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Aug. 18. 2015 4:03PM HBEES Ndw&.%- 5"-Aur- 7 o. 2041 P. 21 <br /> San Joaquin County <br /> Environmental Health Department AUG 182015 <br /> 1868 East Hazelton Avenue,Stockton, California 95205.6232 <br /> Telephone:(209)468-3420 Fax,(209)468-3433 Web:www slog .ora/eht r;RONMENTAL HEALTH <br /> za dou a s ti 0 <br /> Facility Name: Faculty Phono: Date: <br /> PERKOS CAFE (209)832-4675 July 27, 2015 <br /> Facility Address: CERS ID: <br /> 1321 W ELEVENTH ST,TRACY, CA 95376 0 <br /> Inspection Contact: TaPhone: <br /> Kim Montoya Manager (209)832-4675 <br /> Inspection Type: Pno' <br /> ram: <br /> ROUTINE INSPECTION-Operating Permit 1921 -HMBP-Regular-Primary Location <br /> Consent For: Coneent Given By: <br /> O Inspection O Photos [3Sam les Kim Montoya, Manager <br /> CCR=California Code of Regulations HSC=HedO and Safety Code CFR=Codeor Federal Regul2uone <br /> V=VI0l2iion R�Repeat violation COS=Corrected on site during lnspecllo <br /> 6o. - <br /> >,m 1 <br /> HSC 25507 Failed to establish and implement a hazardous materials business plan, ■V OR a COS <br /> HSC 25608(2)(1) Failed to electronically submit a business plan a V OR a COS <br /> HSC 25508.2 Failed to annually review and certify that the business plan Is complete,accurate,and up to date a V a R clCOS <br /> 4 HSC 25505.1 Failed to notify propertyowner that facility is subject to and in compliance with the HMBP program a V a R a COS <br /> 5 HSC 25510 Failed to report actual or threatened release to the EHD and/or CAIOES Warning Center a V a R o COS <br /> HSC 25508(a)(1) Failed to complete and/or submit the Business Activities or Owner/Operalor Identification page ■V o R a COS <br /> 7 HSC 25506(a) Failed to complete and/or submit hazardous materials inventory for all reportable materials on site a V a R o COS <br /> 6 NSG 25508.1(a)�(e) Failed to submit revisions to HMBP within 30 days of change in business Info or inventory o V a R o COS <br /> 9 HSC 25508.1(f) Failed to submit revisions to HMBP within 30 days of substantial change in operations a V o R a COS <br /> 0 HSC 25505(s)(2) Failed to complete and/or submit a site map with all required content ■V a R a COS <br /> 11 HSC 25605(a)(3) Failed to establish and/or submit emergency response procedures for at release or threatened release n V n R o COS <br /> 1 HSC 255o5(a)(4) Felted to submit a training program or program is not reaeonabla or adequate for facility is V a R a COS <br /> 13HSC 25505(2)(4) Failed to provide or document initial and/or refresher training to appropriate personnel isV a R a CDS <br /> 14 1 HSC 25507.1 Failed to submit emergency response plan when not meeting Ag handler exemption requirements o V a R a COS <br /> aHSC26507.2 <br /> 07.1 Failed to submit training program when not meeting Ag handier exemption requirements o V o R o COS <br /> 07.2 Failed to establish and Implement a HMBP when not meeting remote unstaffed facility exemptions a V o R o COS <br /> 11 Failed to submit 9 written response within 30 days of receiving an inspection report o V a R o COS <br /> ow Unlisted Adminlstratlon/Documenlation violation o V a R c COS <br /> ow Unlisted Releasell-eaksrSpills violation o V o R a COS <br /> t. �* lJ i °t eta. ° <br /> Item# Remarks <br /> Received by Inspector: Phone: Date: <br /> (initial►: PETER LOMBARDI, HM Specialist 1 (209)953-6213 07/27/2015 <br /> Page 1 of 4 <br />