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A dOAQU1N Environmental Health Department <br /> COUNTY <br /> CP22 - HMBP Inspection Report <br /> Facility Name: Facility Address: TDate: <br /> CHURCHS CHICKEN#5773 8023 WEST LN, STOCKTON anuar 02 2025 <br /> SUMMARY OF VIOLATIONS <br /> (CLASS I,CLASS II,or MINOR-Notice to Comply) <br /> Item# Remarks <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 2) Violation. <br /> 12 CA Health and Safety Code 25505(a)(3) 1010010-Electronically submitted adequate response plan/procedures for <br /> release/threatened release of hazmat. <br /> OBSERVATION:The emergency response(ER)procedures were lacking: <br /> -Section C13 of the emergency response contingency plan is NOT complete <br /> REGULATION GUIDANCE:A business plan shall include the following emergency response procedures for a release <br /> or threatened release of hazardous materials, including, but not limited to, the following: -immediate notification of <br /> local emergency personnel and the Environmental Health Department(EHD) -procedures for the mitigation of a <br /> release or threatened release to minimize any potential harm or damage to persons, property, or the environment - <br /> evacuation plans and procedures, including immediate notice,for the site <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 2) Violation. <br /> 14 CA Health and Safety Code 25505(a)(4) 1020002-Provided initial and annual training and maintained training records <br /> for a minimum of three years. <br /> OBSERVATION:The training records available were for Carlos Salazar for the year 2024, no other records were <br /> available to showcase training for all employees for the last 3 years. <br /> REGULATION GUIDANCE: The business plan shall include provisions for ensuring that appropriate personnel receive <br /> initial and annual refresher training.All employees shall be trained in safety procedures in the event of a release or <br /> threatened release of a hazardous material, including, but not limited to,familiarity with the following plans and <br /> procedures: (A) Immediate notification contacts to the appropriate local emergency response personnel and to the <br /> unified program agency. (B) Procedures for the mitigation of a release or threatened release to minimize any potential <br /> harm or damage to persons, property, or the environment. (C)Evacuation plans and procedures, including immediate <br /> notice,for the business site. This training shall be documented electronically or by hard copy and shall be made <br /> available for a minimum of three years. <br /> CORRECTIVE ACTION: Immediately provide employee training for appropriate personnel and submit a copy of the <br /> training records to the EHD. <br /> This is a repeat violation (Class 2) Violation. <br /> Overall Inspection Comments: <br /> Complete and submit a copy of the Return to Compliance Certification form to the EHD with a statement <br /> documenting the corrective actions that have been or will be taken for each violation, and any supporting <br /> paperwork, by February 1, 2025. <br /> FA0002725 PR0513452 SCO01 01/02/2025 <br /> EHD Rev.12/06/2021 Page 3 of 4 CP22-HMBP OIR <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/EHD <br />