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SAN J O Q Q U I N Environmental Health Department Corrective Action Statement RE: August 23, 2022, Hazardous Materials inspection report For each violation listed below, indicate if the violation has been corrected or will be corrected by a certain date. Also, describe what was done to correct the violation in the space provided below each violation. Submit this completed form with the Return to Compliance Certification within 30 days of inspection. If you have any questions, please contact Frederick Ernest at (209) 616-3026 or fernest@sjgov.org. Facility name: JR SIMPLOT CO Facility address: 16777 HO LAND Submit completed form to: RD SJC ENVIRONMENTAL HEALTH DEPARTMENT CERS ID: 10180545 ATTN: FREDERICK ERNEST PR0519538 1868 E HAZELTON AVENUE STOCKTON, CA 95205 Violation #5 - Failed to electronically submit hazardous materials inventory for all reportable materials on site. � This violation was corrected ❑This violation will be corrected by (date): 2 Supporting documents included Describe actions taken or will be taken to correct violation: Revisions were made to the 2022 HMBP hazardous materials inventory to reflect the current chemical inventory and submitted via CERS, which included adding Ashburn Hand Sanitizer and removing the following products from the inventory that are no longer stored at the facility: NAQ 2761, Dustrol, and Arrmaz F-100. Note that the Urea product observed on-site is a fertilizer, so it's already included in the "Fertilizer" common name on the inventory. Tri -act 1800 was listed as "Cooling Water Treatment"common name on the inventory, so the common name was updated to "Tri -Act 1800 Corrosion Inhibitor". In addition, Lupranate M20 was listed as "Polymethylene Polyphenyl Isocyanate - MDI" common name on the inventory, so the common name was updated to "Lupranate M20". Avail doesn't meet the hazardous criteria, as identified on the Safety Data Sheet, so it was not included on the inventory. The Safety Data Sheets for Avail, Urea, Ashburn Hand Sanitizer, Lupranate M20, and Tri -Act 1800 are attached. Violation #6 - Failed to electronically submit a site map with all required content. � This violation was corrected ❑This violation will be corrected by (date): ❑ Supporting documents included Describe actions taken or will be taken to correct violation: The 2022 HMBP general site plan was revised and submitted via CERS, which included updating the following items to reflect current site conditions: north orientation arrow, loading areas (gas and diesel), internal site roads, emergency shutoffs (aqueous ammonia and ammonia), emergency equipment (spill kits), and hazardous material handling/storage areas. Violation #10 -Failed to electronically update the HMBP within 30 days of substantial change in operations. ❑ This violation was corrected ❑ Supporting documents included ❑ This violation will be corrected by (date): Describe actions taken or will be taken to correct violation: Simplot will update the HMBP within 30 days of any future substantial change in operations, including any future personnel changes. Page 2 of 3 Rev. 9/16/2020 1868 E. Hazelton Avenue � Stockton, California 95205 � T 209 468-3420 � F 209 464-0138 � www.sjgov.org/EHD