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San Joaquin County Environmental Health Department 1868 East Hazelton Avenue, Stockton, California95205-6232 Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: www.sifaov.orglehd Hazardous Materials Program Inspection Report Facility Name: -- JCKY FRIED CHICKEN Facility Phone: Date: ne 19, 2015 Facility Address: �i�5 �-PACIFIC AVE STOCKTON CA95207 CERS ID: -10180941 Inspection Contact: Randy Leingang Title: Mana er Phone. (209) 478-8830 Inspection Type: INSPECTION - Operating Permit Program: 1921 - HMBP-Regular-Primary Location Consent For: I Consent Given By: . Inspection ❑ Photos ❑ Samples I R�uidaq Leinganc_ kiona(,, CCR = California Code of Regulations HSC = Health and Safety Code CFR = Code of Federal Regulations V = Violation R = Repeat violation COS = Corrected on site during inspection Violations 1 HSC 25507 Failed to establish and implement a hazardous materials business plan o V o R o COS 2 HSC 25508(a)(1) Failed to electronically submit a business plan ❑ V ❑ R ❑ COS 3 HSC 25508.2 Failed to annually review and certify that the business plan is complete, accurate, and up to date ❑ V ❑ R ❑ COS 4 HSC 25505.1 Failed to notify property owner that facility is suboct to and in compliance with the HMBP program o V c-� R c COS 5 HSC 25510 Failed to report actual or threatened release to the EHD and/or CalOES Warning Center ❑ V ❑ R ❑ COS 6 HSC 25508(a)(1) Failed to complete and/or submit the Business Activities or Owner/Operator Identification page o V ❑ R ❑ COS 7 HSC 25506(a) Failed to complete and/or submit hazardous materials inventory for all reportable materials on site o V o R o COS 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 9 HSC 25508.1(f) Failed to submit revisions to HMBP within 30 days of substantial change in operations ❑ V o R c - COS 10 HSC 25505(a)(2) Failed to complete and/or submit a site map with all required content o V o R c COS 11 HSC 25505(a)(3) Failed to establish and/or submit emergency response procedures for a release or threatened release ❑ V ❑ R ❑ COS 12 HSC 25505(a)(4) Failed to submit a training program or program is not reasonable or adequate for facility ❑ V ❑ R ❑ COS 13 HSC 25505(a)(4) Failed to provide or document initial and/or refresher training to appropriate personnel ■ V ❑ R c COS 14 HSC 25507.1 Failed to submit emergency response plan when not meeting Ag handler exemption requirements ❑ V o R ❑ COS 15 HSC 25507.1 Failed to submit training program when not meeting Ag handler exemption requirements ❑ V ❑ R ❑ COS 16 HSC 25507.2 Failed to establish and implement a HMBP when not meeting remote unstaffed facility exemptions DV D R ❑ COS 17 1010 HSC 25511 See below Failed to submit a written response within 30 days of receiving an inspection report Unlisted Administration/Documentation violation ❑ V ❑ R ❑ COS ❑ V ❑ R o COS 1040 See below Unlisted Release/Leaks/Spills violation o V o R o COS SUMMARY OF VIOLATIONS (CLASS I, CLASS II, or MINOR - Notice to Comply) Item # Remarks I HSC 25505(a)(4) Failed to provide or document initial and/or refresher training to appropriate personnel. Employee training records were unavailable for review at time of inspection.. The business plan shall include provisions for ensuring that appropriate personnel receive initial and annual refresher training. This training shall be documented electronically or by hard copy and shall be made available for a minimum of three years. Immediately provide employee training for appropriate personnel and submit a copy of the training records to the EHD. This is a Class II violation. Received by (initial): Inspector: NICHOLAS LOEHRER, HM Specialist I Phone: (209) 468-0623 Date: 06/19/2015 Page 1 of 2