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Hazardous Materials Program Inspection Report Facility Name: Panera Bread #1959 Facility Address: 4932 Pacific Ave, Stockton, CA 95207 Facility Phone: (314) 984-1000 Program: 1919 - HMBP-CO2 Only Food Facility Inspection Type: ROUTINE INSPECTION - Operating Permit Date: January 09, 2017 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 CERS ID: 10707970 Inspection Contact: Mark Siebert Consent For: Consent Given By: Mark Siebert, GM Title: GM Phone: (209) 808-7076 T Inspection £ Photos £ Samples R = Repeat violation COS = Corrected on site during inspectionV = Violation CCR = California Code of Regulations HSC = Health and Safety Code CFR = Code of Federal Regulations Violations 1 □ V □ R □ COSFailed to pay annual operating feesSJO 4432 2 ■ V □ R □ COSFailed to complete and electronically submit a hazardous materials business planHSC 25505, 25508(a) (1) 3 □ V □ R □ COSFailed to establish and implement a hazardous materials business planHSC 25507 4 □ V □ R □ COSFailed to complete and/or submit the Business Activities or Owner/Operator Identification pageHSC 25508(a)(1) 5 □ V □ R □ COSFailed to complete and/or submit hazardous materials inventory for all reportable materials on siteHSC 25506(a) 6 □ V □ R □ COSFailed to complete and/or submit a site map with all required contentHSC 25505(a)(2) 7 □ V □ R □ COSFailed to establish and/or submit emergency response procedures for a release or threatened releaseHSC 25505(a)(3) 8 □ V □ R □ COSFailed to submit a training program or program is not reasonable or adequate for facilityHSC 25505(a)(4) 9 □ V □ R □ COSFailed to annually review and certify that the business plan is complete, accurate, and up to dateHSC 25508.2 10 □ V □ R □ COSFailed to submit revisions to business plan within 30 days of substantial change in operationsHSC 25508.1(a)-(f) 11 □ V □ R □ COSFailed to provide or document initial and/or refresher training to appropriate personnelHSC 25505(a)(4) 12 □ V □ R □ COSFailed to have the business plan readily available to facility or EHD personnelHSC 25505(c) 13 □ V □ R □ COSFailed to notify property owner that facility is subject to and in compliance with the HMBP programHSC 25505.1 14 □ V □ R □ COSFailed to report actual or threatened release to the EHD and/or CalOES Warning CenterHSC 25510 15 □ V □ R □ COSFailed to submit emergency response plan when not meeting Ag handler exemption requirementsHSC 25507.1 16 □ V □ R □ COSFailed to submit training program when not meeting Ag handler exemption requirementsHSC 25507.1 17 □ V □ R □ COSFailed to establish and implement a HMBP when not meeting remote unstaffed facility exemptionsHSC 25507.2 18 □ V □ R □ COSFailed to submit a written response within 30 days of receiving an inspection reportHSC 25511 1010 □ V □ R □ COSUnlisted Administration/Documentation violation See below 1040 □ V □ R □ COSUnlisted Release/Leaks/Spills violation See below SUMMARY OF VIOLATIONS (CLASS I, CLASS II, or MINOR - Notice to Comply) RemarksItem # 2 HSC 25505, 25508(a)(1) Failed to complete and electronically submit a hazardous materials business plan. The facility's business plan was not submitted electronically to the California Environmental Reporting System (CERS). As of January 1, 2013, all businesses were required to submit all business plans electronically. Immediately log into the CERS at http://cers.calepa.ca.gov/, enter the correct or updated information, and submit to the EHD for approval. This is a Class II violation. Page 1 of 2 FA0023646 PR0541275 SC001 01/09/2017 EHD 19-01 Rev. 09/22/16 Hazardous Materials Program OIR