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San Joaquin County —f Environmental Health Department 1868 East Hazelton Avenue, Stockton, California 95205-6232 Telephone: (209) 468-3420 Fax: (209)468-3433 Web:www.sigov.org/ehd Hazardous Materials Program Inspection Report Facility Name: I Facility Phone: Date: VALLEY FORKLIFT 209 933-0206 Juiv 02 2015 Facility Address: CERS ID: 3131 E FREMONT ST STOCKTON CA 9.52!' 10181775 Inspection Contact Title: Phone: Julie Woods 209 993-0206 Inspection Type: Progra : ROUTINE INSPECTION -Operating Permit 1921 -mHMBP-Re ular-Prima Location Consent For: I Consent Given By: Z Inspection O Photos 1:1Sam les Julie Woods Safety CCR=California Code of Regulations HSC=Health and Safety Code CFR=Code of Federal Regulations V=Violation R=Repeat violation COS=Corrected on site during inspection Violations 1 HSC 25507 Failed to establish and implement a hazardous materials business plan ❑V o R o COS 2 HSC 25508(a)(1) Failed to electronically submit a business plan ❑V ❑R ❑COS 3 HSC 25508.2 Failed to annually review and certify that the business plan is complete,accurate,and up to date ❑V ❑R ❑COS 4 HSC 25505.1 Failed to notify property owner that facility is subject to and in compliance with the HMBP program ❑V ❑R ❑COS 5 HSC 25510 Failed to report actual or threatened release to the EHD and/or CalOES Warning Center in V ❑R ❑COS 6 HSC 25508(a)(1) Failed to complete and/or submit the Business Activities or Owner/Operator Identification page ❑V ❑R ❑COS 7 HSC 25506(a) Failed to complete and/or submit hazardous materials inventory for all reportable materials on site o V ❑R ❑COS 8 HSC 25508.1(a)-(e) Failed to submit revisions to HMBP within 30 days of change in business info or inventory ❑V ❑R ❑COS 9 HSC 25508.1(1) Failed to submit revisions to HMBP within 30 days of substantial change in operations ❑V ❑R ❑COS 10 HSC 25505(a)(2) Failed to complete and/or submit a site map with all required content ❑V ❑R ❑COS 11 HSC 25505(a)(3) Failed to establish and/or submit emergency response procedures for a release or threatened release ❑V ❑R ❑COS 12 HSC 25505(a)(4) Failed to submit a training program or program is not reasonable or adequate for facility in V ❑R ❑COS 13 HSC 25505(a)(4) Failed to provide or document initial and/or refresher training to appropriate personnel ❑V ❑R ❑COS 14 HSC 25507.1 Failed to submit emergency response plan when not meeting Ag handler exemption requirements in V in R ❑COS 15 HSC 25507.1 Failed to submit training program when not meeting Ag handler exemption requirements o V ❑R ❑COS 16 HSC 25507.2 Failed to establish and implement a HMBP when not meeting remote unstaffed facility exemptions ❑V ❑R ❑COS 17 HSC 25511 Failed to submit a written response within 30 days of receiving an inspection report ❑V a R o COS 1010 See below Unlisted Administration/Documentation violation o V a R ❑COS 1040 See below Unlisted Release/Leaks/Spills violation ❑V n R o COS SUMMARY OF VIOLATIONS (CLASS I,CLASS II,or MINOR-Notice to Comply) Item# Remarks Overall Inspection Comments: No violations noted a time of inspection. Complete and submit a copy of the Return to Compliance Certification form to the EHD with a statement documenting the corrective actions that have been or will be taken for each violation, and any supporting Received by Inspector: Phone: Date: (initial t,.� JAMIE DE LA ROSA, HM Specialist II (209) 953-6211 07/02/2015 Page 1 of 2