Laserfiche WebLink
San Joaquin County 9171 9690 0935 0084 843187 <br /> Environmental Health Department -- ----- <br /> 1868 East Hazelton Avenue, Stockton, California 95205-6232 <br /> Telephone: (209)468-3420 Fax: (209)468-3433 Web:www sigov ora/ehd <br /> Hazardous Materials Program inspection Report <br /> Facility Name: Facility Phone: Date: <br /> CARLS JR#1575 209 825-7190 <br /> Facility Address: ( ) June 30, 2015 <br /> 1489 HULSEY WAY, MANTECA, CA 95336 CERS ID: <br /> Inspection Contact: U <br /> Title: Phone: <br /> Mayra Contreras Manager (209) 823-7190 <br /> Inspection Type: Program: <br /> ROUTINE INSPECTION -Operating Permit 191 _ H2MBP-Regular-Primary Location <br /> Consent Far: Consent Given By: <br /> O Ins ection O Photos ❑ Samples Mayra Contreras, Assistant Manager <br /> CCR=California Code of Regulations HSC=Health and Safety Code CFR=Code of Federal Regulations <br /> V=Violation R=Repeat violation COS=Corrected on site during inspectio <br /> 1'< Violations <br /> 1 HSC 25507 Failed to establish and implement a hazardous materials business plan <br /> ■V oR ❑COS <br /> 2 HSC 25508(a)(1) Failed to electronically submit a business plan <br /> ■V ❑R ❑COS <br /> 3 HSC 25508.2 Failed to annually review and certify that the business plan is complete,accurate,and up to date ■V ❑R ❑COS <br /> 4 HSC 25505.1 Failed to notify property owner that facility is subject to and in compliance with the HMBP program ❑V ❑R ❑COS <br /> 5 HSC 25510 Failed to report actual or threatened release to the EHD and/or CaIOES Warning Center ❑V ❑R ❑COS <br /> 6 HSC 25508(a)(1) Failed to complete and/or submit the Business Activities or Owner/Operator Identification page mV ❑R ❑COS <br /> 7 HSC 25501 Failed to complete and/or submit hazardous materials inventory for all reportable materials on site <br /> ■V ❑R ❑COS <br /> 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 <br /> 9 HSC 25508.1(f) Failed to submit revisions to HMBP within 30 days of substantial change in operations <br /> ❑V ❑R ❑COS <br /> 10 HSC 25505(a)(2) Failed to complete and/or submit a site map with all required content <br /> ■V o ❑COS <br /> 11 HSC 25505(a)(3) Failed to establish and/or submit emergency response procedures for a release or threatened release ■V ❑R o COS <br /> 12 HSC 25505(a)(4) Failed to submit a training program or program is not reasonable or adequate for facility mV ❑R ❑COS <br /> 13 HSC 25505(a)(4) Failed to provide or document initial and/or refresher training to appropriate personnel ■V ❑R n COS <br /> 14 HSC 25507.1 Failed to submit emergency response plan when not meeting Ag handler exemption requirements ❑V o R ❑COS <br /> 15 HSC 25507.1 Failed to submit training program when not meeting Ag handler exemption requirements <br /> ❑V ❑R ❑COS <br /> 16 HSC 25507.2 Failed to establish and implement a HMBP when not meeting remote unstaffed facility exemptions ❑V ❑R n COS <br /> 17 HSC 25511 Failed to submit a written response within 30 days of receiving an inspection report <br /> ❑V uR ❑COS <br /> 1010 See below Unlisted Administration/Documentation violation ❑V ❑R ❑COS <br /> 1040 1 See below Unlisted Release/Leaks/Spills violation ❑V ,R a COS <br /> SUMMARY OF VIOLATIONS <br /> (CLASS I,CLASS ll,or MINOR-Notice to Comply) <br /> Item # Remarks <br /> Received by Inspector: Phone: Date: <br /> (initial): PETER LOMBARDI, HM Specialist I (209) 953-6213 06/30/2015 <br /> Page 1 of 4 <br />