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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.socehd.com HAZARDOUS MATERIALS PROGRAM INSPECTION REPORT Facility / Facility �Q Inspection /. Name: D� C1a- 11'a6e ATIV11216bpv Phone: LO� ^�JL vt_ N Date: FacilityCERS ��n k J Address: �, j 3 �C. ID:ID: Inspection .� j Title: Phone- QQ_ Contact: V D j l✓yj, an A ,'e6 Inspection / Program: Type: C La Co sent Given For: Consent nspection n hotos ❑ Sampling Given By: CCR=California Code of Regulations HSC=Health and Safelf 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) ° ° 1 ° 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(Vaas) ❑ ❑ ❑ 8 HSC 25505(a)(4) Failed to submit a training program or program is not reasonable or adequate for facility(V350) ❑ 1 ❑ ❑ 9 HSC 25508.2 Failed to annually review and"certify that the business plan is complete,accurate,and up to date(V342) ❑ ❑ ❑ 10 HSC 25508.1(a-f) Failed to submit revisions to HMBP 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) ❑ ❑ o 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) ❑ ❑ ❑ 14 HSC 25510 Failed to report actual or threatened release to the EHD and/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 �� s f�� cv� a�nti lay7um56ut one of Qzt i� ,�� t , small OLvu�tt dt GiSz'� bd l �r� �vun �n 5i t? i All P-tnaax 3 0'f 41-4 ern 4d�S ALL EHD STAFF TIME ASSOCIATED WITH FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL BE BILLED AT THE CURRENT HOURLY RATE. TH S FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. Received (sig ature): Title: Date: Yea z��/z �z� Received by rated me): l./ Inspector. Inspector phone: A&X, 209- qa��3 EHD 19-01 REV 07/2 16 Page 1 HM INSPECTION REPORT