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San Joaquin County Environmental Health Department 1868 East Hazelton Avenue, Stockton, California 95205-6232 Telephone:(209)468-3420 Fax:(209)468-3433 Web:www.sioov.org/ehd Hazardous Materials Program Inspection Report Facility Name: Facility Phone: Date: TACO BELL/KFC#19817 209 727-5744 June 16 2016 Facility Address: CERS ID: 18780 HWY 88 LOCKEFORD CA 95237 10182303 Inspection Contact Title: Phone: Jason Williams District Mania er 209 727-5744 Inspection Type: Program: ROUTINE INSPECTION-Operating Permit 1 1919-HMBP-0O2 Only Food Facility Consent For: Consent Given By: N Ins ection ❑Photos ElSamples Jason Wliams District Manager CCR-California Code of Regulations HSC-Health and Safety Code CFR=Code of Federal Regulations V-Violation R=Repeat violation COS=Corrected on site during inspection Violations 1 SJO 4432 Failed to pay annual operating fees V a R o COS 2 HSC 25505,25508(.) Failed to complete and electronically submit a hazardous materials business plan .V o R o COS (1) 3 HSC 25507 Failed to establish and implement a hazardous materials business plan o V o R o COS 4 HSC 25508(.)(1) Failed to complete and/or submit the Business Activities or Owner/Operator Identification page .V o R o COS 5 HSC 25506(.) Failed to complete and/or submit hazardous materials inventory for all reportable materials on site .V o R o COS 6 HSC 25505(.)(2) Failed to complete and/or submit a site map with all required content .V o R o COS 7 HSC 25505(.)(3) Failed to establish and/or submit emergency response procedures for a release or threatened release .V o R o COS 8 HSC 25505(a)(4) Failed to submit a training program or program is not reasonable or adequate for facility .V o R o COS 9 HSC 25508.2 Failed to annually review and certify that the business plan is complete,accurate,and up to date to V o R o COS 10 HSC 25508.1(.)-(f) Failed to submit revisions to business plan within 30 days of substantial change in operations o V o R in COS 11 HSC 25505(.)(4) Failed to provide or document initial and/or refresher training to appropriate personnel o V o R o COS 12 HSC 255051 Failed to have the business plan readily available to facility or EHD personnel o V o R o COS 13 HSC 25505.1 Failed to notify property owner that facility is subject to and in compliance with the HMBP program o V o R a COS 14 HSC 25510 Failed to report actual or threatened release to the EHD and/or CalOES Warning Center o V to R o COS 15 HSC 25507.1 Failed to submit emergency response plan when not meeting Ag handler exemption requirements o V a R o COS 16 HSC 25507.1 Failed to submit training program when not meeting Ag handler exemption requirements o V o R o COS W HSC 25507.2 Failed to establish and implement a HMBP when not meeting remote unstaffed facility exemptions o V o R o COS 18 HSC 25511 Failed to submit a written response within 30 days of receiving an inspection report mV o R o COS 1010 See below Unlisted Administration/Documentation violation o V OR o COS 1040 See below Unlisted Release/Leaks/Spills violation n V o R u COS SUMMARY OF VIOLATIONS (CLASS I,CLASS II,or MINOR-Notice to Comply) Item# Remarks Page 1 of 3