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4PSAN JOAQUIN COUNTY <br /> NVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, California 95202-3029 <br /> Telephone: (209)468-3420 Fax: (209)468-3433 Web:www.sigov.org/ehd/�Unitiii.htmi <br /> • HAZARDOUS MATERIALS PROGRAM INSPECTION REPORT <br /> Facility FaInspection <br /> cility Data. <br /> Name: Address: <br /> Title: Phgr e: <br /> Facility Pry j i <br /> Contact: _ <br /> Inspection ❑Routine DFollow up ❑Complaint—ID#: / ❑Other: <br /> Type: 1 <br /> (Authority HSC 25508) Title: <br /> Consent for. D Inspection [)Sampling DChotos Granted by: <br /> VIOLATIONS <br /> M2729.2(a)(3) Failed <br /> SC=California Health and Safe Code CCR=California Code of Re ulafions <br /> 11; C1 C2 M n C7=Class 1 violation;C2=Class 2 violation M=Minor violation <br /> 1 ) Failed to maintain a complete copy of the business plan on site <br /> 2 r a)(1) Failed to complete and submit the Business Owner/Operator Identification information[HSC25509] <br /> 3 a)(2) Failed to complete and submit the Hazardous Materials—Chemical description information[HSC 25509] <br /> 4 (a)(3) Failed to complete and submft an Annotated Site map[HSC 25509] <br /> 5 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 4 emergency response procedUrsa HSC 25504(c)] <br /> 7 CCR 2732(b) Failed to provide initial and/or refresher training to appropriate personnel[HSC 25504(c)] <br /> 6 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 submit revisions to the business plan when substantial changes occur <br /> ggg Other: See attached"Continuation—Official Inspection Report"for violation(s)not listed above. <br /> SUMMARY OF VIOLATIONS <br /> CLASS 1, CLASS II,or MINOR-Notice to Com 1 <br /> r/ <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 /> 'pectoc Phone: <br /> Received by: Title'. <br /> EHD 18-01 Page 1 HM INSPECTION REPORT <br />