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San Joaquin County <br />Environmental Health Department <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />Food Program Official Inspection Report <br />Facility Name and Address: MOUNTAIN MIKE'S PIZZA, 870 W SCHULTE RD, TRACY 95376 <br />Sanitizer bucket-200ppm quat <br />D/W-50ppm chlorine <br />There is currently more than 137 pounds of carbon dioxide (CO2) at the facility. Please be aware that CO2 is an asphyxiate <br />and is therefore considered a hazardous material subject to regulation under Chapter 6.95, Health and Safety Code, Division <br />20. The reportable quantity for CO2 is 137 pounds or 1,200 cubic feet in San Joaquin County (SJC). You will be placed into <br />SJC Environmental Health Department Program 1919 for Hazardous Material Business Plan (HMBP) and California <br />Environmental Reporting System (CERS) compliance. For more information or to comply with the reporting requirement in <br />CERS, please go to: http://cers.calepa.ca.gov/ <br />Please contact Vidal Pedraza if assistance is needed setting up CERS (209) 468-0334. <br />The person in charge is responsible for ensuring that the above mentioned facility is in compliance with all applicable sections of the California Health and <br />Safety Code. If a reinspection is required, fees will be assessed at the current hourly rate. <br />Received by: Name and Title: <br />EH Specialist:Phone:(209) 468-3168 <br />Victor, Assistant Manager <br />MELISSA NISSIM <br />Page 3 of 3EHD 16-23 Rev. 06/30/15 Food Program OIR <br />FA0012105 PR0515361 SC001 12/06/2016