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1 <br /> SAN JOAQUIN COUNTY <br /> NVIRONMENTAL HEALTH DEPARTMEN <br /> AI <br /> 1868 East Hazelton Avenue, Stockton, California 95205-6232 <br /> Telephone:(209)468-3420 Fax:(209)468-3433 Web:www.sigov.org/ehd/unitiii.html <br /> HAZARDOUS MATERIALS PROGRAM INSPECTION REPORT <br /> Facility '` Facility /\ Inspection <br /> Name: K\ (� Com— Q��r-.vV Address: 139 IC.C_P�f;..j f-}V t' Date: <br /> Facility Title: / Phone: Q <br /> Contact: J3 Q TC7LI L 1�f1 L (T/� Z©9� <br /> Inspection <br /> Type: utine Follow up Complaint-ID#: Other. <br /> (Authority H <br /> Consent for. Inspectic Sampling Photos Granted by: K0j3 JO 0 t,4 Title: ':AjAA N1 PL, <br /> VIOLATIONS <br /> # C1 C2 M Code Section HSC=Califomia Health and Safety Code;CCR=California Code of Re ulatlons <br /> C1 =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 CCR 2729.2(a)(1) Failed to complete and submit the Business Owner/Operator Identification information[HSC25509] <br /> 3 CCR 2729.2(a)(2) Failed to complete and submit the Hazardous Materials-Chemical description information[HSC 25509] <br /> 4 CCR 2729.2(a)(3) Failed to complete and submit an Annotated Site map[HSC 255091 <br /> 5 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 CCR 2732(a) procedure for coordination with local emergency response organizations;(3)use of emergency equipment <br /> and supplies;and 4 emergency response procedures rHSC 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 25607(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 11,or MINOR-Notice to Comply) <br /> 0 V 10 L A---Tl 9 r!0'21 T TI i, lc= 0 r— TH-t- <br /> nI g P E—c_ rl o cif <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: � 77 Phone: CO 2 <br /> L. ffc—�/ / 209 - 953 - 1 <br /> Recei00 ty: Title: -�— <br /> PYS� /V <br /> EHD 19-01 Page 1 HM OF ICIAL INSPECTION REPORT <br /> 8012 <br />