The Checklist CalARP Summary of Violations - Program Level 1 Facilities is a Sacramento County Environmental Management Department (EMD) document that lists common violations found at inspections under the California Accidental Release Prevention (CalARP) program. It is paired with a one-page Return To Compliance Statement, which a facility returns to EMD to certify that cited violations were corrected. On this page you can fill out the form online on FillingPDF and download or print the completed PDF; the original is published by EMD at emd.saccounty.gov.
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What is Checklist CalARP Summary of Violations - Program Level 1 Facilities – Sacramento County, CA?
The Checklist CalARP Summary of Violations - Program Level 1 Facilities is the County of Sacramento Environmental Management Department (EMD), Environmental Compliance Division, inspection element checklist of common violations of federal, state or local laws and regulations under the California Accidental Release Prevention (CalARP) program for Program Level 1 facilities.
The PDF has two parts. The first part, four pages long, is the checklist itself. Each row gives a violation number, the legal authority (for example 19 CCR 2, HSC 6.95 or SCC 6.96.030) and a description. The rows are grouped under General, Risk Management Plan (RMP) Components and Submission (submission, certification, updates, corrections, covered process modification, certificate of occupancy, review), Registration, Hazard Assessment and Other Requirements such as recordkeeping.
The second part is the Return To Compliance Statement. It holds a Compliance Certification, signature and facility fields, a table titled Summary of Violation Compliance Action, and a Corrective Action Statement area.
The checklist is a summary only. It tells you to refer to your Official Inspection Report for the specific details of your inspection. EMD's forms page lists a separate checklist for Program Level 3 Facilities, so this document is the Level 1 version.
Who needs to file Checklist CalARP Summary of Violations - Program Level 1 Facilities – Sacramento County, CA?
Facilities that EMD has inspected under CalARP as Program Level 1 facilities, and that received violations on their Official Inspection Report, use the Return To Compliance Statement to report how each violation was corrected. The checklist half is a reference list: it describes the types of violations, so you can compare it with your inspection report.
- Owners and operators of a stationary source with a CalARP covered process will recognize the rows on the RMP submission, certification, update, registration and recordkeeping requirements.
- The certification states that the person signing has personally examined any attached proof of compliance and believes it to be true, accurate and complete. The form asks for a signature, printed name and position/title, and does not say which positions may sign.
Do not use this document for another program level: EMD publishes a separate Program Level 3 checklist. The checklist itself says it is not a substitute for the inspection report: for specifics about your inspection, refer to your Official Inspection Report.
When to file Checklist CalARP Summary of Violations - Program Level 1 Facilities – Sacramento County, CA
Return the Return To Compliance Statement to EMD within 19 days of your facility's inspection for Priority Corrective Action violations, and within 35 days for all other violations, unless the Official Inspection Report notes otherwise.
The two periods run from the inspection, so check which of your cited violations are Priority Corrective Action violations on your inspection report. If the report sets a different date, that date governs. Include copies of any proof of compliance with the statement. The certification warns that there are significant penalties for submitting false information or for not complying with the violations noted. The checklist pages have no filing date of their own.
Documents you need
- Photos of the corrected condition, as proof of compliance: the form lists photos as one type of evidence to include with the statement.
- Copies of manifests, disposal records or receipts, as proof of compliance where they show a violation was corrected.
- Other original paperwork that proves compliance; the form asks for copies of any proof of compliance documents.
How to fill out Checklist CalARP Summary of Violations - Program Level 1 Facilities – Sacramento County, CA
Find your violations on the inspection report
Open your Official Inspection Report and note each violation number cited. The checklist pages are a general list; the report holds the specifics of your inspection.
Match violation numbers to the checklist
Look up each cited number (for example 5010025 or 5030005) in the checklist to read its authority and description before you report the correction.
Enter where and when you sign
On the Return To Compliance Statement, fill in the Executed at city (the form ends the line with ", California") and the Date.
Enter facility name and ID
Type your Facility Name and your Facility ID# (FA) exactly as they appear on your inspection report.
Mark the summary table
In Summary of Violation Compliance Action, find each cited violation number and check the type of evidence submitted: Photo, Paperwork or Statement.
