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SANJOQQUIN r Environmental Health Department ---COUNTY- acility Name'.Hazardous Materials program Inspection Report F,T p�S 1111''1 NJ y/�y FeellltyPhon(e: �+i / Date: FacllityAddress: �" �� i '�G.� / "j i ! 1-S nspeclion Contact: Title - Phone: Ins ectlo 'r pa; a? s � Program: �'� r Co Given By- .� Hazard❑us Materials Program OIR EHtl 1305 Rev. 1211360C21 page 1 of 2 1866 E. Hazelton Avenue I Stockton, California 95205 J T 209 468-3420 i F 209 464-0138 i www.sigov.org/EHD or CCR = Title 19 Califomia Cade of Regulations HSc r C Heal and Safety Code SJD -San Joaquin County Ordinance HHD = Environmentat Health Department V = Violation R = Repeat violation COS - Corrected on site during inspection Violations 1 SJO 4432 Failed to pay annual operating fees 2 HSC 25505, 25508(a) (1) Failed to initially complete and electronically submit a hazardous materials business ❑V DR UCOS plan (HMBP) ❑ V o R ❑COS 3 HSC 25507 Failed to establish and implement a HMBP 4 HSC 25508(a)(1) Faifed to electronically submit the Business Activities ar Owner/Operator Identification 0 DR ❑COS 5 HSC 25505(a)(1) page Failed to electronically submit hazardous ❑ V ❑ R o COS materials inventory for all reportable materials on site UV DR aCOS 6 HSC 25505(a)(2) Failed to electronically submit a site map with all required content 7 HSC 25505(a)(3) Failed to electronicafly submit an adequate ER procedures for a release or threatened release a UR ❑COS 8 HSC 25505(a)(4) Failed to establish and electronically submit a reasonable or an adequate training program 9 13 DR ❑COS 9 HSC 25508.2 Failed to annually review and certify that the HMBP Is complete and accurate by the due date o n ❑COS 10 HSC 25508.1(a) -(f) Failed to electronically update the HM13P within 30 days of substantial change in operations o o ❑COS 19 HSC 25505(a)(4) Failed to provide or document initial and/or refresher training to appropriate o ❑R ❑COS personnel 0 o ❑COS 12 HSC 25505(c) Failed to have the HMBP readily available to faeflity or EHD personnel o n ❑COS 13 HSC 25505.1 Failed to notify property owner that facility is subject to and in compliance with the HMBP program D V ❑ R c COS 14 HSC 25505.1 Business on leased property failed to provide copy of HMBP win 5 days of request by property owner o V U R ❑ COS 15 HSC 25510(a) Failed to report actual or threatened release to the EHD and/or CalOES Waming Center o V n R a COS 16 HSC 25507.1 Failed to electronically submit ER plan when not meeting Ag handler exemption requirements ❑ V ❑ R o COS 17 HSC 25507.1 Failed to electronically submit training program when not meeting Ag handler exemption requirements ❑ V ❑ 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 in COS 19 MSC 25404.1,2 Failed to submit a certification and written response within 30 days for minor violations U V U R o COS 20 HSC 25507.1(a)(2), Failure of Ag handler to post adequate warning signs to meet exemption requirements UV o R ❑ COS CCR 2671 1010 See below Unlisted AdministrationlDocumentatien violation o V n R ❑ COS 1020 See below Unlisted Training violation ❑ V D R ❑ COS 1030 See below Unlisted Operations/Mainviolation ❑ V ❑R ❑COStenance _ _ 1040 See below f Unlisted Release/Leaks/Spills violation ❑V uR aCOS 1045 See below Unlisted RefeaselLeakslSpills -Local Ordinance ❑V R oCOS c 1050 See below Unlisted AbandonmenVlllega[ Disposal/Unauthodzed Treatment violation pV 11 E3 COS 1055 FS.. below Unlisted AbandonmenVlllegal Disposal/Unauthorized Treatment- Loral Ordinance L, V a R o COS Hazard❑us Materials Program OIR EHtl 1305 Rev. 1211360C21 page 1 of 2 1866 E. Hazelton Avenue I Stockton, California 95205 J T 209 468-3420 i F 209 464-0138 i www.sigov.org/EHD or