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SAN JOAQUIN COUNTY N.W <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, California 95205-6232 <br /> Telephone:(209)468-3420 Fax:(209)468-3433 Web:www.sigoy.orq/ehd <br /> HAZARDOUS MATERIALS PROGRAM INSPECTION REPORT <br /> Facility <br /> Kingsdown Inc. <br /> Facility <br /> tllr�s: 1631 Industrial Dr., Stockton Inte. °" 12/19/2012 <br /> Facility Title: Plane: <br /> Contact Matthew Lewis Plant Manager 20-234-1436 <br /> Inspection <br /> Type: XRoufine Follow up Complaint-ID#r. PRO536814 nOther: <br /> (Authority HSC 25508) <br /> consemfor. (inspection ❑Sampling RPFoos Grneby:An ela Morrone Title: Manager <br /> VIOLATIONS <br /> @ C1 I C2 M I Code Secd,, HSC=California Health and Safety Code;CCR=California Code of Regulations <br /> C1=Class 1 violation;C2=Class 2 vitiation;M=Minor violation <br /> t HSC 25505(e) Failed to maintain a complete copy of the business plan on site <br /> 2 CCR 2729.2(a)(1) Failed to complete and submit the Business Owner/Operator Idenfificafion information[HSC25509] <br /> 3 CCR 2729.2(a)(2) Failed to complete and submit the Hazardous Materials-Chemical description information[HSC 255091 <br /> 4 CCR 2729.2(a)(3) Failed to complete and submit an Annotated Site map[HSC 25509] <br /> 5 CCR 2731 Failed to include emergency response procedures for a release or threatened release of hazardous materials <br /> HSC 25504(b)] <br /> Failed to include a training program that includes at minimum:(1)safe handling of hazardous materials;(2) <br /> 8 CCR 2732(a) procedure for coordination with local emergency response organizations;(3)use of emergency equipment <br /> and supplies;and 4 emergency response procedures HSC 25504(c)] <br /> 7 CCR 2732(b) Failed to provide initial and/or refresher training to appropriate personnel[HSC 25504(c)] <br /> 8 CCR 2703 Failed to verbally report a release or threatened release immediately to the Environmental Health Deparin;mt- <br /> (FHni and/or the Califomia Emergency Management Agency CaIEMA HSC 25507(a)] <br /> 9 HSC 25505(b) Failed to update and submit revisions to the business plan when substantial changes occur <br /> 999 1 1 1 1 Other: See attached"Continuation-Official Inspection Report"for violation(s)not listed above. <br /> SUMMARY OF VIOLATIONS <br /> (CLASS I,CLASS II,or MINOR-Notice to Comply) <br /> No violations observed at the time of inspection. <br /> A blank Annotated Site Map form, a CERS flyer and a Lead User Authorization form provided at <br /> the time of inspection. <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 /> Impx �Rt } Phone: 209-953-6214 <br /> Receive0 er Title: n <br /> U <br /> EMD 1801 Rev 04119/12 Page 1 HM OFFICIAL INSPECTION REPORT <br />