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AN Environmental Health Department <br /> QU <br /> COUNTY— <br /> Hazardous Materials Program Inspection Report <br /> Facility Name: Facility Address: Date: <br /> CHEVRON STATION 4307709* 10858 TRINITY PKWY, STOCKTON June 21, 2019 <br /> SUMMARY OF VIOLATIONS <br /> (CLASS I,CLASS II,or MINOR-Notice to Comply) <br /> Item# Remarks <br /> 6 HSC 25505(a)(2) Failed to complete and/or submit a site map with all required content. <br /> The map does not show/address loading areas, internal roads, access and exit points (structure), and the <br /> hazardous material handling and storage areas for gasoline vs. regular, plus, and supreme. A site map shall <br /> contain a north orientation, loading areas, internal roads, adjacent streets, storm and sewer drains, access and exit <br /> points, emergency shutoffs, evacuation staging areas, hazardous material handling and storage areas, and <br /> emergency response equipment. If a site map element is not applicable for your facility then list it on the map and <br /> label as "NA". Immediately log into the California Environmental Reporting System (CERS) at <br /> http://cers.calepa.ca.gov/, upload the correct or updated information, and submit to the EHD for approval. <br /> This is a Class II violation. <br /> 8 HSC 25505(a)(4) Failed to submit a training program or program is not reasonable or adequate for facility. <br /> The training program submittal is not accurate. The training plan submittal wrongly identifies the location of the <br /> training plan as "Facility Information" vs. "Emergency Response and Training Plans". Training programs for all <br /> employees and annual training, including refresher courses, shall include safety procedures for the event of a <br /> release or threatened release of a hazardous material, including, but not limited to, familiarity with the facility's <br /> emergency response plans and procedures. These training programs may take into consideration of each <br /> employee. Immediately prepare or update the facility's training program, log into the California Environmental <br /> Reporting System (CERS) at http://cers.calepa.ca.gov/, upload the correct or updated information, and submit to the <br /> EHD for approval. <br /> This is a Class II violation. <br /> Overall Inspection Comments: <br /> Complete and submit a copy of the Return to Compliance Certification form to the EHD with a statement <br /> documenting the corrective actions that have been or will be taken for each violation, and any supporting <br /> paperwork, within 30 days of receiving the completed inspection report. <br /> Facility does not have internal roads and this element was not addressed on the site map. Please address this <br /> by either writing "NA" for not applicable or a statement that says the element is not on site. Please correct this <br /> by the next submittal. <br /> Starting September 1, 2018, all in-office CERS help will be provided at EHD hourly rate ($152). To schedule an <br /> appointment, please call (209) 468-3420. <br /> AFTER THE COMPLIANCE DATE, EHD WILL BILL FOR ALL TIME AND ACTIVITIES ASSOCIATED WITH BRINGING <br /> THIS FACILITY BACK INTO COMPLIANCE. <br /> THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br /> Received by: <br /> Date: June 21, 2019 Inspector: Inspector Phone: <br /> Printed Name and Title: ROBERT LOPEZ, Haz Mat Specialist II (209) 953-6214 <br /> Chelsey Mercer, Cashier <br /> FA0017737 PRO527143 SCO01 06/21/2019 <br /> EHD 19-01 Rev.09/27/2018 Page 2 of 2 Hazardous Materials Program OIR <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />