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SAN JOAQUIN COU N7Y F0 Greotness Stows ,here, Environmental Health Department EHD 19-01 Rev. 12/06/2021 Page 1 of 2 Hazardous Materials Program OIR 1868 E. Hazelton Avenue � Stockton, California 95205 � T 209 468-3420 � F 209 464-0138 � www.sjgov.org/EHD Hazardous Materials Program Inspection Report Facility Name: `rhe ,r�;�8c�816 Facility Phone: Date: 2z 2 02'e Facility Address: s? 1 4 elotte A VG �N C� CERS 0 ID: p 2 L96 Inspection Contact: `cA- Ti e: Phone: Inspection Type: Program: IjMV 7ent For: s ection U1 hotos Consent Given By: ❑ Sample CCR = Title 19 California Code of Regulations HSC = Health and Safety Code SJO = San Joaquin County Ordinance EHD = Environmental Health Department V = Violation R = Repeat violation COS = Corrected on site during inspection Violations 1 SJO 4432 Failed to pay annual operating fees o V ❑ R ❑ COS 2 HSC (1) 25505, 25508(a) Failed to initially complete and electronically submit a hazardous materials business plan (HMBP) c V o R o COS 3 HSC 25507 Failed to establish and implement a HMBP o V ❑ R ❑ COS 4 HSC 25508(a)(1) Failed to electronically submit the Business Activities or Owner/Operator Identification page o V o R o COS 5 HSC 25505(a)(1) Failed to electronically submit hazardous materials inventory for all reportable materials on site o R o COS 6 HSC 25505(a)(2) Failed to electronically submit a site map with all required content ❑ R ❑ COS 7 HSC 25505(a)(3) Failed to electronically submit an adequate ER procedures for a release or threatened release o V o R o COS 8 HSC 25505(a)(4) Failed to establish and electronically submit a reasonable or an adequate training program ❑ V ❑ R ❑ COS 9 HSC 25508.2 Failed to annually review and certify that the HMBP is complete and accurate by the due date o V o R o COS 10 HSC 25508.1(a) -(f) Failed to electronically update the HMBP within 30 days of substantial change in operations ❑ V o R n COS 11 HSC 25505(a)(4) Failed to provide or document initial and/or refresher training to appropriate personnel o V o R o COS 12 HSC 25505(c) Failed to have the HMBP readily available to facility or EHD personnel o V o R o COS 13 HSC 25505.1 Failed to notify property owner that facility is subject to and in compliance with the HMBP program n V n R n COS 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 c R o COS 15 HSC 25510(a) Failed to report actual or threatened release to the EHD and/or CalOES Warning Center o V o R n COS 16 HSC 25507.1 Failed to electronically submit ER plan when not meeting Ag handler exemption requirements o V o R o COS 17 HSC 25507.1 Failed to electronically submit training program when not meeting Ag handler exemption requirements o V n R n COS 18 HSC 25505, 25507.2 Failed to establish and implement a HMBP when not meeting remote unstaffed facility exemptions ❑ V ❑ R ❑ COS 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 20 HSC CCR 25507.1(a)(2), 2671 Failure of Ag handler to post adequate warning signs to meet exemption requirements n V n R o COS 1010 See below Unlisted Administration/Documentation violation o V o R o COS 1020 See below Unlisted Training violation n V n R o COS 1030 See below Unlisted Operations/Maintenance violation ❑ V ❑ R ❑ COS 1040 See below Unlisted Release/Leaks/Spills violation c V o R o COS 1045 See below Unlisted Release/Leaks/Spills - Local Ordinance o V o R o COS 1050 See below Unlisted Abandonment/IIlegal Disposal/Unauthorized Treatment violation ❑ V ❑ R o COS 1055 See below Unlisted Abandonment/IIlegal Disposal/Unauthorized Treatment - Local Ordinance o V o R o COS EHD 19-01 Rev. 12/06/2021 Page 1 of 2 Hazardous Materials Program OIR 1868 E. Hazelton Avenue � Stockton, California 95205 � T 209 468-3420 � F 209 464-0138 � www.sjgov.org/EHD