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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.sicehd.com <br /> HAZARDOUS MATERIALS PROGRAM INSPECTION REPORT <br /> Facility Facility Irspecti n <br /> Name: yl Phone: ). A )F ZJOA pate: ' zC <br /> Facility EPA CERS <br /> Address: 23 o �r �kc.—k,(b ID: ID: <br /> ON <br /> Facility S Contact Contact during inspection,R <br /> Contac: J CALL 0. GI Phone:�20 <br /> 5 r5�-2/0p different from facility contact: <br /> Inspection <br /> Type: �O� t Program: <br /> 1 ( 20 <br /> CCR=California Code of Regulations HSC=Health and Safety Code CFR=Code of Federal Regulations <br /> V=Violation R=Re at COS=Comecteclonsiteduring inspection <br /> Violations V R COS <br /> 1 HSC 25507 Failed to establish and implement a hazardous materials business plan(V334) ❑ ❑ <br /> 2 HSC 25508(a)(1) Failed to electronically submit a business plan(V335) ❑ ❑ <br /> 3 HSC 25508(c) Failed to annually review and certify that the business plan is complete,accurate,and up to date(V342) ❑ ❑ <br /> 4 HSC 25505.1 Failed to notify property owner that facility is subject to and in compliance with the HMBP program(V341) ❑ ❑ ❑ <br /> 5 HSC 25510 Failed to report actual orthreatened release to the END and/or CaIOES Wanting Center(V338) ❑ ❑ ❑ <br /> 6 HSC 25508(a)(1) Failed to complete and/or submit the Business Activities or Owner/Operator Identification page(V345) ❑ ❑ <br /> 7 HSC 25506(a) Failed to complete and/or submit hazardous materials inventory for all reportable materials on site(V343) ,❑ ❑ <br /> 8 HSC 25508.1(a){e) Failed to submit revisions to HMBP within 30 days of change in business into or inventory(V346) ❑'. ❑ ❑ <br /> 9 HSC 25508.1(0 Failed to submit revisions to HMBP within 30 days of substantial change in operations(V344) ❑ ❑ ❑ <br /> 10 HSC 25W5(a)(2) Failed to complete and/or submit a site map with all required content(V347) 0 0 <br /> 11 HSC 25505(a)(3) Failed to establish and/or submit emergency response procedures for a release or threatened release NUB) ❑ ❑ <br /> 12 HSC 25505(a)(4) Failed to submit a training program or program is not reasonable or adequate for facility(V350) ❑ ❑ <br /> 13 HSC 25505(a)(4) Failed to provide initial and/or refresher training to appropriate personnel(V349) �( ❑ ❑ <br /> 14 HSC 25507.1 Failed to submit emergency response plan when not meeting Ag handler exemption requirements(351) ❑ ❑ ❑ <br /> 15 HSC 25507.1 Failed to submit training program when not meeting Ag handler exemption requirements(V352) 0 0 0 <br /> 16 HSC 25507.2 Failed to establish and implement a HMBP when not meeting remote unstaffed facility exemptions N353) ❑ ❑ ❑ _ <br /> 17 HSC 25511 Failed to submit a written response within 30 days of receiving an inspection report(V808) ❑ ❑ ❑ <br /> 1010 See below Unlisted Administration/Documentation violation(V355) ❑ ❑ ❑ <br /> 1040 See below Unlisted Release/Leaks/Spills violation(V356) ❑ ❑ ❑ <br /> SUMMARY OF VIOLATIONS <br /> CLASS I,CLASS II,or MINOR—Notice to Com I <br /> Ca S �e <br /> Ac, <br /> O d p e OFO ZV L" 2czot� <br /> U a— LCL L Zio.v Ou <br /> 1r, a 4 <br /> A <br /> FIDSM,J Me ASSOCIATE ITH FAILING TO COMPLY BY THE ASIOVE NOTED DATES ILL 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 � nature): TRIe: p�oo �M pate: <br /> O"1'�'lCQ yrIU'q'x Slit`L II <br /> Received by(prints ams: Ins or: Inspector phone: <br /> berg►- (� L zo9 62.1 U <br /> EHD 19-01 REV 0/07/14 Page 1 HM INSPECTION REPORT <br />