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San Joaquin County *01 <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, California 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209)468-3433 Web:www.sigov.org/ehd <br /> Hazardous Materials Program Inspection Report <br /> Facility Name: Facility Phone: Date: <br /> ROUND TABLE PIZZA (209) 824-7500 June 20, 2014 <br /> Facility Address: EPA to: CERS ID: <br /> 2120 DANIELS ST, MANTECA, CA 95337 1 10186839 <br /> Facility Contact: Contact Phone: Contact during inspection,if <br /> () _ different from facility contact: <br /> Inspection type: Program: <br /> ROUTINE INSPECTION -Operating Permit 1921 - HMBP-Regular-Primary Location <br /> CCR=California Code of Regulations HSC=Health and Safety Code CFR=Code of Federal Regulations <br /> V=Violation R=Repeat violation COS=Corrected on site during inspection <br /> Violations <br /> 1 HSC 25507(a) Failed to establish and implement a hazardous materials business plan ■V ❑R o COS <br /> 2 HSC 25505.1 Failed to notify property owner that facility is subject to and in compliance with the HMBP program o V ❑R u COS <br /> 3 HSC 25510 Failed to report actual or threatened release to the EHD and/or CalOES Warning Center ❑V ❑R ❑COS <br /> 4 HSC 25505(a) Failed to complete and/or submit hazardous materials inventory for all reportable materials on site s V ❑R ❑COS <br /> 5 HSC 25508.2 Failed to submit hazardous materials business plan annually ❑V ❑R ❑COS <br /> 6 HSC 25508.1 Failed to submit revisions to HMBP within 30 days of change in inventory or operations ■V ❑R ❑COS <br /> 7 HSC 25505(a)(2) Failed to complete and/or submit a site map a V ❑R u COS <br /> 8 HSC 25505(a)(3) Failed to include emergency response procedures for a release or threatened release ❑V ❑R o COS <br /> 9 HSC 25505(a)(4) No training program or program is not reasonable or adequate for facility ❑V ❑R ❑COS <br /> 10 HSC 25505(a)(4) Failed to provide initial and/or refresher training to appropriate personnel ❑V ❑R ❑COS <br /> 11 HSC 25511 Failed to submit a written response within 30 days of receiving an inspection report ❑V ❑R u COS <br /> 1010 See below Unlisted Administration/Documentation violation ❑V ❑R ❑COS <br /> 1040 See below Unlisted Release/Leaks/Spills violation DV ❑R o COS <br /> SUMMARY OF VIOLATIONS <br /> (CLASS I,CLASS ll,or MINOR-Notice to Comply) <br /> Item# Remarks <br /> 1 Failed to establish and implement a hazardous materials business plan. A Hazardous Materials Business Plan has not <br /> been established or implemented. A Hazardous Materials Business Plan shall be established and implemented for <br /> emergency response to a release or threatened release of a hazardous material when storing hazardous materials at or <br /> above the thresholds quantities of 55 gallons for materials that are liquids, 500 pounds for solids, or 200 cubic feet for <br /> compressed gas, at standard temperature and pressure. Immediately log into the California Environmental Reporting <br /> System (CERS)at http://cers.calepa.ca.gov/, enter the required information, and submit for review by the EHD. <br /> Submit the HMMP on CERS by no later than July 20, 2014 <br /> 4 Failed to complete and/or submit hazardous materials inventory for all reportable materials on site. Carbon Dioxide <br /> must be reported in the Hazardous Materials Inventory Any material that meets or exceeds the reportable quantity shall <br /> be reported in the facility's business plan. Immediately log into the California Environmental Reporting System (CERS) <br /> at http://cers.calepa.ca.gov/, add the materials to the hazardous material inventory, and submit to the EHD for approval. <br /> Received (initia Inspector: Phone. Date: <br /> /,A MICHAEL PARISSI, Hazardous Material Speci (209) 953-6213 1 06/20/2014 <br />