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SANiJOAQUIN <br /> Environmental Health Department <br />COUNTY <br />Hazardous Materials Program Inspection Report <br />Facility Name: <br />Mossdale Chevron <br />Facility Address: <br />444W MOSSDALE RD, LATHROP <br />Date: <br />July 25, 2017 <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 site map was not complete. The site map is missing an evacuation staging area, storm drain locations, <br />emergency response equipment locations, emergency shut offs, spill equipment locations, A site map shall contain <br />a north orientation, loading areas, internal roads, adjacent streets, storm and sewer drains, access and exit points, <br />emergency shutoffs, evacuation staging areas, hazardous material handling and storage areas, and emergency <br />response equipment. Please make site map readable. Include a legend in the site map. If a site map element is not <br />applicable for your facility then list it on the map and label as "NA". Immediately log into the California <br />Environmental Reporting System (CERS) at http://cers.calepa.ca.gov/, upload the correct or updated information, <br />and submit to the EHD for approval. <br />This is a minor 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, by 8/24/2017. <br />Please be aware as of January 1, 2013, all businesses are required to submit all hazardous materials <br />information online to the California Environmental Reporting System (CERS) at http://cers.calepa.ca.gov. Be <br />sure to include your hazardous material activity in the Businesses Activities section in CERS in addition to any <br />other relevant activities and required fields. <br />1 <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: Date: July 25, 2017 <br />Printed Name and Title: <br />Gagan Dhillon, Cashier. <br />Inspector: <br />NICHOLAS LOEHRER, Haz Mat Specialist II <br />Inspector Phone: <br />(209) 468-0623 <br />FA0000212 PR0520915 SC001 07/25/2017 <br />EHD 19-01 Rev. 9/20/2019 Page 2 of 2 Hazardous Materials Program OIR <br />1868 E. Hazelton Avenue I Stockton, California 95205 I 1 209 468-3420 I F 209 464-0138 I www.sjcehd.com