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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: MCDONALDS#24092 209 954 March 2C Facility Address: CERS ID: 2415 W HAMMER LN STOCKTON CA 95209 1018415,- Inspection 018415,Inspection Contact Title: Phone: Kathy Karus Area Supervisor 0 - Inspection Type: Program: ROUTINE INSPECTION - Operating Permit 1 1921 - HM613-Regular-PrimarV HMBP-Regular-PrimaLocation Consent For: Consent Given By: Ins ection Photos Semolina I Kathv Karus Area Supervisor 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 u R ❑COS 2 HSC 25508(a)(1) Failed to electronically submit a business plan 0 V o R o COS 3 HSC 25508(c) Failed to annually review and certify that the business plan is complete,accurate,and up to date o V a R a COS 4 HSC 25505.1 Failed to notify property owner that facility is subject to and in compliance with the HMBP program o V o R o COS 5 HSC 25510 Failed to report actual or threatened release to the EHD and/or CalOES Warning Center a V o R a COS 6 HSC 25508(a)(1) Failed to complete and/or submit the Business Activities or Owner/Operator Identification page a V o R o COS 7 HSC 25506(a) Failed to complete and/or submit hazardous materials inventory for all reportable materials on site o V o R a COS 8 HSC 25508.1(a)-(e) Failed to submit revisions to HMBP within 30 days of change in business info or inventory o V o R a COS 9 HSC 25508.1(f) Failed to submit revisions to HMBP within 30 days of substantial change in operations o V o R a COS 10 HSC 25505(a)(2) Failed to complete and/or submit a site map with all required content o V o R o COS 11 HSC 25505(a)(3) Failed to establish and/or submit emergency response procedures for a release or threatened release o V o R n COS 12 HSC 25505(a)(4) Failed to submit a training program or program is not reasonable or adequate for facility o V o R o COS 13 HSC 25505(a)(4) Failed to provide or document initial and/or refresher training to appropriate personnel o V 0 R o COS 14 HSC 25507.1 Failed to submit emergency response plan when not meeting Ag handler exemption requirements a V o R 0 COS 15 HSC 25507.1 Failed to submit training program when not meeting Ag handler exemption requirements o V o R o COS 16 HSC 25507.2 Failed to establish and implement a HMBP when not meeting remote unstaffed facility exemptions o V o R o COS 17 HSC 25511 Failed to submit a written response within 30 days of receiving an inspection report a V o R o COS 1010 See below Unlisted Administration/Documentation violation 0 V o R o COS 1040 See below Unlisted Release/Leaks/Spills violation o V o R o COS SUMMARY OF VIOLATIONS (CLASS 1,CLASS II,or MINOR-Notice to Comply) Item# Remarks Overall Inspection Comments: No violations were found at the time of the inspection. Please be aware as of January 1, 2013, all businesses are required to submit all hazardous materials information Received by Inspector: Phone: Date: (Inll HAZA SAEED, HM Specialist 1 (209) 953-6212 03/20/2015 Page 1 of 2