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SAN 10 A Q 0 I N Environmental Health Department CC)Li -Y Hazardous Materials Program Inspection Report Facility Nam�e: Pone: � �/ Dat /'�/) ` Facility Addres � �, Q C E Insp coon Contact: Title: Phon ��l e ��s e! /' a� Inspection Type• Program: Co ent For: Consent Given By: � /� Ins ection Photos ❑ Sam les /V 1 CCR=Title 19 California Code of Regulations HSC=Health and Safety Code CFR=Code of Federal Regulations V=Violation R=Repeat violation COS=Corrected on site during inspection Violations 1 SJO 4432 Failed to pay annual operating fees o V o R o COS 2 HSC 25505,25508(a) Failed to initially complete and electronically submit a HMBP o V c R o COS (1) 3 HSC 25507 Failed to establish and implement a hazardous materials business plan o V o R o COS 4 HSC 25508(a)(1) Failed to electronically submit the Business Activities or Owner/Operator Identification page o V o R o COS 5 HSC 25505(a)(1) Failed to electronically submit hazardous materials inventory for all reportable materials on site o R o COS 6 HSC 25505(a)(2) Failed to electronically submit a site map with all required content o V o R o COS 7 HSC 25505(a)(3) Failed to electronically submit an adequate ER procedures for a release or threatened release V o R o COS 8 HSC 25505(a)(4) Failed to establish and electronically submit a reasonable or an adequate training program o V o R o COS 9 HSC 25508.2 Failed to annually review and certify that the HMBP is complete and accurate by the due date o V o R o COS 10 HSC 25508.1(a)-(f) Failed to electronically update the HMBP within 30 days of substantial change in operations o V o R o COS 11 HSC 25505(a)(4) Failed to provide or document initial and/or refresher training to appropriate personnel o V o R o COS 12 HSC 25505(c) Failed to have the HMBP readily available to facility or EHD personnel o V o R o COS 13 HSC 25505.1 Failed to notify property owner that facility is subject to and in compliance with the HMBP program o V o R o COS 14 HSC 25505.1 Business on leased property failed to provide copy of HMBP w/in 5 days of request by property owner o V o R o COS 15 HSC 25510(a) Failed to report actual or threatened release to the EHD and/or CalOES Warning Center o V o R o COS 16 HSC 25507.1 Failed to electronically submit ER plan when not meeting Ag handler exemption requirements o V o R o COS 17 HSC 25507.1 Failed to electronically submit training program when not meeting Ag handler exemption requirements o V o R o COS 18 HSC 25505,25507.2 Failed to establish and implement a HMBP when not meeting remote unstaffed facility exemptions o V o R o COS 19 HSC 25404.1.2 Failed to submit a certification and written response within 30 days for minor violations o V o R o COS 20 HSC 25507.1(a)(2),T19 Failure of Ag handler to post adequate warning signs to meet exemption requirements o V o R o COS 2671 1010 See below Unlisted Administration/Documentation violation o V o R o COS 1020 See below Unlisted Training violation o V o R o COS 1030 See below Unlisted Operations/Maintenance violation o V o R o COS 1040 See below Unlisted Release/Leaks/Spills violation o V o R o COS 1045 See below Unlisted Release/Leaks/Spills-Local Ordinance o V o R o COS 1050 See below Unlisted Abandon menUlllegaI Disposal/Unauthorized Treatment violation o V o R o COS 1055 See below Unlisted Abandon ment/IllegaI Disposal/Unauthorized Treatment-Local Ordinance o V o R o COS FA0009065 PRO519356 SCO03 02/01/2021 EHD 19-01 Rev.9/16/2020 Page 1 of 2 Hazardous Materials Program OIR 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/EHD