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oPauiv c` <br />r <br />SAN .10AQ U I N Environmental Health Department <br />COUNTY <br />Greatness grows here. <br />HAZARDOUS MATERIALS PROGRAM INSPECTION REPORT <br />. <br />Facility <br />V R COS <br />1 <br />Facility <br />g955 <br />Inspection <br />Name:fte� <br />2 <br />HSC 25505, <br />a 1 <br />Phone:��— <br />Date: <br />Facility <br />+ 2_ <br />CERS <br />Address: h <br />4 <br />ID: <br />Inspection <br />A '�✓ j <br />5 <br />HSC 25506(a)(1) <br />Title: <br />Phone: Z4Q Cf <br />Contact: <br />HSC 25505(a)(2) <br />Failed to complete and/or submit a site map with all required content (V347) <br />❑ ❑ <br />7 <br />HSC 25505(a)(3) <br />Inspection <br />n <br />Program: <br />"' <br />Type: <br />1 <br />1 <br />Consent Given For: <br />Consent <br />❑ Inspection ❑ Photos ❑ Sampling <br />Given By: <br />CCR = California Code of Regulations HSC = Health and afety Code CFR = Code of Federal Regulations SJO = San Joaquin County Ordinance <br />V = Violation R = Repeat COS = Corrected on site during inspection <br />ALL EHD STAFF TIME ASSOCIATED WITH FAILING TO COMPLY BY THE DATES NOTED IN THIS REPORT 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 ; "� <br />Title: <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 />a 1 <br />Failed to complete and electronically submit a hazardous materials business plan (V335) <br />El Cl25508 <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)(1) <br />Failed to complete and/or submit hazardous materials inventory for all reportable materials on site (V343) <br />❑ ❑ <br />6 <br />HSC 25505(a)(2) <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 Iv348l <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(a)(1) <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-0 <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 25505.1 <br />Business on leased property failed to provide copy of HMBP within 5 days of request by property owner <br />V336 <br />EJ ❑ ❑ <br />15 <br />HSC 25510(a) <br />Failed to report actual or threatened release to the EHD and/or CalOES Warning Center (V338) <br />❑ ❑ ❑ <br />16 <br />HSC 25507.1 <br />Failed to submit emergency response plan when not meeting Ag handler exemption requirements (351) <br />❑ ❑ ❑ <br />17 <br />HSC 25507.1 <br />Failed to submit training program when not meeting Ag handler exemption requirements (V352) <br />❑ ❑ ❑ <br />18 <br />HSC 25505, <br />25507.2 <br />Failed to establish and implement a HMBP when not meeting remote unstaffed facility exemptions (V353) <br />❑ ❑ ❑ <br />19 <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 />1020 <br />See below <br />Unlisted Training violation (V339) <br />❑ ❑ ❑ <br />1030 <br />See below <br />Unlisted Operations/Maintenance violation (V340) <br />❑ ❑ ❑ <br />1040 <br />See below <br />Unlisted Release/Leaks/Spills violation (V356) <br />❑ ❑ ❑ <br />1045 <br />See below <br />Unlisted Release/Leaks/Spills - Local Ordinance (V914) <br />ri ❑ ❑ <br />1050 <br />See below <br />Unlisted Abandonment/Illegal Disposal/Unauthorized Treatment violation (V357) <br />❑ ❑ ❑ <br />1055 <br />See below <br />Unlisted Abandon menUlllegal Disposal/Unauthorized Treatment - Local Ordinance (V915) <br />❑ ❑ ❑ <br />ALL EHD STAFF TIME ASSOCIATED WITH FAILING TO COMPLY BY THE DATES NOTED IN THIS REPORT 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 ; "� <br />Title: <br />Date: <br />Received by (printed name): <br />Ml� 0 <br />Inspector: <br />me' '`I� <br />Inspector phone: <br />EHD 19-01 REV 11/13/2017 Page 1 HM INSPECTION REPORT <br />1868 E. Hazelton Avenue I Stock n, California 95205 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />o � . cof'ec} M5 d� 3-17�2�08 <br />J � <br />