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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 1868 East Hazelton Avenue , Stockton , California 95205 - 6232 Telephones (209 ) 468 -3420 Fax: (209) 468 -3433 Web: www , s ' cehd . com Facility HAZARDOUS MATERIALS PROGRAM INSPECTION REPORT Faci Name: Q ° O Phoney Inspection Facility Date: 0 2- Address: 4Zo IL . Q 1 j � s 2 O CERS A. ID : 10 Inspection ^ Title: Contact: fr wuA Cu d I K U t'O A. Phonee I l �D Inspecti i Type : Program : YP tro � .t 2r ✓M . t 9 Consent Given For, sent [itmnspection Photos ❑ Sampling Given By: 0Zua..1 C.c� vs � l % O fornia Code of Regulations HSC = Health and Safety Code CFR = Code of Federal Regulations SJO = San Joaquin County Ordinance V = Violation R = Repeat COS = Corrected on site during inspection Violations V R COS 1 SJO 4432 Failed to pay annual operating fees (V851 ) HSC 255051 2 25508(a) ( 1 ) Failed to complete and electronically submit a hazardous materials business plan (V335) ❑ 3 HSC 25507 Failed to establish and implement a hazardous materials business plan (V334) 4 HSC 25508 (a) ( 1 ) Failed to complete and/or submit the Business Activities or Owner/Operator Identification page (V345) A ❑ 5 HSC 25506 (a) Failed to complete and/or submit hazardous materials inventory for all reportable materials on site (V343) ❑ ,ig 6 HSC 25505 (a) (3) Failed to complete and/or submit a site map with all required content (V347) 7 HSC 25505 (a) (3) Failed to establish and/or submit emergency response procedures for a release or threatened release (V349) ,�' ❑ 8 HSC 25505 (a) (4) Failed to submit a training program or program is not reasonable or adequate for facility (V350) ❑ ,(� 9 HSC 25508 .2 Failed to annually review and certify that the business plan is complete , accurate , and up to date (V342) X ❑ ,AC 10 HSC 25508 . 1 (a4) Failed to submit revisions to HlvIBP within 30 days of substantial change in operations (V346) ❑ ❑ ❑ R14HSC 25505 (a) (4) Failed to provide or document initial and/or refresher training to appropriate personnel (V349) ❑ ° HSC 25505 (c) Failed to have the business plan readily available to facility or EHD personnel (V850) ❑ HSC 25505 . 1 Failed to notify property owner that facility is subject to and in compliance with the HMBP program (V341 ) ❑ ❑ ❑ HSC 25510 Failed to report actual or threatened release to the EHD and/or CaIOES Warning Center (V338) ❑ ❑ ❑ 15 HSC 25507. 1 Failed to submit emergency response plan when not meeting Ag handler exemption requirements (351 ) ❑ ❑ ❑ 16 HSC 25507. 1 Failed to submit training program when not meeting Ag handler exemption requirements (V352) ❑ ❑ ❑ 17 HSC 25507 . 2 Failed to establish and implement a HMBP when not meeting remote unstaffed facility exemptions (V353) ❑ ❑ ❑ 18 HSC 25511 Failed to submit a written response within 30 days of receiving an inspection report (V808) ❑ ❑ ° 1010 See below Unlisted Administration/Documentation violation (V355) ❑ ❑ ❑ 1040 See below Unlisted Release/Leaks/Spills violation (V356) SUMMARY OF VIOLATIONS CLASS I, CLASS II , or MINOR — Notice to Comply X. a � � 1 S c,.✓ o .� ` o� n0 �, e Sc &1 d �tt � t1b S`5- COOF "S, MA �a ILAYewe / CL t1,00aw v 01 IF JAI 12 T fir ALL EHD STAFF TIME AbbVIGIATED60WITH FAILING COMPLY BY THE ABOVE NOTED DATES WILL BE BILLAED AT THE CURRENT HOURLY RATE . THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHII CURRENT HOURLY RATE . Received by (signatur Title : Date: C7 /Received by (prin d name) : Inspector , // ' / / / Ins ector phone: EHD 19-01 REV 07/28/16 Page 1 HM INSPECTION REPORT