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SAN JOAQUIN COUNTY <br />NVIRONMENTAL HEALTH DEPARTMEN <br />1868 East Hazelton Avenue, Stockton, California 95205-6232 <br />Telephone: (209) 468-3420 Fax. (209) 468-3433 Web: www.siaov.ora/ehd/unitiii.htmi <br />HAZARDOUS MATERIALS PROGRAM INSPECTION REPORT <br />Facility <br />Name: <br />I <br />Faciltty <br />Address: <br />Inspection <br />Date: —I <br />FacilityLMO� <br />Contact: <br />Title: <br />hone: �� ��–IV <br />'^ <br />Inspection Routine Follow up Complaint Other. CERS <br />Type: <br />(Authority HSC 2 <br />Consent for: /Inspectiq0 Sampling Photos Granted by: KamaTitle: <br />VIOLATIONS <br /># <br />C1 <br />C2 M I Code Section HSC = California Health and Safety Code; CCR = California Code of Reoulallons <br />C1 =Class 1 violation; C2 = Class 2 violation; M = Minor violation <br />1 <br />HSC 25505(e) Failed to maintain a complete copy of the business plan on site <br />2 <br />CCR 2729.2(a)(1) Failed to complete and submit the Business Owner/Operator Identification information [HSC25509] <br />3 <br />CCR 2729.2(a)(2) Failed to complete and submit the Hazardous Materials – Chemical description information [HSC 255091 <br />4 <br />CCR 2729.2(a)(3) Failed to complete and submit an Annotated Site map [HSC 25509] <br />5 <br />CCR 2731 Failed to include emergency response procedures for a release or threatened release of hazardous materials <br />HSC 25504(b)] <br />6 <br />Failed to include a training program that includes at minimum: (1) safe handling of hazardous materials; (2) <br />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 <br />CCR 2732(b) Failed to provide initial and/or refresher training to appropriate <br />personnel [HSC 25504(c)] <br />8 <br />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 />9 <br />HSC 25505(b) Failed to update and submit revisions to the business plan when substantial changes occur <br />999 <br />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 />122L-2 4AVVW,� S 12nS <br />\2 IX <br />- <br />)n <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 END'S CURRENT HOURLY RATE. <br />Inspector. <br />Phone: _ <br />Race' b yQ <br />THIe: L <br />EHD 18-01 Page 1 HM OFFICIAL INSPECTION REPORT <br />