Write the corrective action statement
In the Corrective Action Statement area, describe how each violation was corrected.
Read the certification, then sign
Read the four certification statements, including the declaration under penalty of perjury. Add your signature, Printed Name and Position/Title.
Gather your proof of compliance
Collect copies of photos, manifests, disposal records, receipts or other paperwork that match the boxes you checked.
Review and download the completed PDF
Check the dates against the 19-day and 35-day deadlines, then download or print the completed PDF from FillingPDF and return it to EMD as described under How to submit.
How to submit Checklist CalARP Summary of Violations - Program Level 1 Facilities – Sacramento County, CA
The form says the Return To Compliance Statement "must be returned to EMD", and it names no specific delivery channel. It prints the following contact details for the Environmental Compliance Division:
- Address: County of Sacramento, Environmental Management Department, Environmental Compliance Division, 11080 White Rock Rd., Ste. 200, Rancho Cordova, CA 95670.
- Phone (8am – 5pm): 916/875-8550 on the Return To Compliance Statement; the checklist pages print 916/875-8400.
- Fax: 916/875-8513.
- Website: http://www.emd.saccounty.gov.
Send the signed statement together with copies of your proof of compliance, such as photos, manifests or disposal records, receipts or other original paperwork. Call EMD to confirm how it accepts the statement and attachments. FillingPDF lets you fill out and download the PDF; submission follows the EMD channels above.
Common mistakes to avoid
- Returning the statement after 19 days for Priority Corrective Action violations or after 35 days for other violations, without checking whether the Official Inspection Report sets a different date.
- Sending the statement without copies of proof of compliance such as photos, manifests, disposal records, receipts or other paperwork.
- Leaving the Facility Name or Facility ID# (FA) blank, so EMD cannot match the statement to the inspection.
- Skipping the Executed at, Date, Signature, Printed Name or Position/Title fields under the Compliance Certification.
- Signing the certification without personally examining the attached documentation, which the signer certifies as true, accurate and complete.
- Not checking the Photo, Paperwork or Statement box for each violation number you are reporting in the Summary of Violation Compliance Action table.
- Relying on the checklist descriptions instead of the Official Inspection Report, which holds the specific details of your inspection.
Frequently asked questions
What is the CalARP Program Level 1 checklist of violations?
It is an EMD inspection element checklist of common violations under the California Accidental Release Prevention program for Program Level 1 facilities. It comes with a Return To Compliance Statement. For the specifics of an inspection, the form directs you to your Official Inspection Report.
Is this a Sacramento County business license?
No. This document is an inspection checklist and a statement for reporting corrected violations. It does not issue a license or permit. Its first row, number 5015 under SCC 6.96.030, refers to having an active permit for CalARP covered process(es), but this form is not that permit.
How long do I have to return the Return To Compliance Statement?
Within 19 days of your facility's inspection for Priority Corrective Action violations, and within 35 days for all other violations. These periods apply unless the Official Inspection Report notes otherwise, so check your report.
What proof of compliance should I include?
Include copies of any proof of compliance documents. The form gives these examples: photos, copies of manifests or disposal records, receipts, or other original paperwork. In the summary table you check Photo, Paperwork or Statement for each violation number.
Who signs the Return To Compliance Statement?
The form has fields for Signature, Printed Name and Position/Title, and it does not say which positions may sign. By signing you certify that violations were corrected, that you examined the attached documentation, and that you declare this under penalty of perjury.
Can I fill out the CalARP Level 1 checklist online?
You can fill out the PDF online on FillingPDF and download or print it. FillingPDF is an independent service and does not submit the statement to EMD; you return it through EMD's channels.
Where do I send the Return To Compliance Statement?
The form says to return it to EMD. It prints the Environmental Compliance Division address, 11080 White Rock Rd., Ste. 200, Rancho Cordova, CA 95670, phone 916/875-8550 and fax 916/875-8513. It names no specific channel, so call EMD to confirm how to deliver it.
Is there a different checklist for Program Level 3 facilities?
Yes. EMD's regulatory compliance forms page lists a separate Checklist CalARP Summary of Violations - Program Level 3 Facilities. This page covers the Program Level 1 checklist only.
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