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rTRANSMISSION VERIFICATION REPORT <br /> TIME : 10/24/2013 08:29 <br /> NAME : SJC EHD UNIT 3 <br /> FAX : 2094683433 <br /> SER. # : BROM7F534354 <br /> DATE,TIME 10/24 08: 29 <br /> FAX NO. /NAME 99432782 <br /> DURATION 00:00:00 <br /> PAGE(S) 00 <br /> RESULT BUSY <br /> MODE STANDARD <br /> BUSY: BUSY/NO RESPONSE <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazetton Avenue, Stockton, Cailfomia 95205.6232 <br /> Telephone:(209)468-3420 Fax:(209)468-3433 Web.,www.sioov orarehd <br /> HAZARDOUS MATERIALS PROGRAM INSPECTION REPORT <br /> Name: Taco Bek#19206 Adana: 45 E Harding Way, Stockton ' <br /> Fe " ... "tF� <br /> sP°ebtln Jun tq, 2013 <br /> , t Ra)eev Mehta aofty Tina: District Manager �916-501-7235 <br /> Ty"'PBC�. bOn xRouune ❑Faw«ep ticomplait—Iwr. PRO520679 ❑omen <br /> va mo*Hsc 25508) <br /> censemtbr: Xlnapecoon Osamptig xphnw, Granted by Marquette Dogan 7me: General Manager <br /> VIOLATIONS <br /> 8 G1 C2 M Code Sm%o. HSC`Calaornia Heath and SaW Code'CCR=CaMbrita Code of Remilotiom <br /> C7=Clece t WpfalionC2=pass 2�+olatiwr,M=Minor ' <br /> 1HSC 255th e) Falled to maintain a complete copy of iiia basiness plan on site <br /> 2 X CCR 2729-2(a)(1) Faded to complete and submit the Business owner/operator identification information[H^ue255ap <br /> 3 X CCR 2729.2(a) r.9 i) Failed to complete and submit the Hazardous Materials-Ctiemical desformation[HSC 25569 <br /> 4 X CCR 2729.2(a)(3) Faded do complete and submit an Annotated Site map[HSC 25WM <br /> 5 CCR 2731 Faded to include emergency response procedures for a release w threatened rolaaae of hazardous matedala <br /> HSC 25564 <br /> Failed to include a tra"rig program that indudes at minimum:(1)safe harp"of hazardous materials;(2) <br /> 6 CCR 2732(a) procedure.for 000rdinalion wlth local emergency response organizations;(3)wee of emergency eq*rnerd <br /> ands;and 4 emer a-,,.res nse roradurea HSC 25501 c <br /> 7 CCR 2732(b) Failed to provide initial andror refresher training to appm nate personnel[HSC 25 c l <br /> e <br /> ±4r-,1CR'2703 Failed to wrbaly repos a release or threatened raleaae immedialety to the EnMronmentai Haaph Deparanent <br /> EHD aWw the CalHomm Eme Man meat CaIF_ptA HSC 25507 a <br /> 9 255 b) Fased to update and submit revisions to the business plan when suhstandal changes occur <br /> 999 See attactled'Conlmuabon-0lficial tnspactianR "for.iolafion(s)not fisted above. <br /> SUMMARY OF VIOLATIONS <br /> CLASS I CLA513 N orMINOR-Notice to Cam y) <br /> #1 - HSC 25505(e). A Business Plan is not available. <br /> #2 - CCR 2729.2(a)(1). The Facility Information; Business Activities and Business Owner/Operator <br /> information have not been entered in to the California Environmental Reporting System (CERS). <br /> #3 - CCR 2729.2(a)(2). The 400 Pound container of carbon dioxide present at this facility has not <br /> been added to the CERS Hazardous Materials Inventory. <br /> #4 - CCR 2729.2(a)(3). A completed Annotated Site Map has not been uploaded to the CERS <br /> website. <br /> To address the above noted violations: <br /> 1. Log on to the California Environmental Reporting System (CERS) website at http://cers.calepa, <br /> ca.gov/where you will need to: <br />