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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 1868 East Hazelton Avenue, Stockton, Califomia 95205-6232 Telephone: (209) 468-3420 Fax. (209) 468-3433 Web: www.sicehd.com HAZARDOUS MATERIALS PROGRAM INSPECTION REPORT Fao"y (^ Name: e CL XJ/aG OA.r �NG. Facility 4 D fL Phone: p p.7 ' r %�I Inspection Date: ZS p1 %O to, Inspection Contact: gle4l t on hone: {y08/t 9PP_ 864Z Inspection , e 0 �¢i 6 �% 6 / Type: o ct Progrenrl. jrj Z Consent Given For. Consent nspection tLPhotos ❑ Sampling Given By: R = California Code of Regulations HSC = Health and Safety Code CFR = Code of Federal Regulations SJO = San Joaquin County Ordinance V = Violation R = Repeat COS = Corrected on site during inspection Violations V R COS 1 SJO 4432 Failed to pay annual operating fees (V851) ❑ ❑ ❑ 2 HSC 25505, 2550Failed to complete and electronically submit a hazardous materials business plan (V335) a( ❑ 8 a 1 ❑ 3 HSC 25507 Failed to establish and implement a hazardous materials business plan (V334) ❑ ❑ 4 HSC 25508(a)(1) Failed to complete and/or submit the Business Activities or Owner/Operator Identification page (V345) J( ❑ ❑ 5 HSC 25506(a) Failed to complete and/or submit hazardous materials inventory for all reportable materials on site (V343) ,d( ❑ ❑ 6 HSC 25505(a)(3) Failed to complete and/or submit a site map with all required content (V347) �, ❑ ❑ 7 HSC 25505(x)(3) Failed to establish and/or submit emergency response procedures for a release or threatened release (vacs) X ❑ o 8 HSC 25505(a)(4) Failed to submit a training program or program is not reasonable or adequate for facility (V350) J71. ❑ ❑ 9 HSC 25508.2 Failed to annually review and certify that the business plan is complete, accurate, and up to dater (V342) 10 HSC 25508.1(a -f) Failed to submit revisions to HMBP within 30 days of substantial change in operations (V346) ❑ ❑ ❑ 11 HSC 25505(a)(4) Failed to provide or document initial and/or refresher training to appropriate personnel (V349) ❑ ❑ 12 HSC 25505(c) Failed to have the business plan readily available to facility or EHD personnel (V850) r ❑ ❑ 13 HSC 25505.1 Failed to notify property owner that facility is subject to and in compliance with the HMBP program (V341) ❑ ❑ ❑ 14 HSC 25510 Failed to report actual or threatened release to the EHD and/or CalOES Waming Center (V338) ❑ ❑ ❑ 15 HSC 25507.1 Failed to submit emergency response plan when not meeting Ag handler exemption requirements (351) ❑ ❑ ❑ 16 HSC 25507.1 Failed to submit training program when not meeting Ag handler exemption requirements (V352) o ❑ ❑ 17 HSC 25507.2 Failed to establish and implement a HMBP when not meeting remote unstaffed facility exemptions (V353) ❑ ❑ ❑ 18 HSC 25511 Failed to submit a written response within 30 days of receiving an inspection report (V808) ❑ ❑ ❑ 1010 See below Unlisted Administretion(Documentation violation (V355) ❑ ❑ ❑ 1040 See below Unlisted Release/Leaks/Spills violation (V356) ❑ ❑ ❑ SUMMARY OF VIOLATIONS CLASS I, CLASS II, or MINOR— Notice to Comply e - lox Caca oc�a Su`�u•;c_ amid ✓ocLilmiiG acid Gaiolobo.rolf a,clole��,`✓c A%.4 ogeex 70 2, d; SC- ia ! 3roo l No 0_&44_- A2 1 �a .cr,`c ®�..Js` � $•/'n C.!' 4� �25 �CL ZO/rs'. ALL EHD STAFF TIME ASSOCIATED WITH FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL B BILLED AT THE CURRENT HOURLY RATE. THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. Received u Till Date: (printed name): Glt impactor 'i�e6eif <z Inspector phone: Z.o4 4sr?-6ZI�l EHD 19-01 REV 07/28/16 Page 1 HM INSPECTION REPORT Y-7/