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• 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.sicov.orD/ehd <br /> HAZARDOUS MATERIALS PROGRAM INSPECTION REPORT <br /> Facility Facility Inspection <br /> Name: Address: '1Wy Date: <br /> Facility Title: Phone: <br /> Contact: 'adav Owne <br /> Inspection XRoutlne UFollow up UComplaint-ID#: PR0520708 .Other: <br /> Type: <br /> (Authority HSC 25508) Sandra Deli Mana c <br /> Consent for: Xlnspection a anraeTiller 9 Sampling XPhotos Granted by: <br /> VIOLATIONS <br /> If C1 C2 M Code Section HSC=California Health and Safety Code'CCR-Cal'rfomia Cotle of Rectulations <br /> 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 X CCR 2729.2(a)(1) Failed to complete and submit the Business Owner/Operator Identification information[HSC25509] <br /> 3 X CCR 2729.2(a)(2) Failed to complete and submit the Hazardous Materials-Chemical description information[HSC 255091 <br /> 4 X CCR 2729.2(a)(3) Failed to complete and submit an Annotated Site map[HSC 255091 <br /> 5X 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 X 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 CCR 2732(b) Failed to provide initial and/or refresher training to appropriate personnel[HSC 25504(c)] <br /> 8 CCR 2703 Failed to verbally reporta release or threatened release immediately to the Environmental Health Department <br /> EHD and/orthe California Emergency Management Aenc CaIEMA HSC 25507(a)] <br /> 9 HSC 25505(b) Failed to update and submit revisions to the business plan when substantial changes occur <br /> 999 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 /> #2 - CCR 2729.2(a)(1). The Facility Information; Business Activities and Business Owner/Operator <br /> Information have not been entered in to the California Environmental Reporting System (CERS). <br /> #3 - CCR 2729.2(a)(2). The reportable quantity of truck was chemicals present at this facility have <br /> not been added to the CERS Hazardous Materials Inventory. <br /> #4 - CCR 2729.2(a)(3). A completed Annotated Site Map has not been uploaded to the CERS <br /> website. <br /> #5 - CCR 2731. The Emergency Response/Contingency Plan has not been uploaded to the CERS <br /> website. <br /> #6 - CCR 2732(a) The Employee Training Plan has not been uploaded to the CERS website. <br /> To address the above noted violations: <br /> 1. Log on to the California Environmental Reporting System (CERS) website at http://cers.calepa. <br /> ca.gov/where you will need to: <br /> a. Create a New Account. <br /> b. Complete and submit the Facility Information Section, the Hazardous Materials Section and the <br /> Emergency Response and Training Plans Section. <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 /> Inspector PMna: <br /> 209-953-6214 <br /> ReC ad by: TMe: <br /> EHD 18-01 Rev 04/19/12 Page 1 HM OFFICIAL INSPECTION REPORT <br />