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SAN JOAQUIN Environmental Health Department <br /> ) NTT- <br /> 1" <br /> Hazardous Materials Program Inspection Report <br /> Facility Name: • Qe1nCh FaC111ty Phone: Date: <br /> 1/"larcucc 1 IC I <br /> Facility Address: 78 S, ..I. Ian _/ Dr. S ck-F-ki cA 9Sd OG CER31a: <br /> O <br /> 35 <br /> n <br /> Ispection Contact: S V1 THIS: Phone: <br /> David S;e erdq RAnch Man-ager <br /> hapeum.type: RouVl)ne Program: <br /> ' sal IgsB' N►n- Farm O erp�Pons <br /> Consent For: I Consent Given By: r ,,MM <br /> 21 Ins action Photos 0Samples Dinvir) Sie e+dra Form ffianp Bf <br /> CCR=Too 19 C.I..,n Code of Re9uletnre NBC=Hee is eM SeleIy COEe CFR=Code of Fetlaret Rgryielim <br /> V=violation R=Repealviolaimn COS=Coneted on site during lnspecllon <br /> Violations <br /> 1 SJO 4432 Failed to pay Samuelapdrom,fee. .V .R .COS <br /> 2 HSC 25505,25509(a) Failed b complete and electronically submit a hazardous materials business plan kV .R o COS <br /> (1) <br /> 3 HSC 25507 Failed to establish and Implement a hazardous materials business plan XV o R o COS <br /> 4 HSC 25509(a)(1) Failed to complete and/or submit the Business Activities or Owner/Operetor Identification page kV .R .COS <br /> 5 HSC 25505(x)(1) Failed to complete and/or submit hasardous materials Inventory for all reportable material.onsite )fV .R .COS <br /> 0 HSC 25505(e)(2) Failed to complete snub.submit a site map with all required comeet KV .R .COS <br /> ] HSC 25505(a)(3) Failed to establish amporsubmlt emergency response procedures fora release or threatened release 3(V .R .COS <br /> 8 HSC 25505(a)(4) Failed to submit a hour g progrem or program Is not reasonable or adequate forfacility V o R .COS <br /> 9 HSC 25609(a)(1) Failed to serm.1y review and certify that the business plan is complete,accurate,and up to data .V .R .COS <br /> 10 HSC 25509.1(+)-fl) Failed to submit revisions to business plan within 30 days of substantial change in opemtions kV .R .COS <br /> 11 HSC 25505(+)(4) Failed to provide or document initial Surfer refresher training to appropriate personnel .V .R .COS <br /> 12 HSC 25505(c) Failed to have the business plan readily available to facility or EMO personnel )(V .R .COS <br /> 13 HSC 25505.1 Failed to notify property owner Mat facility is subject to and In compliance with Me HMBP progmen .V .R .COS <br /> 14 HSC 25505.1 Business on leased property Palled to provide copy of HMBP van 5 days ofsequest by property owner .V .R .COS <br /> 15 HBC 25510(a) Failed 0 report actual or threatened release to to EHD and/or CaIOES blaming Carter .V .R .COS <br /> 16 HSC 25507.1 Failed to Submit emergency response plan when not meeting AS handierexemption requirements .V .R .COS <br /> 17 HSC25507.1 Failed to.ubmit Raining program when not meeting Ag handler exemption requirements .V .R .COS <br /> 19 HSC 25505,25507.2 Failed to establish and implement a HMBP when not meeting remote unstetfed facility exemption. .V .R .COS <br /> 19 HSC 25404.1.2 Failed to submit a cortifcalion and written response within 30 days for minor violations .V .R .COS <br /> 20 HSC 25507.1(a)(2) Failure stag handlers,post adequate warning signs to meet exemption requirements .V .R .COS <br /> 1010 Sae below Unlisted Admialatmfion/Decumantatton violation .V .R o COS <br /> 1020 See be. unii.ted Than,Violation .V .R .COS <br /> 1030 Sae below Unlisted Operetions/Melntenance violatl0n .V .R .COS <br /> 1040 See bolove Unlisted RelemelleaksRipllls violation .V .R .COS <br /> 1045 Sae below Unlisted ReleaeelLeakstSplll.-Local Ordinance .V oft .COS <br /> 1050 Sae haloes Unlisted AbandonmenVlllegel Oi.poseVunauthorited Treatment violation .V .R .COS <br /> 1055 Sao below, Unlisted AbandonurnVlllegal Olsposallllnauthmized Treatment-Local Orchards DV oft .COS <br /> FA000B]55 PR0leanit SCOW WIM019 <br /> EHD lMl Rev.092'//2010 Page 1 of 2 Heurdoos Materials Program OIR <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 v.4vwsjcehd.com <br />