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San Joaquin County Environmental Health Department 1868 East Hazelton Avenue, Stockton, California 95205-6232 Telephone:(209)468-3420 Fax:(209)468-3433 Web:www.sagov.org/ehd Hazardous Materials Program Inspection Report Facility Name: Facility Phone: Date: ROUND TABLE PIZZA (209)832-0058 March 13, 2017 Facility Address: CERS ID: 2511 NAGLEE RD, TRACY, CA 95304 10186869 Inspection Contact: Title: Phone: Farzin Yazdy Owner (925)548-1975 Inspection Type: Program: ROUTINE INSPECTION -Operating Permit 1919- HMBP-0O2 Only Food Facility Consent For: Consent Given By: ❑x Inspection ❑x Photos ❑ Samples I farideh asgari, Shift Supervisor 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 inspectio Violations 1 SJO 4432 Failed to pay annual operating fees D V D R D COS 2 HSC 25505,25508(a)(1) Failed to complete and electronically submit a hazardous materials business plan ■V D R D COS 3 HSC 25507 Failed to establish and implement a hazardous materials business plan D V D R D COS 4 HSC 25508(a)(1) Failed to complete and/or submit the Business Activities or Owner/Operator Identification page D V D R D COS 5 HSC 25506(a) Failed to complete and/or submit hazardous materials inventory for all reportable materials on site ❑V ❑R ❑COS 6 HSC 25505(a)(2) Failed to complete and/or submit a site map with all required content D V D R D COS 7 HSC 25505(a)(3) Failed to establish and/or submit emergency response procedures for a release or threatened release ■V D R D COS 8 HSC 25505(a)(4) Failed to submit a training program or program is not reasonable or adequate for facility ❑V ❑R ❑COS 9 HSC 25508.2 Failed to annually review and certify that the business plan is complete,accurate,and up to date ■V D R D COS 10 HSC 25508.1(a)-(f) Failed to submit revisions to business plan within 30 days of substantial change in operations D V D R D COS 11 HSC 25505(a)(4) Failed to provide or document initial and/or refresher training to appropriate personnel ■V ❑R ❑COS 12 HSC 25505(c) Failed to have the business plan readily available to facility or EHD personnel ■V D R D COS 13 HSC 25505.1 Failed to notify property owner that facility is subject to and in compliance with the HMBP program ❑V ❑R ❑COS 14 HSC 25510 Failed to report actual or threatened release to the EHD and/or CalOES Warning Center D V D R D COS 15 HSC 25507.1 Failed to submit emergency response plan when not meeting Ag handler exemption requirements D V D R D COS 16 HSC 25507.1 Failed to submit training program when not meeting Ag handler exemption requirements ❑V ❑R ❑COS 17 HSC 25507.2 Failed to establish and implement a HMBP when not meeting remote unstaffed facility exemptions D V D R D COS 18 HSC 25511 Failed to submit a written response within 30 days of receiving an inspection report D V D R D COS 1010 See below Unlisted Administration/Documentation violation ❑V ❑R ❑COS 1040 See below Unlisted Release/Leaks/Spills violation D V D R D COS SUMMARY OF VIOLATIONS (CLASS I,CLASS II,or MINOR-Notice to Comply) Item# Remarks 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 3