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S AH N J�JOAQUIN Environmental Health Department I ICJ f Y CP22 - HMBP Inspection Report Facility Name: ,n{ �rjG(j L( /'p i Or Facility Phone: Date: , r C; 1 2 Facility Address: CERS ID: n r � 2 VVC.iI J?j IQ" S 1�(J ; QCVt(Jq I V� � I5 L�1� 101 IF) 1505 Inspection Contact:L'LJGr1C L1� Title: o1ox1g�+r Phone: 11 v �l 2Uq - q( 3 LI I iH Inspection Type: (�(Jul iim), Program: P Consent For: 1 Consent Given By: Inspection ❑ Photos ❑ Samples OUT=Violation R= Repeal violation COS=Corrected on site during inspection 1 CA Health and Safety 1010001 - Established/implemented a business plan when handling hazardous materials in o 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 o R o 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 o OUT o R o COS Code 25508.1(a)-(f) address/owner/name; or change in cps 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 o OUT ❑ R o COS Code 25505.1 requirements 8 CA Health and Safety 1010012- Lessee provided copy of business plan to owner within 5 days after request ❑ OUT ❑ R o 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 4 DUT o R o COS Code25505(a)(1) submitted u 11 CA Health and Safety 1010005 - Site Map with all required content electronically submitted Code 25505(a)(2) 1 41 OU ❑ R ❑ COS 12 ICA Health and Safety 1010010- Electronically submitted adequate response plan/procedures for release/threatened o OUT ❑ R ❑ COS Code 25505(a)(3) release of hazmat 13 ICA Health and Safety 1020001 - Established and electronically submitted adequate training program o OUT o R o COS Code 25505(a)(4) 14 ICA Health and Safety 1020002- Provided initial and annual training and maintained training records for a minimum of )�OUT o 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 o OUT ❑ R ❑ COS Code 25505, 25507.2 business plan 16 ICA Health and Safety 1010014 -Agricultural handler exemption requirements are met when not submitting an emergency n OUT o R ❑ COS Code 25507.1 response plan 17 CA Health and Safety 1010015-Agricultural handler exemption requirements are met when not submitting a training o OUT o R o COS Code 25507.1 program 18 CA Health and Safety 1030001 - Warning signs posted on buildings where pesticides, petroleum, or fertilizers are stored o OUT o R o COS Code 25507.1(a)(2), CCR 2671 19 CA Health and Safety 1010 -Administration/Documentation - General ❑ OUT ❑ R ❑ COS Code 25404.1.2 20 SJC Ordinance Code 1015 -Administration/Documentation - General Local Ordinance o OUT o R o COS 4432 21 See below 1020- Training - General ❑ OUT ❑ R o COS CP22-HMBP OIR EHD Rev. 12/06/2021 Page 1 of 2 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/EHD