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ti"J h A �,1 �n�� I Environmental Health Department COUNTY CP22 - HMBP Inspection Report Facility Name: Facility Phone: Date: Facility Address: CERS ID: 3307 W HWY 4 STOCKTON CA 95206 10153933 Inspection Contact: Title: Phone: Paul Ferrono [Safety Proaram Manacer 209 937-7188 Inspection Type: Program: Routine 1921 -HMBP-Regular-Primary Location Consent For: Consent Given By: E9 Inspection 17x Photos ❑ Samples Paul Ferroni Safety Program Manager OUT-Violation R-Repeat violation COS=Corrected on site during inspection 1 CA Health and Safety 1010001-Establishedlimplemented a business plan when handling hazardous materials in ❑OUT ❑R ❑COS Code 25507 reportable quantities 2 CA Health and Safety 1010002-Business plan electronically submitted initially,annually,or triennially ❑OUT ❑R ❑COS Code 25505,25508(a) (1) 3 CA Health and Safety 1010017-Business plan readily available to site personnel responsible for emergency response ❑OUT ❑R ❑COS Code 25505(c) or training 4 CA Health and Safety 1010008-Business plan reviewed and electronically certified as complete/accurate on or before ❑OUT ❑R ❑COS Code 25508.2 the due date 5 CA Health and Safety 1010006-Updated within 30 days of 100%increase or new haz;change of ❑OUT ❑R ❑COS Code 255013.1(a)-(f) address/owner/name;or change in ops 6 CA Health and Safety 1040001-Actual or threatened release reported to the unified program agency and Cal OES ❑OUT ❑R ❑COS Code 25510(a) 7 CA Health and Safety 1010011-property owner notified in writing that business is in compliance with business plan ❑OUT ❑R ❑COS Code 25505.1 requirements 8 CA Health and Safety 1010012-Lessee provided copy of business plan to owner within 5 days after request a OUT ❑R ❑COS Code 25505.1 9 CA Health and Safety 1010003-Business Owner/Operator ID and Business Activities pages electronically submitted and ❑OUT ❑R ❑COS Code 25508(a)(1) are accurate 10 CA Health and Safety 1010004-Complete and accurate Hazardous Materials Inventory information electronically ❑OUT o R ❑COS Code25505(a)(1) submitted 11 CA Health and Safety 1010005_Site Map with all required content electronically submitted ■OUT Q R a COS Code 25505(a)(2) 12 ICA Health and Safety 1010010-Electronically submitted adequate response plan/procedures for release/threatened ❑OUT a R ❑COS Code 25505(a)(3) release of hazmat 13 CA Health and Safety 1020001-Established and electronically submitted adequate training program ❑OUT Q R ❑COS Code 25505(a)(4) 14 CA Health and Safety 1020002-Provided initial and annual training and maintained training records for a minimum of ■OUT ❑R ❑COS Code 25505(a)(4) three years 15 ICA Health and Safety 1010016-Remote unstaffed facility exemption requirements are met when not submitting a d OUT ❑R o COS Code 25505,25507.2 business plan 16 �CA Health and Safety 1010014-Agricultural handler exemption requirements are met when not submitting an emergency ❑OUT ❑R ❑COS Code 25507.1 response plan 17 CA Health and Safety 1010015-Agricultural handler exemption requirements are met when not submitting a training a OUT ❑R ❑COS Cade 25507.'I program 18 �CA Health and Safety 1030001-Warning signs posted on buildings where pesticides,petroleum,or fertilizers are stored ❑OUT u R in COS Code 25507.1(a)(2), CCR 2671 19 CA Health and Safety 1010-Administration/Documentation-General OUT ❑R ❑COS Code 25404A 2 20 SJC Ordinance Code 1015-Administration/Documentation-General Local Ordinance ❑OUT ❑R ❑COS 4432 FA0009481 PRO519672 SC001 0212612D25 FHD Rev.1210612021 Page 1 of 3 CP22-HMBPOIR 1868 E. Hazelton Avenue I Stockton, California 952051 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/EHD