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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.s'qov.org/ehd/unitili.html <br /> HAZARDOUS MATERIALS PROGRAM INSPECTION REPORT <br /> Facil�,. ,�/t Facility Inspec8on I 1 I�7 <br /> Name: I(II Add ssa Date: "r [— <br /> Phone: <br /> Facility <br /> Contact: \\ <br /> Inspection xqutine O Follow up O Complaint–IDS: C Other: <br /> Type: <br /> (Authority HSC 25508) <br /> Consent for: O Inspection O Sampling O Photos Granted by: Title: <br /> VIOLATIONS <br /> HSC California= Health and Saf Code CCR=Califomia Code of Re ulations <br /> # C1 C2 M Code Section Ct=Class 1 violation;C2=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(a)(1) Failed to complete and submit the Business Owner/Operator Identification information[HSC25509] <br /> 3 CCR 2729.2(a)(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 255091 <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(41 emergency response procedures IHSC 25604(g <br /> 7 CCR 2732(b) Failed to provide initial and/or refresher training to appropriate personnel[HSC 25504(c)] <br /> g 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 25507 a <br /> g HSC 25505(b) Failed to update and submit revisions to the business plan when substantial changes Occur <br /> 999 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 Com I <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 /> I <br /> FR. <br /> I nW��ceived by: rne: <br /> can iR_m Page t HM INSPECTION REPORT <br />