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Q Q Q Environmental Health Department <br /> Hazardous Materials Program Inspection Report <br /> Facility Name; Facility Phone: Date: <br /> WHITE ARROW INC (213)234.9127 May 14, 2019 <br /> Facility Address: CERS ID: <br /> 2402 S CALIFORNIA ST, STOCKT'ON,CA 95206 10182521 <br /> inspection Contact: Title: Phone: <br /> Andrew Moore Supervisor (209)221-9206 <br /> Inspection Type: Program: <br /> ROUTINE INSPECTION-Operating Permit 1920- HMBP-Common Materials <br /> Consent For. Consent Given By: <br /> M Ins ection M Photos EI-Samples Andrew Moore, Supervisor <br /> aroma ode o ego aliens HSC--Health and Safety C0fle CFR6d0orF4UderalRGgU)at10ns <br /> V=Violation R=Repeat violation COS=Corrected on site during inspection <br /> ViellatiQf1S <br /> 1 SJO 4432 Failed to pay annual operating fees n V n R n COS <br /> 2 HSC 25505,25508(a) Failed to complete and electronically submit a hazardous materials business plan ❑V a R ❑COS <br /> _ (1) _ _ <br /> 3 HSC 25507 Failed to establish and implement a hazardous materials business plan V u R ri COS <br /> 4 CCR 2652(a)(1) Failed to complete and/or submit the Business Activities or Owner/Operator Identification page u V u R r:i COS <br /> 5 HSC 25505(a)(1) Failed to complete andlor submit hazardous materials inventory for all reportable materials on site r V a R n COS <br /> 6 HSC 25505(a)(2) Failed to complete and/or submit a site map with all required content ■V ■R rf COS <br /> 7 HSC 25505(a)(3) Failed to establish and/or submit emergency response procedures for a release or threatened release n V ❑R u COS <br /> 8 CCR 2658,2659 Failed to submit a training program or program is not reasonable or adequate for facility Li V u R n COS <br /> 9 HSC 25508(a)(1) Failed to annually review and certify that the business plan is complete,accurate,and up to date ■V a R n COS <br /> 10 HSC 25508,1(a)-(f) Failed to submit revisions to business plan within 30 days of substantial change in operations I ■V a R ❑COS <br /> 11 HSC 25505(a)(4) Failed to provide or document initial andlor refresher training to appropriate personnel ■V L,R u COS <br /> 12 HSC 25505(c) Failed to have the business plan readily available to facility or END personnel W r V r R w COS <br /> 13 HSC 25505.1 Failed to notify property owner that facility is subject to and in compliance with the HMBP program u V ri R ❑COS <br /> 14 HSC 25505.1 Business on teased property failed to provide copy of HMBP Win 5 days of request by property owner n V n R n COS <br /> --15— HSC-2551 0(a)-- - - Failed to report-aclual-orthrealened-release-to-the-EHD and/or CalOES.Vlfaming Center- - - -n,V -n R -n COS - - - - <br /> 16 CCR 2570,2671 Failed to submit emergency response plan when not meeting Ag handier exemption requirements n V n R n COS <br /> 17 CCR 2670,2671 Failed to submit training program when not meeting Ag handler exemption requirements n V n R n COS <br /> 18 HSC 25505,25507.2 Failed to establish and implement a HMBP when not meeting remote Unstaffed facility exemptions n V ❑R ❑COS <br /> 19 HSC 25404.1.2 Failed to submit a certification and written response within 30 days for minor violations Lr V a R u COS <br /> 20 CCR 2670,2671 Failure of Ag handler to post adequate warning signs to meet exemption requirements o V o R r3 COS <br /> 1010 See below Unlisted Administration/Oocumentallon violation a V n R u COS <br /> 1020 See below Unlisted Training violation n V n R n COS <br /> 1030 See below Unlisted Operations/Maintenance violation u V u R ©COS <br /> 1040 See below Unlisted ReleaseA-eaks/Spills violation r.I V n R a COS <br /> 1045 See below Unlisted Reteasell-eaks/Spills-Local Ordinance n V n R r,COS <br /> 1050 See below Unlisted AbandonmentAilegal DisposaFfUnauthorized Treatment violation n V n R n COS <br /> 1055 See below Unlisted AbandonmenVIllegal DisposaflUnauthorized Treatment-Local Ordinance u V o R o COS <br /> FA0009213 PRO519466 SC001 05/1412019 <br /> EHD 19-01 Rev.09/2712018 page 1 of 4 Hazardous Materials Program 01R <br /> 1868 E. Hazeltan Avenue j Stockton, California 952051 T 209 468-34201 F 209 464-0138 1 www.sjcehd,com <br />