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���JQU I Environmental Health Department <br /> Greotnes4 Qrow3 her, <br /> Hazardous Materials Program Inspection Report <br /> Facility Name: Facility Phone: Date: <br /> IN N OUT BURGER#191 (626)813-8200 August 03,2022 <br /> Facility Address: CERS ID: <br /> 1490 E YOSEMITE AVE, MANTECA,CA 95336 10185075 <br /> Inspection Contact: Title: Phone: <br /> Noemi Cisneros 2nd Manager (949)426-4191 <br /> Inspection Type: Program: <br /> ROUTINE INSPECTION-Operating Permit 11919-HMBP-0O2 Only Food Facility <br /> Consent For: Consent Given By: <br /> 0 Inspection 0 Photos ❑Samples I Noemi Cisneros, 2nd Manager <br /> CCR=Title 19 California Code of Regulations HSG=Hoaith and Safety Code SJo=San Joaquin County Ordinance END-Environmental Health Department <br /> V=Violation R=Repeat violation Cos=Corrected on site during inspection <br /> Violations <br /> 1 SJO 4432 Failed to pay annual operating fees n V ❑R in COS <br /> 2 HSC 25505,25508(a) Failed to initially complete and electronically submit a hazardous materials business plan(HMBP) o V ❑R ❑COS <br /> (1) <br /> 3 HSC 25507 Failed to establish and implement a HMBP a V in R o COS <br /> 4 HSC 25508(a)(1) Failed to electronically submit the Business Activities or Owner/Operator Identification page ri V ❑R n COS <br /> 5 HSC 25505(a)(1) Failed to electronically submit hazardous materials inventory for all reportable materials on site n V ❑R u COS <br /> 6 HSC 25505(a)(2) Failed to electronically submit a site map with all required content n V ❑R ❑COS <br /> 7 HSC 25505(a)(3) Failed to electronically submit an adequate ER procedures for a release or threatened release ■V ❑R ❑COS <br /> 8 HSC 25505(a)(4) Failed to establish and electronically submit a reasonable or an adequate training program a V a R a COS <br /> 9 HSC 25508.2 Failed to annually review and certify that the HMBP is complete and accurate by the due date e V o R o COS <br /> 10 HSC 25508.1(a)-(f) Failed to electronically update the HMBP within 30 days of substantial change in operations a V ❑R ❑COS <br /> 11 HSC 25505(a)(4) Failed to provide or document initial and/or refresher training to appropriate personnel u V u R ❑COS <br /> 12 HSC 25505(c) Failed to have the HMBP readily available to facility or EHD personnel n V n R n COS <br /> 13 HSC 25505.1 Failed to notify property owner that facility is subject to and in compliance with the HMBP program u V u R u COS <br /> 14 HSC 25505.1 Business on leased property failed to provide copy of HMBP w/in 5 days of request by property owner n V n R n COS <br /> 15 HSC 25510(a) Failed to report actual or threatened release to the EHD and/or CaIOES Warning Center n V u R n COS <br /> 16 HSC 25507.1 Failed to electronically submit ER plan when not meeting Ag handler exemption requirements o V o R o COS <br /> 17 HSC 25507.1 Failed to electronically submit training program when not meeting Ag handler exemption requirements n V ❑R in COS <br /> 18 HSC 25505,25507.2 Failed to establish and implement a HMBP when not meeting remote unstaffed facility exemptions n V n R o COS <br /> 19 HSC 25404.1.2 Failed to submit a certification and written response within 30 days for minor violations in V 6 R ❑COS <br /> 20 HSC 25507.1(a)(2), Failure of Ag handler to post adequate warning signs to meet exemption requirements n V in R o COS <br /> CCR 2671 <br /> 1010 See below Unlisted Administration/Documentation violation o V a R o COS <br /> 1020 See below Unlisted Training violation o V o R o COS <br /> 1030 See below Unlisted Operations/Maintenance violation a V o R a COS <br /> 1040 See below Unlisted ReleaselLeakslSpills violation o V ❑R o COS <br /> 1045 See below Unlisted ReleaselLeakslSpills-Local Ordinance u V u R u COS <br /> q50 See below Unlisted Abandonment/Illegal Disposal/Unauthorized Treatment violation o V c R o COS <br /> 1055 See below Unlisted Abandonment/illegal DisposallUnautharized Treatment-Local Ordinance a V a R o COS <br /> FA0016066 PRO526239 SCO01 0810312022 <br /> EHO 19.01 Rev.12/06/2021 Page 1 Of 2 Hazardous Materials Program OIR <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-34201 F 209 464-0138 1 www.sjgov.org/EHD <br />