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Environmental Health Department Facility Name: ANDERSON MOULDS INC Facility Address: 3131 E ANITA ST, STOCKTON, CA 95205 Facility Phone: (209) 943-1145 Inspection Type: Routine Date: August 21, 2024 CERS ID: 10182537 Consent For: Phone: (209) 943-1145 T Inspection £ Photos £ Samples CP22 - HMBP Inspection Report Inspection Contact: Emailed to Niles Anderson Title: Owner Program: 1921 - HMBP-Regular-Primary Location Consent Given By: Niles Anderson, Owner R = Repeat violation COS = Corrected on site during inspectionOUT = Violation □ OUT □ R □ COS1010001 - Established/implemented a business plan when handling hazardous materials in reportable quantities CA Health and Safety Code 25507 1 □ OUT □ R □ COS1010002 - Business plan electronically submitted initially, annually, or trienniallyCA Health and Safety Code 25505, 25508(a) (1) 2 □ OUT □ R □ COS1010017 - Business plan readily available to site personnel responsible for emergency response or training CA Health and Safety Code 25505(c) 3 ■ OUT □ R ■ COS1010008 - Business plan reviewed and electronically certified as complete/accurate on or before the due date CA Health and Safety Code 25508.2 4 □ OUT □ R □ COS1010006 - Updated within 30 days of 100% increase or new haz; change of address/owner/name; or change in ops CA Health and Safety Code 25508.1(a)-(f) 5 □ OUT □ R □ COS1040001 - Actual or threatened release reported to the unified program agency and Cal OESCA Health and Safety Code 25510(a) 6 □ OUT □ R □ COS1010011 - Property owner notified in writing that business is in compliance with business plan requirements CA Health and Safety Code 25505.1 7 □ OUT □ R □ COS1010012 - Lessee provided copy of business plan to owner within 5 days after requestCA Health and Safety Code 25505.1 8 □ OUT □ R □ COS1010003 - Business Owner/Operator ID and Business Activities pages electronically submitted and are accurate CA Health and Safety Code 25508(a)(1) 9 □ OUT □ R □ COS1010004 - Complete and accurate Hazardous Materials Inventory information electronically submitted CA Health and Safety Code 25505(a)(1) 10 ■ OUT □ R ■ COS1010005 - Site Map with all required content electronically submittedCA Health and Safety Code 25505(a)(2) 11 □ OUT □ R □ COS1010010 - Electronically submitted adequate response plan/procedures for release/threatened release of hazmat CA Health and Safety Code 25505(a)(3) 12 □ OUT □ R □ COS1020001 - Established and electronically submitted adequate training programCA Health and Safety Code 25505(a)(4) 13 □ OUT □ R □ COS1020002 - Provided initial and annual training and maintained training records for a minimum of three years CA Health and Safety Code 25505(a)(4) 14 □ OUT □ R □ COS1010016 - Remote unstaffed facility exemption requirements are met when not submitting a business plan CA Health and Safety Code 25505, 25507.2 15 □ OUT □ R □ COS1010014 - Agricultural handler exemption requirements are met when not submitting an emergency response plan CA Health and Safety Code 25507.1 16 □ OUT □ R □ COS1010015 - Agricultural handler exemption requirements are met when not submitting a training program CA Health and Safety Code 25507.1 17 □ OUT □ R □ COS1030001 - Warning signs posted on buildings where pesticides, petroleum, or fertilizers are storedCA Health and Safety Code 25507.1(a)(2), CCR 2671 18 □ OUT □ R □ COS1010 - Administration/Documentation - GeneralCA Health and Safety Code 25404.1.2 19 □ OUT □ R □ COS1015 - Administration/Documentation - General Local OrdinanceSJC Ordinance Code 4432 20 FA0009238 PR0519485 SC001 08/21/2024 EHD Rev. 12/06/2021 CP22 - HMBP OIRPage 1 of 3 1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjgov.org/EHD