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Environmental Health Department <br />Hazardous Materials Program Inspection Report <br />Date: <br />July 25,2018 <br />Facility Address: <br />2575 COUNTRY CLUB BLVD, STOCKTON <br />Facility Name: <br />Country Club Mobil Circle K <br />SUMMARY OF VIOLATIONS <br />(CLASS I, CLASS II, or MINOR -Notice to Comply) <br />RemarksItem # <br />4 HSC 25508(a)(1) Failed to complete and/or submit the Business Activities or Owner/Operator Identification page. <br />The Business Owner/Operator Identification form was not submitted or complete. The DBA name of the business <br />was changed two years ago to “Country Club Mobil Circle K” and the name has not been updated. This information <br />must be current and submitted as part of the business plan. Immediately log into the California Environmental <br />Reporting System (CERS) at http://cers.calepa.ca.gov/, enter the correct or updated information, and submit to the <br />EHD for approval. <br />This is a Class II violation. <br />7 HSC 25505(a)(3) Failed to establish and/or submit emergency response procedures for a release or threatened <br />release. <br />The emergency response procedures were lacking or inadequate. The DBA name of the business was changed <br />two years ago to “Country Club Mobil Circle K” and the name has not been updated. A business plan shall include <br />the following emergency response procedures for a release or threatened release of hazardous materials, including, <br />but not limited to, the following: <br /> - immediate notification of local emergency personnel and the Environmental Health Department (EHD) <br /> - procedures for the mitigation of a release or threatened release to minimize any potential harm or damage to <br />persons, property, or the environment <br /> - evacuation plans and procedures, including immediate notice, for the site <br />Immediately log into the California Environmental Reporting System (CERS) at http://cers.calepa.ca.gov/, upload the <br />correct or updated information, and submit to the EHD for approval. <br />This is a Class II violation. <br />11 HSC 25505(a)(4) Failed to provide or document initial and/or refresher training to appropriate personnel. <br />Employee training records were not available at the time of inspection. The business plan shall include provisions <br />for ensuring that appropriate personnel receive initial and annual refresher training. This training shall be <br />documented electronically or by hard copy and shall be made available for a minimum of three years. Immediately <br />provide employee training for appropriate personnel and submit a copy of the training records to the EHD . <br />This is a Class II violation. <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, within 30 days of receiving the completed inspection report. <br />Please be aware as of January 1, 2013, all businesses were required to submit all hazardous materials <br />information online to the California Environmental Reporting System (CERS) at http://cers.calepa.ca.gov. Be <br />sure to include your hazardous material activity in the Businesses Activities section in CERS in addition to any <br />other relevant activities and required fields. <br />For assistance with CERS, contact Toby Morelli at tmorelli@sjcehd.com or 209-468-3421. <br />Page 2 of 3 <br />FA0006439 PR0519887 SC001 07/25/2018 <br />EHD 19-01 Rev. 10/31/2017 Hazardous Materials Program OIR <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjcehd.com