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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.sicehd.com <br />SUMMARY OF VIOLATIONS <br />CLASS 1, CLASS II, or MINOR - Notice to Comply <br />HAZARDOUS MATERIALS PROGRAM INSPECTION REPORT <br />1 <br />Facility ` <br />Name: <br />^ <br />2 <br />HSC 25505, <br />25508 a 1 <br />Failed to complete and electronically submit a hazardous materials business plan (V335) ❑ ❑ <br />Facility <br />Phone: _9qg <br />HSC 25507 <br />Inspectio <br />�n <br />Date: Z L(J <br />Facility <br />Address: <br />' i V <br />��� <br />5 <br />6 <br />CER$ <br />ID: / <br />Inspection�� <br />Contact: <br />Title: <br />ua'paawO� <br />Failed to establish and/or submit emergency response procedures for a release or threatened release (v34a) ❑ ❑ ❑ <br />Phone: <br />_ i.1' qy_ /„(/ <br />lVV !! <br />Inspection <br />Type: <br />Failed to submit a training program or program is not reasonable or adequate for facility (V350) ❑ 71 - <br />9 <br />Program: 1 <br />Failed to annually review and certify that the business plan is complete, accurate, and up to date (V342) ❑ ❑ ❑ <br />C nsent Given Fo <br />Consent <br />Failed to submit revisions to HMBP within 30 days of substantial change in operations (V346) 7 ❑ ❑ <br />11 <br />Inspection <br />Photos ❑ Sampling 1. <br />Given By: �11/wv ► ► <br />w Q, i� <br />Failed to have the business plan readily available to facility or EHD personnel (V850) ❑ ❑ ❑ <br />CCR = Californid <br />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 CalOES 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 V R COS <br />1 <br />SJO 4432 <br />Failed to pay annual operating fees (V851) ❑ ❑ ❑ <br />2 <br />HSC 25505, <br />25508 a 1 <br />Failed to complete and electronically submit a hazardous materials business plan (V335) ❑ ❑ <br />3 <br />HSC 25507 <br />Failed to establish and implement a hazardous materials business plan (V334) ❑ ❑ ❑ <br />4 <br />HSC 25508(a)(1) <br />Failed to complete and/or submit the Business Activities or Owner/Operator Identification page (V345) ❑ ❑ ❑ <br />5 <br />6 <br />HSC 25506(a) <br />HSC 25505(a)(3) <br />Failed to complete and/or submit hazardous materials inventory for all reportable materials on site (V343) ❑ ❑ ❑ <br />Failed to complete and/or submit a site map with all required content (V347) ❑ ❑ ❑ <br />7 <br />HSC 25505(a)(3) <br />Failed to establish and/or submit emergency response procedures for a release or threatened release (v34a) ❑ ❑ ❑ <br />8 <br />HSC 25505(a)(4) <br />Failed to submit a training program or program is not reasonable or adequate for facility (V350) ❑ 71 - <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 />10 <br />HSC 25508.1(a -f) <br />Failed to submit revisions to HMBP within 30 days of substantial change in operations (V346) 7 ❑ ❑ <br />11 <br />HSC 25505(a)(4) <br />Failed to provide or document initial and/or refresher training to appropriate personnel (V349) -7 ❑ ❑ <br />12 <br />HSC 25505(c) <br />Failed to have the business plan readily available to facility or EHD personnel (V850) ❑ ❑ ❑ <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 />14 <br />HSC 25510 <br />Failed to report actual or threatened release to the EHD and/or CalOES Warning Center (V338) ❑ ❑ ❑ <br />15 <br />HSC 25507.1 <br />Failed to submit emergency response plan when not meeting Ag handler exemption requirements (351) ❑ ❑ ❑ <br />16 <br />HSC 25507.1 <br />Failed to submit training program when not meeting Ag handler exemption requirements (V352) ❑ ❑ ❑ <br />17 <br />HSC 25507.2 <br />Failed to establish and implement a HMBP when not meeting remote unstaffed facility exemptions (V353) ❑ ❑ ❑ <br />18 <br />HSC 25511 <br />Failed to submit a written response within 30 days of receiving an inspection report (V808) ❑ ❑ ❑ <br />1010 <br />See below <br />Unlisted Administration/Documentation violation (V355) ❑ ❑ ❑ <br />1040 <br />See below <br />Unlisted Release/Leaks/Spills violation (V356) ❑ ❑ ❑ <br />SUMMARY OF VIOLATIONS <br />CLASS 1, CLASS II, or MINOR - Notice to Comply <br />I ,�,, <br />T I J no <br />S <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 />Title: <br />V `C <br />Date: <br />Receive by (printed na e): <br />ctor: <br />I]9'mi�Mx_'� <br />Inspector phone: <br />20q -q5 -( DI <br />r—nu is-ui rscv uiizuno - Page 1 HM INSPECTION REPORT <br />