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' San Joaquin County iiillloo <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, Califomia95205-6232 <br /> Telephone: (209)458-3420 Fax:(209)468-3433 Web:www.sigov.orrl/ehd <br /> Hazardous Materials Program Inspection Report <br /> Facility Name: Facility Phone: Date: <br /> 209 465-3401 Aril 29 201 <br /> Facility Address: CERS ID: <br /> 141 DORADO STOCKTON CA 95206 101" <br /> Inspection Contact: Title: Phone: <br /> 'a' Manager (209) 473 <br /> Inspection <br /> 209 473Inspection Type: Program: <br /> ON- O eratin Permit 1921 - HMBP-Re alar-Prima Location <br /> Consent For: Consent Given By: <br /> ction Sampting Victor Esaloo Prestden.' <br /> CCR=California Code of Regulations MSC=Health and Safety Code CFR=Code of Federal Regulations <br /> V=Violation R=Repeat violation COS=Corrected on site during inspection <br /> Violations <br /> 1 HSC 25607 Failed to establish and implement a hazardous materials business plan v V o R o COS <br /> 2 HSC 2M08(a)(1) Failed to electronically submit a business plan ❑V n R ❑COS <br /> 3 HSC 25508.2 Failed to annually review and certify that the business plan is complete,accurate,and up to date u V ❑R ❑COS <br /> 4 HSC 25505.1 Failed to notify property owner that facility is subject to and in compliance with the HMBP program ❑V ❑R ❑COS <br /> 5 HSC 25510 Failed to report actual or threatened release to the EHD and/or CalOES Warning Center ❑V ❑R ❑COS <br /> 6 HSC 25508(a)(1) Failed to complete and/or submit the Business Activities or Owner/Operator Identification page ■V ❑R ❑COS <br /> 7 HSC 25506(a) Failed to complete and/or submit hazardous materials inventory for all reportable materials on site ■V ❑R ❑COS <br /> 8 HSC 25508.1(a)-(e) Failed to submit revisions to HMBP within 30 days of change in business info or inventory o V o R ❑COS <br /> 9 HSC 25508.1(f) Failed to submit revisions to HMBP within 30 days of substantial change in operations ❑V ❑R ❑COS <br /> 10 HSC 25505(a)(2) Failed to complete and/or submit a site map with all required content is V ❑R ❑COS <br /> 11 j HSC 25505(x)(3) Failed to establish and/or submit emergency response procedures for a release or threatened release is V ❑R u COS <br /> 12 HSC 25505(a)(4) Failed to submit a training program or program is not reasonable or adequate for facility ■V u R ❑COS <br /> 13 HSC 25505(:)(4) Failed to provide or document initial and/or refresher training to appropriate personnel in V ❑R ❑COS <br /> 14 HSC 25507.1 Failed to submit emergency response plan when not meeting Ag handler exemption requirements !oECOS <br /> V ❑R ❑ <br /> 15 HSC 25507.1 Failed to submit training program when not meeting Ag handler exemption requirements COS <br /> 16 HSC 25507.2 Failed to establish and implement a HMBP when not meeting remote unstaffed facility exemptions COS <br /> 17 HSC 25511 Failed to submit a written response within 30 days of receiving an inspection report COS <br /> 1010 Sea below Unlisted Adminlstratlon/Decumentatlon violation COS <br /> 1040 Sea below Unlisted Release/Leaks/Spills violation ❑V ❑R ❑COS <br /> SUMMARY OF VIOLATIONS <br /> (CLASS I,CLASS 11,or MINOR-Notice to Comply) <br /> Item# Remarks <br /> Received by Inspector: Phone: Date: <br /> (initial)_ �.- Specialist 15 <br /> Page 1 of 3 <br />