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Environmental Health Department <br />CP22 - HMBP Inspection Report <br />Date: <br />October 28, 2024 <br /> Facility Address: <br /> 8008 LORRAINE AVE, STOCKTON <br /> Facility Name: <br /> T-MOBILE WEST LLC SC90129M <br /> □ OUT □ R □ COS1025 - Training - General Local Ordinance 22 <br /> □ OUT □ R □ COS1030 - Operations/Maintenance - General See below 23 <br /> □ OUT □ R □ COS1035 - Operations/Maintenance - General Local Ordinance 24 <br /> □ OUT □ R □ COS1040 - Release/Leaks/Spills - General See below 25 <br /> □ OUT □ R □ COS1045 - Release/Leaks/Spills - General Local Ordinance See below 26 <br /> □ OUT □ R □ COS1050 - Abandonment/Illegal Disposal/Unauthorized Treatment - General See below 27 <br /> □ OUT □ R □ COS1055 - Abandonment/Illegal Disposal/Unauthorized Treatment - General Local Ordinance See below 28 <br />SUMMARY OF VIOLATIONS <br />(CLASS I, CLASS II, or MINOR - Notice to Comply) <br />RemarksItem # <br />CA Health and Safety Code 25508.2 1010008 - Business plan reviewed and electronically certified as <br />complete/accurate on or before the due date. <br />OBSERVATION: The business plan information has not been reviewed and resubmitted in the California Environmental <br />Reporting System (CERS) annually by the due date, January 15. <br />- 2023 CERS submittal was submitted on 2/16/2023, one month late. <br />REGULATION GUIDANCE: The hazardous materials inventory shall be submitted by January 15 of each calendar year <br />and may be submitted beginning November 1 of the previous year <br />CORRECTIVE ACTION: Submit a statement to SJC EHD stating that the business will annually certify/submit the <br />annual HMBP to CERS by January 15. <br />This is (Class 2) Violation. <br /> 4 <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 11/27/2023. <br />To minimize person to person contact EHD is choosing to write the name of person receiving the report instead of <br />having them sign. Starting July 1, 2024, all in-office CERS help will be provided at the EHD hourly rate ($172). To <br />schedule an appointment, please call (209) 468-3420. <br />Sailendra Kumar, <br />Technician <br />October 28, 2024 <br />(209) 616-3064Printed Name and Title: <br /> Date: Inspector: <br /> Maria Lopez, EHS <br /> Inspector Phone: Received by: <br />AFTER THE COMPLIANCE DATE, EHD WILL BILL FOR ALL TIME AND ACTIVITIES ASSOCIATED WITH BRINGING THIS <br />FACILITY BACK INTO COMPLIANCE. <br />THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br />FA0021469 PR0537364 SC001 10/28/2024 <br />EHD Rev. 12/06/2021 CP22 - HMBP OIRPage 2 of 2 <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjgov.org/EHD