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S A N J O A Q U I N Environmental Health Department <br /> CO. UNTY <br /> Hazardous Materials Program Inspection Report <br /> Facility Name: Facility Phone : Date : <br /> 2✓ v% i Y�1 t i t a � 7 <br /> Facility Address : I If CER ID: <br /> 4b92 F Wt fid . s c. + 3H c A qsm2ty 10971 ++ 31 <br /> Ins ection Contact: Title: r ' f Phone : <br /> w L. osek & YAe.Ar O Warm V► ois a' w1 � w a, 20 2 9 7 3 <br /> Inspect i n pe: Program : <br /> Qow�. .� � : O .cro � Il N mow► 4 9Z <br /> C nsent For: %weConsent Given By: <br /> ns ection Photos O Samples " L,a tri • u4 -L✓ D <br /> CCR = Title 19 California Code of Regulations HSC = Health and Safety Code CFR A Code of Federal Regulations <br /> V = Violation R = Repeat violation COS = Corrected on site during inspection <br /> Violations <br /> 1 SJO 4432 Failed to pay annual operating fees ❑ V ❑ R ❑ COS <br /> 2 HSC 255050 25508(a) Failed to initially complete and electronically submit a HMBP )(V ❑ R ❑ COS <br /> (1 ) <br /> 3 HSC 25507 Failed to establish and implement a hazardous materials business plan )itV ❑ R ❑ COS <br /> 4 HSC 25508(a)(1 ) Failed to electronically submit the Business Activities or Owner/Operator Identification page XV ❑ R YCOS <br /> 5 HSC 25505(a) (1 ) Failed to electronically submit hazardous materials inventory for all reportable materials on site XV ❑ R XOS <br /> 6 HSC 25505(a)(2) Failed to electronically submit a site map with all required content V ❑ R ❑ COS <br /> 7 HSC 25505(a) (3) Failed to electronically submit an adequate ER procedures for a release or threatened release k/ ❑ R %*COS <br /> 8 HSC 25505(a)(4) Failed to establish and electronically submit a reasonable or an adequate training program / ❑ R YCOS <br /> 9 HSC 25508.2 Failed to annually review and certify that the HMBP is complete and accurate by the due date ❑ V ❑ R ❑ COS <br /> 10 HSC 25508. 1 (a)-(f) Failed to electronically update the HMBP within 30 days of substantial change in operations ❑ V ❑ R ❑ COS <br /> 11 HSC 25505(a)(4) Failed to provide or document initial and/or refresher training to appropriate personnel XV ❑ R ❑ COS <br /> 12 HSC 25505(c) Failed to have the HMBP readily available to facility or EHD personnel YV ❑ R ❑ COS <br /> 13 HSC 25505. 1 Failed to notify property owner that facility is subject to and in compliance with the HMBP program ❑ V ❑ R ❑ COS <br /> 14 HSC 25505. 1 Business on leased property failed to provide copy of HMBP Win 5 days of request by property owner ❑ V ❑ R ❑ COS <br /> 15 HSC 25510(a) Failed to report actual or threatened release to the EHD and/or CaIOES Warning Center ❑ V ❑ R ❑ COS <br /> 16 HSC 25507. 1 Failed to electronically submit ER plan when not meeting Ag handler exemption requirements ❑ V ❑ R ❑ COS <br /> 17 HSC 25507. 1 Failed to electronically submit training program when not meeting Ag handler exemption requirements ❑ V ❑ R ❑ COS <br /> 18 HSC 255053 25507.2 Failed to establish and implement a HMBP when not meeting remote unstaffed facility exemptions ❑ V ❑ R ❑ COS <br /> 19 HSC 25404. 1 .2 Failed to submit a certification and written response within 30 days for minor violations ❑ V ❑ R ❑ COS <br /> 20 HSC 25507. 1 (a) (2) , T19 Failure of Ag handler to post adequate warning signs to meet exemption requirements ❑ V ❑ R ❑ COS <br /> 2671 <br /> 1010 See below Unlisted Administration/Documentation violation OV ❑ R ❑ COS <br /> 1020 See below Unlisted Training violation ❑ V ❑ R ❑ COS <br /> 1030 See below Unlisted Operations/Maintenance violation ❑ V ❑ R ❑ COS <br /> 1040 See below Unlisted Release/Leaks/Spills violation ❑ V ❑ R ❑ COS <br /> 1045 See below Unlisted Release/Leaks/Spills - Local Ordinance ❑ V ❑ R ❑ COS <br /> 1050 See below Unlisted Abandonment/Illegal Disposal/Unauthorized Treatment violation ❑ V ❑ R ❑ COS <br /> 1055 See below Unlisted Abandonment/Illegal Disposal/Unauthorized Treatment - Local Ordinance ❑ V ❑ R ❑ COS <br /> FA0009065 PRO519356 SCO03 02/01/2021 <br /> EHD 19-01 Rev, 9/16/2020 Page 1 of 2 Hazardous Materials Program OIR <br /> 1868 E . Hazelton Avenue I Stockton , Califomia 95205 1 T 209 468-3420 1 F 209 464-0138 1 www. sjgov. org/EHD <br />