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�- San Joaquin County <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, California 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209) 468-3433 Web:www.s6gov.org/ehd <br /> Hazardous Materials Program Inspection Report <br /> Facility Name: Facility Address: Date: <br /> --S JR ,#148 <br /> SUMMARY OF VIOLATIONS <br /> (CLASS I,CLASS II,or MINOR-Notice to Comply) <br /> Item# Remarks <br /> 12 HSC 25505(a)(4) Failed to submit a training program or program is not reasonable or adequate for facility <br /> A training program was i,,, _,_:omitted to CERS as part Oi the business plan . Training programs b; j . employees <br /> and annual training, including refresher courses, shall include safety procedures for the event of a release or <br /> threatened release of a hazardous material, including, but not limited to, familiarity with the facility's emergency <br /> response plans and procedures. These training programs may take into consideration of each employee. <br /> Immediately prepare or update the facility's training program, log into the California Environmental Reporting System <br /> (CERS) at http://cers.calepa.ca.gov/, upload the correct or updated information, and submit to the EHD for approval. <br /> This is a Class II violation. <br /> Overall Inspection Comments: <br /> Complete and submit a copy of the Return to Com ertification form to the EHD with a statement <br /> documenting the corrective actions that have been -, ,v a be taken for each violation, and any supporting <br /> paperwork, by 5/16/2015 . <br /> Please be aware as of January 1, 2013, all businesses are required to submit all hazardous materials information <br /> online to the California Environmental Reporting System (CERS) at http://cers.calepa.ca.gov. Be sure to include <br /> your hazardous material activity in the Businesses Activities section in CERS in addition to any other relevant <br /> activities and required fields. <br /> ALL EHD STAFF TIME ASSOCIATED WITH FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL BE BILLED AT THE CURRENT HOURLY RATE. <br /> THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br /> Received By Received By(printed name and title): Date: <br /> (signature): ) Maria Velsaco, District Manager I <br /> Inspector Inspector(printed name and title): Inspector Phone: <br /> (signature): HAZA SAEED, HM Specialist 1 (209) 953-6212 <br /> Page 3 of 3 <br />