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• SAN JOAQUIN COUNTY 0 <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, California 95205-6232 <br /> Telephone:(209)468-3420 Fax:(209)468-3433 Web:www.sigov.org/ehd <br /> CONTINUATION FORM Page: 6 of 6 <br /> OFFICIAL INSPECTION REPORT Date: 07/17/14 <br /> Facility Address: 3028 Navy Dr., Stockton Program: HW <br /> SUMMARY OF VIOLATIONS <br /> CLASS I,CLASS II,or MINOR-Notice to Comply) <br /> 703. An emergency coordinator and modified contingency plan information is lacking. There must be <br /> at least one emergency coordinator on site or on call (available to respond to an emergency by reaching <br /> the facility within a short period of time) to coordinate emergency response measures, and the following <br /> information must be posted by a phone: the name and phone number of the emergency coordinator; <br /> location of fire extinguishers, spill control equipment, and if present, fire alarm; and the phone number of <br /> the fire department, unless the facility has a direct alarm. This emergency coordinator shall be <br /> thoroughly familiar with: <br /> - all aspects of the facility's contingency plan (and have the authority to commit the resources needed <br /> to carry out the contingency plan) <br /> - all operations and activities at the facility <br /> - the location and characteristics of waste handled <br /> - the location of all records within the facility <br /> - the facility layout <br /> Immediately appoint an emergency coordinator and post the required information by a phone. A form is <br /> provided that can be used for this purpose. Submit proof of correction to the EHD by August 16, 2014. <br /> 812. Copies of universal waste disposal records for universal waste lamps and aerosol cans for the last <br /> three years were not found on site. A generator of universal waste (batteries, mercury containing <br /> equipment, lamps, electronic devices, CRTs, CRT glass, aerosol cans) shall keep a record of each <br /> shipment of universal waste on site for at least three years. The record may take the form of a log, <br /> invoice, manifest, bill of lading, or other shipping document, and shall include the following: <br /> - Name & address of destination facility <br /> - Quantity & type of universal waste <br /> - Date of departure/shipment <br /> Begin this practice immediately. <br /> Complete and submit a copy of the Return to Compliance Certification to the EHD by August 16, 2014 <br /> along with a statement documenting the corrective actions that have been or will be taken for each <br /> violation and any supporting paperwork. <br /> Provided: Modified Contingency Plan template, Schedule of FREE classes, Return to Compliance <br /> Certification form <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 REINSPECTI AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br /> EHD Inspector: XceivBy: Tifle: <br /> Stacy Rivera (209) 468-3440 <br /> EHD 23-02-003 Rev 04/19/12 CONTINUATION FORM <br />