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San Joaquin County <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, California95205-6232 <br /> Telephone:(209) 468-3420 Fax: (209) 468-3433 Web:yaww.siaov.orD/ehd <br /> Hazardous Materials Program Inspection Report <br /> Facility Name: Facility Phone: Date: <br /> BSS RESTAURANTS 209 373-4660 M2V 15. 2015 <br /> Facility Address: CERS ID: <br /> 5733 PACIFIC AVE STOCKTON El 10186889 <br /> Inspection Contact: Title: Phone: <br /> Joe Ramirez General Mana er (209 373-4660 <br /> Inspection Type: Program: <br /> ROUTINE INSPECTION- O eratin Permit 1 1921 - HMBP-Regular-Primary Location <br /> Consent For: I Consent Given By: <br /> L Ins ection 0 Photos ❑ Samples Joe Ramirez General Mana er <br /> CCR=Calgomia Code w Regulations HSC=Heaah and SafetyCode CFR=Code of Federal Regulations <br /> V=Violation R=Repeat violation COS=Corrected on site during inspection <br /> Violations <br /> 1 HSC 25507 Failed to establish and implement a hazardous materials business plan o V o R o COS <br /> 2 HSC 25508(a)(1) Failed to electronically submit a business plan ❑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 o R ❑COS <br /> 5 HSC 25510 Failed to report actual or threatened release to the EHD and/or CalOES 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 o V o R o COS <br /> 7 HSC 25506(a) Failed to complete and/or submit hazardous materials inventory for all reportable materials on site ❑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 o COS <br /> 9 HSC 25508.1(f) Failed to submit revisions to HMBP within 30 days of substantial change in operations ❑V ❑R u COS <br /> 10 HSC 25505(a)(2) Failed to complete and/or submit a site map with all required content ■V ❑R ❑COS <br /> 11 HSC 25505(a)(3) Failed to establish and/or submit emergency response procedures fora release or threatened release .V o R o COS <br /> 12 HSC 25505(a)(4) Failed to submit a training program or program is not reasonable or adequate for facility ■V o R ❑COS <br /> 13 HSC 25505(a)(4) Failed to provide or document initial and/or refresher training to appropriate personnel in V o R ❑COS <br /> 14 HSC 25507.1 Failed to submit emergency response plan when not meeting Ag handler exemption requirements ❑V ❑R o COS <br /> 15 HSC 25507.1 Failed to submit training program when not meeting Ag handler exemption requirements o V o R ❑COS <br /> 16 HSC 25507.2 Failed to establish and implement a HMBP when not meeting remote unstaffed facility exemptions ❑V ❑R ❑COS <br /> 17 HSC 25511 Failed to submit a written response within 30 days of receiving an inspection report ❑V ❑R ❑COS <br /> 1010 See below Unlisted AdministrationlDocumentation violation ❑V ❑R ❑COS <br /> 1040 See below Unlisted Release/Leaks/Spills violation ❑V ❑R o COS <br /> SUMMARY OF VIOLATIONS <br /> (CLASS 1,CLASS 11,or MINOR-Notice to Comply) <br /> Item# Remarks <br /> Received by Inspector: Phone: i Date: <br /> (initial): _R, HM Specialist I ( - 4 3 ZZ-� 05/15/2015 <br /> Page 1 of 3 <br />