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San Joaquin County <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, Califomia95205-6232 <br /> Telephone: (209)468-3420 Fax:(209)468-3433 Web:www.sjoov.org/ehd <br /> Hazardous Materials Program Inspection Report <br /> Facility Name: Facility Phone: Date: <br /> SOUTHERN WINE &SPIRITS 209 983-0155 Ext.0 December 08, 201 <br /> Facility Address., CERS ID: <br /> 1918 INDUSTRIAL DR, STOCKTON, CA 95206 10187357 <br /> Inspection Contact: Title: Phone: <br /> Dave Butcher Mana er 209 983-0155 <br /> Inspection Type: Program: <br /> ROUTINE INSPECTION-O eratin Permit 1921 - HIMBP-Regular-Primary HMBP-Regular-PrimaryLocation <br /> Consent For: I Consent Given By: <br /> Z Ins ection X Photos ❑ Sam les I Dave Butcher Mana er <br /> CCR=California Code of Regulations HSC=Health and Safety Code CFR=Code of Federal Regulations <br /> V=Violation R=Repeat violation COS=Corrected on site during inspection <br /> Violations <br /> 1 HSC 25507 Failed to establish and implement a hazardous materials business plan 1 -V o R ❑COS <br /> 2 1 HSC 255W(a)(1) Failed to electronically submit a business plan ■V ❑R ❑COS <br /> 3 HSC 25508.2 Failed to annually review and certify that the business plan is complete,accurate,and up to date ■V ❑R n COS <br /> 4 HSC 25505.1 Failed to notify property owner that facility is subject to and in compliance with the HMBP program ❑V n R ❑COS <br /> 5 HSC 25510 Failed to report actual or threatened release to the EHD and/or CaIOES Wanting Center ❑V u R ❑COS <br /> 6 HSC 25508(a)(1) Failed to complete and/or submit the Business Activities or Owner/Operator Identification page ■V ❑R ❑COS <br /> 7 HSC 255W(a) Failed to complete and/or submit hazardous materials inventory for all reportable materials on site ■V ❑R ❑COS <br /> 8 HSC 255W.1(a){e) Failed to submit revisions to HMBP within 30 days of change in business info or inventory ❑V o R o COS <br /> 9 HSC 25508.1(f) Failed to submit revisions to HMBP within 30 days of substantial change in operations u V ❑R ❑COS <br /> 10 HSC 25505(a)(2) Failed to complete and/or submit a site map with all required content ■V ❑R n COS <br /> 11 HSC 25505(,)(3) Failed to establish and/or submit emergency response procedures for a release or threatened release mV ❑R o COS <br /> 12 HSC 25505(a)(4) Failed to submit a training program or program is not reasonable or adequate for facility ■V ❑ R ❑COS <br /> 13 HSC 25505(,)(4) Failed to provide or document initial and/or refresher training to appropriate personnel ■V ❑R ❑COS <br /> 14 HSC 25507.1 Failed to submit emergency response plan when not meeting Ag handler exemption requirements ❑V ❑R ❑COS <br /> 15 HSC 25507.1 Failed to submit training program when not meeting Ag handler exemption requirements o V o R o COS <br /> 16 HSC 25507.2 Failed to establish and implement a HMBP when not meeting remote unstaffed facility exemptions n V ❑R ❑COS <br /> 17 HSC 25511 Failed to submit a written response within 30 days of receiving an inspection report ❑V ❑R o COS <br /> 1010 See below Unlisted Administration/Documentation violation n V o R o COS <br /> 1040 See below Unlisted Release/Leaks/Spills violation ❑V ❑R ❑COS <br /> SUMMARY OF VIOLATIONS <br /> (CLASS I,CLASS II,or MINOR-Notice to Comply) <br /> Item# Remarks <br /> Received by Inspector: Phone: Date: <br /> (initial): (209) 953-6214 12/08/2015 <br /> Page 1 of 4 <br />