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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 FacilityFacility Inspection /� O Name: Phone:tL C`7)6`l l Date: 12—IIS Facility d (� ,,� Z��~ 5.�, y 3� CERS Address: e'Q ✓ Q ID: cavi —t Inspection / Title: .�� Phon 1e: Contact: j�lltl L{L ,- -z✓ Inspection / L Program:/ Type: �c c Ti rt -� e/t .,� c �t✓`� T Consent Given For: Consent / ❑ Inspection ❑ Photos ❑ Sampling Given By: �i�uC: e R,5 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) ° Cl ° 2 HSC 25505, 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) ❑ ❑ 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) ❑ ❑ 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) > 71 10 HSC 25508.1(a-f) Failed to submit revisions to HMBP within 30 days of substantial change in operations(V346) ❑ ❑ ❑ L1211 HSC 25505(a)(4) Failed to provide or document initial and/or refresher training to appropriate personnel(V349) ❑ 71HSC 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) ❑ ❑ ❑ 14 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) Cl ❑ ❑ 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 L/ CLASS I,CLASS II,or MINOR-Notice to Comply I& G 4 o 1 S G,�W •� C�i-A-04. 0 n Ire'i 0, / W 1 Y 6 �e4 Id 20 0 / /,J QS I*- h c ✓& �; ` / x g `�o�1 �x X /v c,-MCI "0,00 It t •z G tv� G n -��/ �:C f/ 7 4..c l X c� �a c.o ✓✓.c n f G vH e l c�lloz� �,i c�. Q •� ALL EHD STAFF TIME ASSOLIATED WITH FAILING TO COMPLY BY THE ABOVE ROTED DATES WILL E BILLED AT THE CURRENT HOURLY RATE. THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. Received by(signature): Title: Date: res� Received by(printed name): Inspector- // / Inspector phone: I"wc �.- ) Q EHD 19-01 REV 07/28/16 Pagel HM INSPECTION REPORT