑COS Code 25505.1 requirements 8 CA Health and Safety 1010012-Lessee provided copy of business plan to owner within 5 days after request ❑OUT ❑R ❑COS Code 25505.1 9 CA Health and Safety 1010003-Business Owner/Operator ID and Business Activities pages electronically submitted and ❑OUT ❑R ❑COS Code 25508(a)(1) are accurate 10 CA Health and Safety 1010004-Complete and accurate Hazardous Materials Inventory information electronically ■OUT ■R ❑COS Code 25505(a)(1) submitted 11 CA Health and Safety 1010005-Site Map with all required content electronically submitted ❑OUT ❑R ❑COS Code 25505(a)(2) 12 CA Health and Safety 1010010-Electronically submitted adequate response plan/procedures for release/threatened ■OUT ■R ❑COS Code 25505(a)(3) release of hazmat 13 CA Health and Safety 1020001-Established and electronically submitted adequate training program ❑OUT ❑R ❑COS Code 25505(a)(4) 14 CA Health and Safety 1020002-Provided initial and annual training and maintained training records for a minimum of o OUT o R ❑COS Code 25505(a)(4) three years 15 CA Health and Safety 1010016-Remote unstaffed facility exemption requirements are met when not submitting a ❑OUT ❑R ❑COS Code 25505,25507.2 business plan 16 CA Health and Safety 1010014-Agricultural handler exemption requirements are met when not submitting an emergency ❑OUT ❑R ❑COS Code 25507.1 response plan 17 CA Health and Safety 1010015-Agricultural handler exemption requirements are met when not submitting a training ❑OUT ❑R ❑COS Code 25507.1 program 18 CA Health and Safety 1030001-Warning signs posted on buildings where pesticides,petroleum,or fertilizers are stored ❑OUT ❑R ❑COS Code 25507.1(a)(2), CCR 2671 19 CA Health and Safety 1010-Administration/Documentation-General ❑OUT ❑R ❑COS Code 25404.1.2 20 SJC Ordinance Code 1015-Administration/Documentation-General Local Ordinance ❑OUT ❑R ❑COS 4432 21 See below 1020-Training-General ❑OUT ❑R ❑COS FA0010322 PR0520234 SCO01 07/25/2024 EHD Rev.12/06/2021 Page 1 of 2 CP22-HMBP OIR 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/EHD