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Environmental Health Department Hazardous Materials Program Inspection Report Date: April 12,2021 Facility Address: 2300 W Alpine Ave, Stockton Facility Name: Michael's New York Style Pizza, Inc Violations 1055 □ V □ R □ COSUnlisted Abandonment/Illegal Disposal/Unauthorized Treatment - Local Ordinance See below SUMMARY OF VIOLATIONS (CLASS I, CLASS II, or MINOR - Notice to Comply) RemarksItem # 4 HSC 25508(a)(1) Failed to electronically submit the Business Activities or Owner /Operator Identification page. OBSERVATION: The Business Owner/Operator Identification form has not been annually certified/submitted as a part of the business plan. The last submittal was completed on 5/17/2017. The Business Owner/Operator Identification form has not been submitted for 2018, 2019, 2020 and 2021. REGULATION GUIDANCE: Per H&SC 25508.2, the business owner /operator shall annually review and certify that the business plan is complete, accurate, up-to-date and in compliance with Section 11022 of Title 42 of the United States Code. An annual electronic submittal satisfies these requirements. The annual business plan shall be submitted/certified by January 15 of each calendar year and may be submitted beginning November 1 of the previous year. CORRECTIVE ACTION: Immediately log into the CERS at http://cers.calepa.ca.gov/, review and submit/certify the current information. This is a Class II violation. 5 HSC 25505(a)(1) Failed to electronically submit hazardous materials inventory for all reportable materials on site. OBSERVATION: The Hazardous Materials Inventory has not been annually certified/submitted as a part of the business plan. The last submittal was completed on 5/17/2017. The Hazardous Materials Inventory has not been submitted for 2018, 2019, 2020 and 2021. REGULATION GUIDANCE: Per H&SC 25508.2, the business owner /operator shall annually review and certify that the business plan is complete, accurate, up-to-date and in compliance with Section 11022 of Title 42 of the United States Code. An annual electronic submittal satisfies these requirements. The annual business plan shall be submitted/certified by January 15 of each calendar year and may be submitted beginning November 1 of the previous year. CORRECTIVE ACTION: Immediately log into the CERS at http://cers.calepa.ca.gov/, review and submit/certify the current information. This is a Class II violation. FA0001695 PR0541594 SC001 04/12/2021 EHD 19-01 Rev. 9/16/2020 Hazardous Materials Program OIRPage 2 of 6 1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjgov.org/EHD