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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.sjgov.org/ehd Hazardous Materials Program Inspection Report Facility Name: Facility Phone: Date: CARLSJR #7481 k209 476-1v_ n ill i ' moi: Facility Address: CERS ID: 3205 W HAMMER LN STOCKTON CA 95209 10184173 Inspection Contact Title: Phone: Maria Velsaco District Mana er 0 - Inspection Type: Program: ROUTINE INSPECTION -Operating Permit 1 1921 - HMBP-Regular-Primary Location Consent For: Consent Given By: Inspection Photos SampliFiq I Maria Velsaco District Mana er CCR=California Code of Regulations MSC=Heahh 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 u V o R o COS 2 HSC 25508(a)(1) Failed to electronically submit a business plan o V o R o COS 3 HSC 25508(:) Failed to annually review and certify that the business plan is complete,accurate,and up to date ■V o R o COS 4 HSC 25505.1 Failed to notify property owner that facility is subject to and in compliance with the HMBP program a V o R n COS 5 HSC 25510 Failed to report actual or threatened release to the EHD and/or CalOES Warning Center o V o R o COS 6 HSC 25508(a)(1) Failed to complete and/or submit the Business Activities or Owner/Operator Identification page o V in 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 o 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 in COS 9 HSC 25508.1(f) Failed to submit revisions to HMBP within 30 days of substantial change in operations o V in R o COS 10 HSC 25505(a)(2) Failed to complete and/or submit!,site mao with all required content ■V o R o COS 11 HSC 25505(a)(3) Failed to establish and/or sutunrt eemm>neresponse procedures for a release or threatened release ■V o R o COS 12 HSC 25505(a)(4) Failed to submit a training program or program is not reasonable or adequate for facility ■V u R n COS 13 HSC 25505(a)(4) Failed to provide or document initial and/or refresher training to appropriate personnel o V a R o COS 14 HSC 25507.1 Failed to submit emergency response plan when not meeting Ag handler exemption requirements o V o R o COS 15 HSC 25507.1 Failed to submit training program when not meeting All 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 in V o R e COS 17 HSC 25511 Failed to submit a written response within 30 days of receiving an inspection report in V o R o COS 1010 See below Unlisted Administration/Documentation violation o V u R o COS 1040 See below Unlisted Release/Leaks/Spills violation o V o R o COS SUMMARY OF VIOLATIONS (CLASS I,CLASS ll,or MINOR-Notice to Comply) Item # Remarks Received by Inspector: Phone: Date: (initial): /(il` ✓ A SAEED, HM Specialist 1 (209) 953-6212 04/17/2015 Page 1 of 3