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SAN JOAQUIN <br />Environmental Health Department <br />Hazardous Materials Program Inspection Report <br />Facility Name: <br />Facility Address: <br />Date: <br />BURGER KING #10834 <br />4608 E WATERLOO, STOCKTON <br />June 16, 2021 <br />SUMMARY OF VIOLATIONS <br />(CLASS I, CLASS II, or MINOR - Notice to Comply) <br />Item # <br />Remarks <br />4 <br />HSC 25508(a)(1) Failed to electronically submit the Business Activities or Owner/Operator Identification page. <br />OBSERVATION: The Business Owner/Operator Identification form was not accurate. The Business Phone number <br />is reported as 650-906-1264 vs. 209-931-4619. <br />REGULATION GUIDANCE: This information must be current and submitted as part of the business plan. <br />CORRECTIVE ACTION: Immediately log into the California Environmental Reporting System (CERS) at <br />http://cers.calep;a.ca.gov/, enter the correct or updated information, and submit to the EHD for approval. <br />This is a Class II violation. <br />5 <br />HSC 25505(a)(1) Failed to electronically submit hazardous materials inventory for all reportable materials on site. <br />BSERVATION: The Hazardous Materials Inventory forms for carbon dioxide were not complete. The storage <br />pressure is wrongly reported as "ambient' vs. "above ambient' , <br />REGULATION GUIDANCE :The Hazardous materials inventory information must be current and submitted as part <br />of the business plan. <br />CORRECTIVE ACTIONS: 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 Class II violation. <br />6 HSC 25505(a)(2) Failed to electronically submit a site map with all required content. <br />OBSERVATION: The site map is incomplete. The site map does not show/address the following: <br />Internal roads (none at this facility). <br />2. Evacuation staging area. <br />3. The carbon dioxide (CO2) storage area is almost not legible. <br />REGULATION GUIDANCE: A site map shall contain a north orientation, loading areas, internal roads, adjacent <br />streets, storm and sewer drains, access and exit points, emergency shutoffs, evacuation staging areas, hazardous <br />material handling and storage areas, and emergency response equipment. <br />If a site map element is not applicable for your facility then list it on the map and label as "NA". <br />CORRECTIVE ACTION: Immediately log into the California Environmental Reporting System (CERS) at <br />http://cers.calepa.ca.gov/, upload the correct or updated information, and submit to the EHD for approval. <br />This is a repeat violation, Class ll. <br />EHD 19-01 Rev. 9/16/2020 <br />Page 2 of 4 <br />1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 <br />FA0007631 PRO520715 SC001 06/16/2021 <br />Hazardous Materials Program OIR <br />www.sjgov.org/EHD <br />