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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.s'cehd.com <br />SUMMARY OF VIOLATIONS <br />CLASS 1, CLASS II, or MINOR — Notice to Comply <br />HAZARDOUS MATERIALS PROGRAM INSPECTION REPORT <br />Violations <br />Facility �^ <br />I <br />1 <br />SJO 4432 <br />Facility <br />N <br />❑ ❑ ❑ <br />Inspecti <br />Name: <br />Failed to complete and electronically submit a hazardous materials business plan (V335) <br />Cl ❑ ❑ <br />Phone: <br />HSC 25507 <br />Date: —Z�� <br />1. <br />FacilityCERS <br />4 <br />HSC 25508(a)(1) <br />Failed to complete and/or submit the Business Activities or Owner/Operator Identification page (V345) <br />❑ ❑ ❑ <br />5 <br />Address: <br />Failed to complete and/or submit hazardous materials inventory for all reportable materials on site (V343) <br />❑ ❑ ❑ <br />6 <br />HSC 25505(a)(3) <br />ID: <br />Inspection,, <br />Contact: <br />,^ <br />Title: <br />' V I A r <br />❑ ❑ ❑ <br />o _ �O <br />Inspection <br />�41 <br />Failed to submit a training program or program is not reasonable or adequate for facility (V350) <br />b` <br />9 <br />Program: <br />Failed to annually review and certify that the business plan is complete, accurate, and up to date (V342) <br />Type: <br />10 <br />HSC 25508.1(a -f) <br />Failed to submit revisions to HMBP within 30 days of substantial change in operations (V346) <br />❑ ❑ ❑ <br />11 <br />C nsent Given For: <br />Failed to provide or document initial and/or refresher training to appropriate personnel (V349) <br />Consent <br />12 <br />HSC 25505(c) <br />Inspection ❑ Photos ❑ Sampling <br />Given By: <br />13 <br />HSC 25505.1 <br />R = California Code of Regulations HSC = Health and Safety Code <br />CFR = Code of Federal Regulations <br />SJO = San Joaquin County Ordinance <br />HSC 25510 <br />Failed to report actual or threatened release to the EHD and/or CaIOES Warning Center (V338) <br />V = Violation R = Repeat <br />COS = Corrected on site during inspection <br />SUMMARY OF VIOLATIONS <br />CLASS 1, CLASS II, or MINOR — Notice to Comply <br />Violations <br />V R COS <br />1 <br />SJO 4432 <br />Failed to pay annual operating fees (V851) <br />❑ ❑ ❑ <br />2 <br />HSC 25505, <br />25508(a)(1) <br />Failed to complete and electronically submit a hazardous materials business plan (V335) <br />Cl ❑ ❑ <br />3 <br />HSC 25507 <br />Failed to establish and implement a hazardous materials business plan (V334) <br />❑ ❑ ❑ <br />4 <br />HSC 25508(a)(1) <br />Failed to complete and/or submit the Business Activities or Owner/Operator Identification page (V345) <br />❑ ❑ ❑ <br />5 <br />HSC 25506(a) <br />Failed to complete and/or submit hazardous materials inventory for all reportable materials on site (V343) <br />❑ ❑ ❑ <br />6 <br />HSC 25505(a)(3) <br />Failed to complete and/or submit a site map with all required content (V347) <br />❑ ❑ ❑ <br />7 <br />HSC 25505(a)(3) <br />Failed to establish and/or submit emergency response procedures for a release or threatened release M4e) <br />❑ ❑ ❑ <br />8 <br />HSC 25505(a)(4) <br />Failed to submit a training program or program is not reasonable or adequate for facility (V350) <br />❑ ❑ ❑ <br />9 <br />HSC 25508.2 <br />Failed to annually review and certify that the business plan is complete, accurate, and up to date (V342) <br />❑ ❑ ❑ <br />10 <br />HSC 25508.1(a -f) <br />Failed to submit revisions to HMBP within 30 days of substantial change in operations (V346) <br />❑ ❑ ❑ <br />11 <br />HSC 25505(a)(4) <br />Failed to provide or document initial and/or refresher training to appropriate personnel (V349) <br />❑ ❑ ❑ <br />12 <br />HSC 25505(c) <br />Failed to have the business plan readily available to facility or EHD personnel (V850) <br />❑ ❑ ❑ <br />13 <br />HSC 25505.1 <br />Failed to notify property owner that facility is subject to and in compliance with the HMBP program (V341) <br />❑ ❑ ❑ <br />14 <br />HSC 25510 <br />Failed to report actual or threatened release to the EHD and/or CaIOES Warning Center (V338) <br />❑ ❑ ❑ <br />15 <br />HSC 25507.1 <br />Failed to submit emergency response plan when not meeting Ag handler exemption requirements (351) <br />O O ❑ <br />16 <br />HSC 25507.1 <br />Failed to submit training program when not meeting Ag handler exemption requirements (V352) <br />❑ ❑ ❑ <br />17 <br />HSC 25507.2 <br />Failed to establish and implement a HMBP when not meeting remote unstaffed facility exemptions (V353) <br />❑ ❑ ❑ <br />18 <br />HSC 25511 <br />Failed to submit a written response within 30 days of receiving an inspection report (V808) <br />❑ ❑ ❑ <br />1010 <br />See below <br />Unlisted Administration/Documentation violation (V355) <br />❑ ❑ ❑ <br />1040 <br />See below <br />Unlisted Release/Leaks/Spills violation (V356) <br />❑ ❑ ❑ <br />SUMMARY OF VIOLATIONS <br />CLASS 1, CLASS II, or MINOR — Notice to Comply <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 />Received by (signature): <br />I—A-t4' !:]b� <br />Title: <br />V r s r <br />Date: <br />L' --O-Ll- 2-0 , <br />Received (print name):V <br />hau -�M 0 <br />Inspector: <br />�0.6 E, L� MOL.- <br />Inspector phone: <br />I I -I15 -- Z <br />EHD 19-01 REV 07/28/116 Page 1 HM INSPECTION REPORT <br />