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San Joaquin County v Environmental Health Department 1868 East Hazelton Avenue, Stockton, California 95205-6232 Telephone:(209)468-3420 Fax:(209) 468-3433 Web:www.s6qov.oro/ehd Hazardous Materials Program Inspection Report Facility Name: Facility Phone: Date: COYOTES MEXICAN DINING (209) 727-5900 July 01, 2014 Facility Address: EPA ID: CERS ID: 14015 E HWY 88 , LOCKEFORD, CA 95237 10182019 Facility Contact: Contact Phone: Contact during inspection,if Silvia Gomez (209) 727-5900 different from facility contact: Inspection type: Program: ROUTINE INSPECTION - Operating Permit 1921 - HMBP-Regular-Primary Location CCR=California Code of Regulations HS =Health and Safety ode FR=Code of Federal Regulations V=Violation R=Repeat violation COS=Corrected on site during inspection Violations 1 HSC 25507(a) Failed to establish and implement a hazardous materials business plan o V ❑R o COS 2 HSC 25505.1 Failed to notify property owner that facility is subject to and in compliance with the HMBP program ❑V ❑R n COS 3 HSC 25510 Failed to report actual or threatened release to the EHD and/or CalOES Warning Center ❑V ❑R ❑COS 4 HSC 25506(a) Failed to complete and/or submit hazardous materials inventory for all reportable materials on site ❑V ❑R ❑COS 5 HSC 25508.2 Failed to submit hazardous materials business plan annually ❑V ❑R ❑COS 6 HSC 25508.1 Failed to submit revisions to HMBP within 30 days of change in inventory or operations ❑V ❑R in COS 7 HSC 25505(a)(2) Failed to complete and/or submit a site map ❑V ❑R in COS 8 HSC 25505(a)(3) Failed to include emergency response procedures for a release or threatened release ❑V ❑R ❑COS 9 HSC 25505(a)(4) No training program or program is not reasonable or adequate for facility o V ❑R in COS 10 HSC 25505(a)(4) Failed to provide initial and/or refresher training to appropriate personnel ❑V ❑R in COS 11 HSC 25511 Failed to submit a written response within 30 days of receiving an inspection report o V ❑R ❑COS 1010 See below Unlisted Administration/Documentation violation ❑V in R ❑COS 1040 See below Unlisted Release/Leaks/Spills violation o V o R n COS SUMMARY OF VIOLATIONS (CLASS I,CLASS ll,or MINOR-Notice to Comply) Item# Remarks Overall Inspection Comments: Business has sub quantity of carbon dioxide, 100 pounds, and is exempt from the Hazardous Materials Business Plan. Complete and submit a copy of the Return to Compliance Certification form to the EHD with a statement documenting the corrective actions that have been or will be taken for each violation, and any supporting paperwork, by 7/31/2014. Consent to perform the inspection, take photos and collect samples was given by Silvia Gomez Owner . Please be aware as of January 1, 2013, all businesses were required to submit all hazardous materials information online to the California Environmental Reporting System (CERS) at http://cers.calepa.ca.gov. Be sure to include your hazardous material activity in the Businesses Activities section in CERS in addition to any other relevant activities and required fields. Recei (in" i Inspector: Phone: Date: JAMIE DE LA ROSA, Hazardous Material Spec (209) 953-6211 07/01/2014