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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 1868 East Hazelton Avenue , Stockton , California 95205 - 6232 Telephone: (209 ) 468-3420 Fax: (209 ) 468-3433 Web: www . s ' cehd . com HAZARDOUS MATERIALS PROGRAM INSPECTION REPORT Facility �/► Facility Inspection Name: L • t p� V Q, T0. V V V1 Phone : 'tori 2, — e 0 0 1 Date : j 2, 3 20 ! Facility , C L CERS Address: v+ t_ 0 1 .A � � � 'Z-f 5 �o C:� � T OK 9 S Z 0 � ID : Inspectionj a Ti e : Phone: Contact: f OL 1 I! cf►- a ti ✓ 20c) - S 2 ' dpOP / Inspect Program : Type: � � ! v1 Ck ./\ 1 Consent Given For: Consent nspection )Photos ❑ Sampling Given By: A LAA r- me., t J © L t V eKtr it S CCR = California 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 ) ❑ ❑ ❑ 2 HSC 255052 Failed to complete and electronically submit a hazardous materials business plan (V335) ❑ ❑ 25508 a 1 3 HSC 25507 Failed to establish and implement a hazardous materials business plan (V334) A ❑ Cl 4 HSC 25508 (a) ( 1 ) Failed to complete and/or submit the Business Activities or Owner/Operator Identification page (V345) ❑ ❑ 5 HSC 25506(a) Failed to complete and/or submit hazardous materials inventory for all reportable materials on site (V343) ❑ ❑ 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 (v34e) X ❑ o 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) ❑ ❑ 10 HSC 25508A (a-f) Failed to submit revisions to HlvIBP within 30 days of substantial change in operations (V346) ❑ ❑ ❑ 11 HSC 25505 (a) (4) Failed to provide or document initial and/or refresher training to appropriate personnel (V349 ) Cl El 12 HSC 25505 (c) Failed to have the business plan readily available to facility or EHD personnel (V850)13 HSC 25505 . 1 Failed to notify property owner that facility is subject to and in compliance with the HMBP program (V341 ) ❑ El14 HSC 25510 Failed to report actual or threatened release to the EHDand/or CalOES 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 Z© o . �.i.lo 4 �� -� w �- jtze2 L.P-f L& A a -� a✓ 4 : "1 Z j ,+2. C� ` i v �1 o V' LO c l QAA ep - 1 M Q (� ov� C roC Qs Qt y ALL EHV STAFF TIME ASSOCIATED VVITH FAILING TO COMPLY BY 1HE ABOVE NOTED DATES WILL BE BILLED AT THE CURRENT HOURLY RATE . THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD ' S CURRENT HOURLY RATE . Receivedb si to ! _- - Title : Date: IUMu 12 / � I � Re c ived b (printed name) : Inspector: Inspector phone. C \ .� .� r � P ' Oct . 962 - (o2f 4 6 EHD 19-01 REV 07/28/16 Pagel HM INSPECTION REPORT