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S i N J O A Q U 14 Ill , Environmental Health Department <br />COUNTY <br />Hazardous Materials Program Inspection Report <br />Facility Name: <br />Facility Address: <br />Date: <br />RALEYS FUEL STATION #356 <br />4219 E MORADA LN, STOCKTON <br />October 04, 2018 <br />SUMMARY OF VIOLATIONS <br />(CLASS I, CLASS II, or MINOR - Notice to Comply) <br />Item # <br />Remarks <br />5 <br />HSC 25505(a)(1) Failed to complete and/or submit hazardous materials inventory for all reportable materials on site. <br />73.5 gallons of propane were found on site that have not been reported. <br />Any material that meets or exceeds the reportable quantity shall be reported in the facility's business plan. <br />Immediately log into the California Environmental Reporting System (CERS) at http://cers.calepa.ca.gov/, add the <br />materials to the hazardous material inventory, and submit to the EHD for approval. <br />This is a minor violation. <br />6 <br />HSC 25505(a)(2) Failed to complete and/or submit a site map with all required content. <br />A site map is missing adjacent streets, chemical locations, evacuation staging, storm/sewer drains, loading areas, <br />internal roads, exit and access points. <br />A site map shall contain a north orientation, loading areas, internal roads, adjacent streets, storm and sewer <br />drains, access and exit points, emergency shutoffs, evacuation staging areas, hazardous material handling and <br />storage areas, and emergency response equipment. If a site map element is not applicable for your facility then list <br />it on the map and label as "NA". Immediately log into the California Environmental Reporting System (CERS) at <br />http://cers.calepa.ca.gov/, upload the correct or updated information, and submit to the EHD for approval. <br />This is a minor violation. <br />Overall Inspection Comments: <br />Complete and submit a copy of the Return to Compliance Certification form to the EHD with a statement <br />documenting the corrective actions that have been or will be taken for each violation, and any supporting <br />paperwork, by 11/3/2018. <br />All car wash chemicals are under reportable quantity and can be deleted from the chemical inventory in CERS. <br />Starting September 1, 2018, all in -office CERS help will be provided at EHD hourly rate ($152). To schedule an <br />appointment, please call (209) 468-3420. <br />AFTER THE COMPLIANCE DATE, EHD WILL BILL FOR ALL TIME AND ACTIVITIES ASSOCIATED WITH BRINGING <br />THIS FACILITY BACK INTO COMPLIANCE. <br />THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br />Received by: Date: October 04, 2018 <br />Inspector: <br />Inspector Phone: <br />Aw6�1� Printed Name and Title: <br />JAMIE LIMA, Haz Mat Specialist II <br />(209) 953-6211 <br />Dawn Dircksen, Manager <br />FA0016523 PR0527531 SCO01 10/04/2018 <br />EHD 19-01 Rev. 09/27/2018 Page 2 of 2 Hazardous Materials Program OIR <br />1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />