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We <br /> San Joaquin County <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, California 95205-6232 <br /> Telephone: (209)468-3420 Fax:(209)468-3433 Web:www.siaov.org/ehd <br /> Hazardous Materials Program Inspection Report <br /> Facility Name: Facility Phone: Date: <br /> CALIFORNIA LIVE FLOORS INC 209 465-9131 January 22 2015 <br /> Facility Address: EPA ID: CERS ID: <br /> 4580 S HWY 99 STOCKTON CA 95215 1 10183233 <br /> Facility Contact: Contact Phone: Contact during inspection, <br /> Dean Berkenbile 209 465-9131 if different from facility <br /> Inspection type: Program: <br /> ROUTINE INSPECTION -Operating Permit 1 1921 - HMBP-Regular-Primary Location <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 n V a R ❑COS <br /> 2 HSC 25508(a)(1) Failed to electronically submit a business plan ❑V ❑R o COS <br /> 3 HSC 25508(c) Failed to annually review and certify that the business plan is complete,accurate,and up to date n V o R ❑COS <br /> 4 HSC 25505.1 Failed to notify property owner that facility is subject to and in compliance with the HMBP program ❑V ❑R ❑COS <br /> 5 HSC 25510 Failed to report actual or threatened release to the EHD and/or CalOES Warning Center n V n R ❑COS <br /> 6 HSC 25508(a)(1) Failed to complete and/or submit the Business Activities or Owner/Operator Identification page in V o R ❑COS <br /> 7 HSC 25506(a) Failed to complete and/or submit hazardous materials inventory for all reportable materials on site ■V ❑R ❑COS <br /> 8 HSC 25508.1(a)-(e) Failed to submit revisions to HMBP within 30 days of change in business info or inventory in V ❑R o COS <br /> 9 HSC 25508.1(f) Failed to submit revisions to HMBP within 30 days of substantial change in operations ❑V ❑R ❑COS <br /> 10 HSC 25505(a)(2) Failed to complete and/or submit a site map with all required content ■V ❑R ❑COS <br /> 11 HSC 25505(a)(3) Failed to establish and/or submit emergency response procedures for a release or threatened release ■V o R n 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 /> d1713 in 25505(a)(4) Failed to provide or document initial and/or refresher training to appropriate personnel n V ❑R COS <br /> 14 HSC 25507.1 Failed to submit emergency response plan when not meeting Ag handler exemption requirements in ❑R ❑COS <br /> 15 HSC 25507.1 Failed to submit training program when not meeting Ag handler exemption requirements in ❑R ❑COS <br /> 16 HSC 25507.2 Failed to establish and implement a HMBP when not meeting remote unstaffed facility exemptions o V ❑R ❑COS <br /> 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 ❑R n COS <br /> 1040 See below Unlisted Release/Leaks/Spills violation o V n R ❑COS <br /> SUMMARY OF VIOLATIONS <br /> (CLASS I.CLASS IL or MINOR-Notice to Comolvl <br /> Item# Remarks <br /> HSC 25506(a) Failed to complete and/or submit hazardous materials inventory for all reportable materials on site. <br /> 834 cubic feet of oxygen, 55 gallons hydraulic oil, 55 gallons motor oil and 359 cubic feet acetylene were found on site <br /> that have not been reported. Any material that meets or exceeds the reportable quantity shall be reported in the facility'; <br /> business plan. Immediately log into the California Environmental Reporting System (CERS)at http://cers.calepa.ca.gov, <br /> add the materials to the hazardous material inventory, and submit to the EHD for approval. <br /> This is a minor violation. <br /> Received by(initial): Inspector: Phone: Date: <br /> DB JAMIE DE LA ROSA, HM Specialist 11 (209)953-6211 01/22/2015 <br />