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San Joaquin County <br /> Environmental Health DepartmentD <br /> 1868 East Hazelton Avenue, Stockton, California 95205-6232 <br /> Telephone: (209)468-3420 Fax:(209)468-3433 Web:www.siaov.ora/ehj./.45 7.23, <br /> Hazardous Materials Program Inspection Report <br /> Facility Name: Facility Address: Date: <br /> ROUND TABLE PIZZA 10952 TRINITY PKWY, STOCKTON September 25, 2014 <br /> SUMMARY OF VIOLATIONS <br /> (CLASS I,CLASS II,or MINOR-Notice to Comply) <br /> Item# Remarks <br /> 1 Failed to establish and implement a hazardous materials business plan. A Hazardous Materials Business Plan has not <br /> been established or implemented. A Hazardous Materials Business Plan shall be established and implemented for <br /> emergency response to a release or threatened release of a hazardous material when storing hazardous materials at or <br /> above the thresholds quantities of 55 gallons for materials that are liquids, 500 pounds for solids, or 200 cubic feet for <br /> compressed gas, at standard temperature and pressure. Immediately log into the California Environmental Reporting <br /> System(CERS) at http://cers.calepa.ca.gov/, enter the required information, and submit for review by the EHD. <br /> This is a Class II violation. <br /> 2 Failed to electronically submit a business plan. The facility's business plan was not submitted electronically to the <br /> California Environmental Reporting System (CERS). As of January 1, 2013, all businesses were required to submit all <br /> business plans electronically. Immediately log into the CERS at http://cers.calepa.ca.gov/, enter the correct or updated <br /> information, and submit to the EHD for approval. <br /> This is a Class II violation. <br /> 6 Failed to complete and/or submit the Business Activities or Owner/Operator Identification page. The Business <br /> Owner/Operator Identification form was not submitted to CERS . This information must be current and submitted as <br /> part of the business plan. Immediately log into the California Environmental Reporting System (CERS)at <br /> http://cers.calepa.ca.gov/, enter the correct or updated information, and submit to the EHD for approval. <br /> This is a minor violation. <br /> 7 Failed to complete and/or submit hazardous materials inventory for all reportable materials on site. The Hazardous <br /> Materials Inventory form for 450 Pounds of Carbon Dioxide was not submitted to CERS. This information must be <br /> current and submitted as part of the business plan. Immediately log into the California Environmental Reporting System <br /> (CERS) at http-.Hcers.calepa.ca.gov/, enter the correct or updated information, and submit to the EHD for approval. <br /> This is a minor violation. <br /> 10 Failed to complete and/or submit a site map with all required content. A site map was not submitted as part of the <br /> business plan. A site map shall contain a north orientation, loading areas, internal roads, adjacent streets, storm and <br /> sewer drains, access and exit points, emergency shutoffs, evacuation staging areas, hazardous material handling and <br /> storage areas, and emergency response equipment. Immediately log into the California Environmental Reporting <br /> System(CERS) at http://cers.calepa.ca.gov/, upload the correct or updated information, and submit to the EHD for <br /> approval. <br /> This is a minor violation. <br /> Received by(initial): Inspector: Phone: Date: <br /> HAZA SAEED, HM Specialist 1 (209) 953-6212 09/25/2014 <br /> Page 2of3 <br />