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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.sigov.ora/ehd Hazardous Materials Program Inspection Report Facility Name: Facility Phone: Date: EL POLLO LOCO 209 951-3636 March 13 2015 Facility Address: CERS ID: 1510 E HAMMER LN STOCKTON CA 95210 10187013 Inspection Contact: Title: Phone: 1 uz Pinedo Store Manager Inspection Type: Program: 'TINE INSPECTION -Operatina Permit 1 1921 - I-IMBP-Regular-PrimarV HMBP-Regular-PrimaLocation Consent For: Consent Given By: I Photos Samp4riq I Luz Pinedo Store 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 HSC 25507 Failed to establish and implement a hazardous materials business plan .V o R ■COS 2 HSC 25508(a)(1) Failed to electronically submit a business plan ■V o R ■COS 3 HSC 25508(c) Failed to annually review and certify that the business plan is complete,accurate,and up to date o V o R in COS 4 HSC 25505.1 Failed to notify property owner that facility is subject to and in compliance with the HMBP program u V o R ❑COS 5 HSC 25510 Failed to report actual or threatened release to the EHD and/or CalOES Warning Center ❑V ❑R o COS 6 HSC 25508(a)(1) Failed to complete and/or submit the Business Activities or Owner/Operator Identification page a V ❑R in COS 7 HSC 255W(a) Failed to complete and/or submit hazardous materials inventory for all reportable materials on site ■V ❑R ■COS 8 HSC 25508.1(a}(e) Failed to submit revisions to HMBP within 30 days of change in business info or inventory ❑V ❑R ❑COS 9 HSC 25508.1(1) Failed to submit revisions to HMBP within 30 days of substantial change in operations o V o R ❑COS 10 HSC 25505(a)(2) Failed to complete and/or submit a site map with all required content ■V ❑R is COS 11 j HSC 25505(a)(3) Failed to establish and/or submit emergency response procedures for a release or threatened release ■V ❑R ■COS 12 HSC 25505(a)(4) Failed to submit a training program or program is not reasonable or adequate for facility in V ❑R a COS 13 HSC 25505(a)(4) Failed to provide or document initial and/or refresher training to appropriate personnel ❑V ❑R o COS 14 HSC 25507.1 Failed to submit emergency response plan when not meeting Ag handler exemption requirements ❑V o R o COS 15 HSC 25507.1 Failed to submit training program when not meeting Ag handler exemption requirements ❑V ❑R o COS 16 HSC 25507.2 Failed to establish and implement a HMBP when not meeting remote unstaffed facility exemptions ❑V ❑R ❑COS 17 HSC 25511 Failed to submit a written response within 30 days of receiving an inspection report ❑V ❑R ❑COS 1010 See below Unlisted Administration/Documentation violation ❑V ❑R o COS 1040 See below Unlisted Release/Leaks/Spills violation n V o R o COS SUMMARY OF VIOLATIONS (CLASS I,CLASS II,or MINOR-Notice to Comply) Item# Remarks Received by Inspector: Phone: Date: (initial): HAZA SAEED, HM Specialist 1 (209) 953-6212 03/13/2015 Page 1 of 4