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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, California 95202-3029 <br /> Telephone: (209)468-3420 Fax:(209)468-3433 Web:www.siaov.oro/ehd/unitiii.html <br /> HAZARDOUS MATERIALS PROGRAM INSPECTION REPORT <br /> Facility Facility 1,(0 I n rrf ria- �• Inspection p <br /> Name: Ih9 ���� f '!'� G ' Address: Zp {i Date: �-1 { -ZQ/2. <br /> Facility (L 1 ��;'f Title: <br /> Contact: f14 4L V_ <br /> InspectionD Routine 0 Follow up ❑Complaint-ID#: ' y- 13 Other: <br /> Type: <br /> (Authority HS 5508) 'u <br /> Consent for. spect!on 11 Sampling D Photos Granted by: /r V_IQ.✓ �� Title: Or,-C-4- <br /> VIOLATIONS 4,VIOLATIONS <br /> # C1 C2 M Code Section HSC=California Health and Safe Code;CCR=California Code of Regulations <br /> Cl=Class 1 violationC2=Class 2 violation M=Minor violation <br /> 1 HSC 25505(e) Failed to maintain a complete copy of the business plan on site <br /> 2 CCR 2729.2(3)(1) Failed to complete and submit the Business Owner/Operator Identification information[HSC25509] <br /> 3 CCR 2729.2(.)(2) Failed to complete and submit the Hazardous Materials-Chemical description information[HSC 25509] <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 /> 6 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 Department <br /> EHD and/or the California Emergency Management Agency CaIEMA HSC 25607(a)] <br /> 9 HSC 25505(b) Failed to update and submit revisions to the business plan when substantial changes occur <br /> 999 Other: See attached"Continuation-Official Inspection Repoli"for violation(s)not listed above. <br /> SUMMARY OF VIOLATIONS <br /> `` CLASS I, CLASS II,or MINOR-Notice to Comply) <br /> O j t t 4 LG�t <br /> Lor- s <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 /> Phone: zoo/ ) C)�3— z o 0 <br /> e <br /> Received by: nlla: <br /> EHD 18-01 Page 1 HM INSPECTION REPORT <br />