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L San Joaquin County �410 <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, California 95205-6232 <br /> Telephone: (209)468-3420 Fax:(209) 468-3433 Web:www.sjgov.org/ehd <br /> Hazardous Materials Program Inspection Report <br /> Facility Name: Facility Address: Date: <br /> ROUND TABLE PIZZA 2120 DAN' MANTECA June 20, 2014 <br /> SUMMARY OF VIOLATIONS <br /> (CLASS I,CLASS II,or MINOR-Notice to Comply) <br /> Item A Remarks <br /> 6 Failed to submit revisions to HMBP within 30 days of change in inventory or operations. During the inspection, it was <br /> found that the Primary Emergency Contact and Environmental Contact is not current and the updated information has <br /> not been submitted. Within 30 days of one the following events, business shall electronically updatethe information <br /> submitted to the California Environmental Reporting System (CERS): <br /> -A 100 percent or more increase in the quantity of a previously disclosed material. <br /> -Any handling of a previously undisclosed hazardous materials <br /> -A change of business address, business ownership, or business name. <br /> Immediately log into the California Environmental Reporting System (CERS), enter the correct or updated information, <br /> and submit to the EHD for approval. <br /> 7 Failed to complete and/or submit a site map. A site map was not completed or submitted as part of the business plan. <br /> A site map shall contain a north orientation, loading areas, internal roads, adjacent streets, storm and sewer drains, <br /> access and exit points, emergency shutoffs, evacuation staging areas, hazardous material handling and storage areas, <br /> and emergency response equipment. 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 /> 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 July 20, 2014 . <br /> Consent to perform the inspection, take photos and collect samples was given by Michelle Vallez . <br /> Please be aware as of January 1, 2013, all businesses were required to submit all hazardous materials <br /> information online to the California Environmental Reporting System(CERS) at http://cers.calepa.ca.gov. Be sure <br /> to include your hazardous material activity in the Businesses Activities section in CERS in addition to any other <br /> relevant activities and required fields. <br /> If there are any questions, please contact Michael Parissi at 209-953-6213 or mparissi@sjcehd.com. <br /> ALL EHD <br /> THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br /> Received By: Title: Date: <br /> �Mce/a& /,�& I /-/ aiG e,-z <br /> Inspector; MIC AEL PARISSI Title: Hazardous Material S hone: 209 953-6213 Date: 06/20/2014 <br /> Page 2 of 2 <br />