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San Joaquin County ..i Environmental Health Department 1868 East Hazelton Avenue, Stockton, California95205-6232 Telephone: (209)468-3420 Fax:(209)468-3433 Web:www.siaov.orD/ehd Hazardous Materials Program Inspection Report Facility Name: Facility Address: Date: SUMMARY OF VIOLATIONS (CLASS I,CLASS II,or MINOR-Notice to Comply) Item# Remarks HSC 25508(a)(1) Failed to complete andfor submit the Business Activities or Owner/Operator Identification page. Business Owner/Operator Identification form was not submitted or complete. The Secondary Emergency Gonta ormation, the name and title of the document preparer and signer, and all of the locally collected fields have not I)een completed. This information must be current and submitted as part of the business plan. Immediately log into the California Environmental Reporting System(CERS) at http://cers.calepa.ca.gov/, enter the correct or updated information, and submit to the EHD for approval. This is a Class II violaP HSC 25506(a) Failed to complete and/orsubmit hazardous materials inventory for all reportable materials on site. -.ainer was found o; ied. Any material that mee, exceeds the reportable quantity shall be reported in the facility's business plan. Immediately log into the California Environmental Reporting System(CERS) at http://cers.calepa.Ga.gov/, add the materials to the inventory, and submit to the EHD for approval. This is a Class II violation. 10 HSC 25505(a)(2) Failed to complete and/or submit a site map with all required content. A site map was not completed or submitted as part of the UUbll eSS plan. A site map shall contain a north o,r— loading areas, internal roads, adjacent streets, storm and sewer drains, access and exit points, emergency shutoffs evacuation staging areas, hazardous material handling and storage areas, and emergency response equipment. Immediately log into the California Environmental Reporting System (CERS) at http://cers.calepa.ca.gov/, upload the correct or updated information, and submit to the EHD for approval. This is a Class 11 violation. 11 HSC 25505(a)(3) Failed to establish and/or submit emergency response procedures for a release or threatened release. The emergency response procedures have not been submitted . A business plan shall include the following emergency response procedures for a release or threatened release of hazardous materials, including, but not limite to, the following: - immediate notification of local emergency personnel and the Environmental Health Department (EHD) - procedures for the mitigation of a release or threatened release to minimize any potential harm or damage to persons, property, or the environment - evacuation plans and procedures, including immediate notice, for the site Immediately log into the California Environmental Reporting System(CERS) at http://cers.Galepa.ca.gov/, upload the correct or updated information, and submit to the EHD for approval. This is a Class II violation. Received by I Inspector: Phone: Date: (initial): ROBERT LOPEZ, HM Spe' Page 2 of 3