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SAN JOAQUIN COUNTY A <br /> NVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, California 95205-6232 <br /> Telephone:(209)468-3420 Fax.,(209) 468-3433 Web:www.slaov.org/ehd/unitiii.htmi <br /> HAZARDOUS MATERIALS PROGRAM INSPECTION REPORT <br /> FacilName Facility ' Inspection <br /> Address: Data: —' <br /> FacilityoI Title: one, <br /> Contact: 200113-11 <br /> 011 1—71 <br /> Inspection <br /> Type: OUtine Follow up Complaint—ID#: Other: <br /> (Authority HSC 2 t <br /> Consent for. nspe ion Sampling Photos Granted by: Title: <br /> VIOLATIONS <br /> # C1 C2 M Code Section HSC=California Health and Safe Code;CCR=California Code of Regulations <br /> Cl=Class 1 violation;C2=Class TC <br /> 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(x)(1) Failed to complete and submit the Business Owner/Operator Identification information[HSC2a <br /> 3 CCR 2729.2(a)(2) Failed to complete and submit the Hazardous Materials—Chemical description information[H <br /> 4 CCR 2729.2(a)(3) Failed to complete and submit an Annotated Site map[HSC 25509] <br /> 5 CCR 2731 Failed to include emergency response procedures for a release or threatened release of haz <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 su as;and 4 emeEgency emergencyresponse 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 report a release or threatened release immediately to the Environmental Health Department <br /> EHD and/or the California Emergency Mana ement Agency CalEMA 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 /> cds 1 <br /> C n <br /> al <br /> MCI <br /> C� <br /> I <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. ` Phon��� <br /> Received by Title: <br /> I <br /> EHD 1e-01 Page 1 HM OFFICIAL INSPECTION REPORT <br />