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SpAIs � OQnUIN Environmental Health Department <br /> ;- HN 4 <br /> — COUNTY <br /> Grootip <br /> Hazardous Materials Program Inspection Report <br /> Facility Name: Facility Phone: Date: <br /> SQ�Ay- Am aIIIIPMor S /09` , S / /' " iz <br /> Facility Atltlress: L CFK.S is <br /> � - ow Q8L P07 C. <br /> "Cc � � 95 J/— / b 8.2 <br /> Ins tion Contact: Title: Phone: <br /> r " sq � z coq nv <br /> Inspection Type, Program: <br /> ow sf is <br /> Consent For: Cons t Gi%n By: I <br /> ns action Photos ElSamples Ch+ . C•�µ C��l.-4 <br /> CCR <br /> = Title 19-California Code of Regulations HSC = Healthand5afety Code SJR) = San Joaquin County Ordinance END = Environmental Health Department <br /> V = Violation R = Repeat violation COS = Corrected on site during inspection �1 <br /> Violations <br /> 1 SJO 4432 Failed to pay annual operating fees o V o R o COS <br /> 2 HSC 25505, 25508(a) Failed to initially complete and electronically submit a hazardous materials business plan (HMBP) XV o R u COS <br /> (1) <br /> 3 HSC 25507 Failed to establish and implement a HMBP a R o COS <br /> 4 HSC 25508(a)(1 ) Failed to electronically submit the Business Activities or Owner/Operator Identification page o V a R u COS <br /> 5 HSC 25505(a)(1 ) Failed to electronically submit hazardous materials inventory for all reportable materials on site )S,V o R )COS <br /> 6 HSC 25505(a)(2) Failed to electronically submit a site map with all required content X�V a R o COS <br /> 7 HSC 25505(a)(3) Failed to electronically submit an adequate ER procedures for a release or threatened release ;hl v R ?COS <br /> 8 HSC 25505(a)(4) Failed to establish and electronically submit a reasonable or an adequate training program )IV v R a(COS <br /> 9 HSC 25508.2 Failed to annually review and certify that the HMBP Is complete and accurate by the due date a V n R n COS <br /> 10 HSC 26508.1 (a)-(f) Failed to electronically update the HMBP within 30 days of substantial change in operations o V n R n COS <br /> it HSC 25505(a)(4) Failed to provide or document Initial and/or refresher training to appropriate personnel MW o R o COS <br /> 12 HSC 25505(c) Failed to have the HMBP readily available to facility or EHD personnel rkV o R o COS <br /> 13 HSC 25505.1 Failed to notify property owner that facility is subject to and in compliance with the HMBP program a V o R o COS <br /> 14 HSC 25505.1 Business on leased property failed to provide copy of HMBP wrin 5 days of request by property owner a V o R o COS <br /> 15 HSC 25510(a) Failed to report actual or threatened release to the EHD and/or CalOES Warning Center u V o R u COS <br /> 16 HSC 25507.1 Failed to electronically submit ER plan when not meeting Ag handler exemption requirements a V a R u COS <br /> 17 HSC 25507.1 Failed to electronically submit training program when not meeting Ag handler exemption requirements a V o R o COS <br /> 18 HSC 25505, 25507.2 Failed to establish and Implement a HMBP when not meeting remote unstaged facility exemptions o V o R o COS <br /> 19 HSC 25404.1 .2 Failed to submit a certificatfon and written response within 30 days for minor violations o V o R o COS <br /> 20 HSC 25507.1(a)(2), Failure of Ag handler to post adequate warning signs to meet exemption requirements n V a R o COS <br /> CCR 2671 <br /> 1010 See below Unlisted Administration/Documentation violation o V o R u COS <br /> 1020 See below Unlisted Training violation u V o R o COS <br /> 1030 See below Unlisted Operations/Maintenance violation a V o R o COS <br /> 1040 See below Unlisted Release/Leaks/Spills violation a V a R o COS <br /> 1045 See below Unlisted Release/Leaks/Spills - Local Ordinance o V a R o COS <br /> 1050 See below Unlisted Abandonment/Illegal DlsposelfUnaulhorized Treatment violation n V n R a COS <br /> 1055 See below Unlisted Abandonment/Illegal DisposalAlnauthorized Treatment - Local Ordinance o V o R o COS <br /> EHD 19-01 Rev. 12/06/2021 Page 1 of 2 Hazardous Materials Program OIR <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www,sjgov.org/EHD <br />