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DEC-15-2015 13:58 FROM:STORE 5• • <br /> 12094781522 70:18186868151 P.1,3 <br /> San Joaquin County <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, California 95205232 <br /> Talophorl(208)468-3420 Fax;(209)468-3433 Web:mmw.siaov.arg/ehd <br /> Hazardoua Materials Program Inspection Report <br /> aclllty,Notes: <br /> United#5447 ac 1 ry P ono: Date; <br /> Facility Addran: I 884-08Qo November 17 2015 <br /> 1469 E HAMMER LN STOCKTON CA 95210 CERS Io- <br /> Inspection"Iltacb clue; 10180781 <br /> Justin Green P^Ona° <br /> In■pacaon Typa: Assistan M r ( - <br /> Prooram; <br /> N- n P rmi 1 1 - <br /> Consent For: HMBP-Re ular•Prima n <br /> ConeOnt Glvon ay: <br /> Ins action B Photos 13$am les Justin Green Assistant M r <br /> a s my e------- G•HNlth a Salty oda OF a a W Federal RegUlaaona <br /> V a vlelapn R e Repeat'Illation CAa Cviw�wi on nb eurmg Inapactbn <br /> violations <br /> 1 HSC 25507 Failed to establish and Implemant a haZardaull materials business plan <br /> vV OR uC05 <br /> 2 HSC 25500(s)(1) Failed to eloctronicaot,submit a business plan nv q aCOS <br /> 3 HSC 25508.2 Failed to annually review and certify that the business plan is complete,accurate,and up to date u V u R ❑COS <br /> 4 HSC 25505.1 Failed to nonty property owner that facility is subject to and in Compliance with the HMBP program n V OR u COS <br /> 5 HSC 25510 F-'"to repos aaual Or tnroalened release to the EHD and/or CsIOE5 Warning Canter v V OR u COS <br /> B NSC 25508(x)(1) Failed w complete and/or submit the Business Activities or Owner/Operator Identification page n v ❑R n COS <br /> 7 HSC 25508(a) Failed to complete and/or submit hazardous materials inventory for all reportable materials on site mV OR o COS <br /> 8 HSC 25508.11 Failed to submit 1`01210116 10 HMBP within 30 days of change in business Into or Inventory o V n R u COS <br /> 0 HSC 25509A(Q f Failed to submit revisions to HMBP within 30 days of substantial chanoe In operations <br /> vV nR nCOS <br /> 10 HSC 25505(a)(2) Failed to complete and/or submit o site map with all required content o v OR u COS <br /> 11 HSC 25505(a)(3) Failed to establish and/or submit emergency response procedures for a ralaeea or threatened release ❑V n R ❑COS <br /> 12 HBC 25505(a)(4) Failed to submit a training program or program is not reasonable or adequate for facility )V i R q COS <br /> 13 HSC 25505(a)(4) Failed to provide or document initial and/or refresher training to appropriate personnel ❑V ❑R c CO$ <br /> 14 HSC 25507.1 Failed to submit emorgancy response plan when not meeting Alit handlor exemption requirements Uv OR o COS <br /> 15 HSC 25507.1 Felled to submit Imining program when not meeting Ag handler exemption roqulroments <br /> -V on -COS <br /> 18 HSC 25507.2 Failed to establish and implement a HMBP when not meeting remote unstaffed facility exemptions ❑V o R ❑COS <br /> 17 HSC 25511 Failed to submit a written response within 30 days of receiving an inspection report o V OR u COS <br /> 1010 See below Unlisted AdminlstratlonrDOWmantatlon violation nV OR uCOS <br /> 1040 See below Unlisted Roleasa(leaks/Sollo violation <br /> PV OR o COS <br /> SUMMARY OF VIOLATIONS <br /> (CLASS 1,CLASS 11,or MINOR•II to Comply) <br /> Item of Remarks <br /> 7 HSC 25506(a)Failed to complete and/or submit hazardous materials inventory for all reportable materials on site. <br /> 400 pounds Carbon Dioxide tank were found on site that have not been reported to CERS. Any material that meets or <br /> exceeds the reportable quantity shall be reported in the facility's business plan. Immediately log into the California <br /> Environmental Reporting System(CERS)at http://cers.calepa.ca.gov/, add the materials to the hazardous material <br /> inventory, and submit to the EHO for approval. <br /> This is a minor violation. <br /> Recslved by Inspector: Phone: <br /> Date: <br /> (i"ivaq: HAZA SAEED, HM Specialist I (209)953-6212 11 <br /> is <br /> Page t or z <br /> 16 215 <br /> ENVIRONMEN <br /> HEA1-TH DEPARTMENY <br />