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San Joaquin County Environmental Health Department 1868 East Hazelton Avenue, Stockton, California95205-6232 Telephone: (209) 468-3420 Fax: (209) 468-3433 Web.,www.sioov.org/ehd Hazardous Materials Program Inspection Report Facility Name: Facility Phone: Date: TACO BELL#12832 209 477-9582 June 02 2015 Facility Address: CERS ID: 3507 W HAMMER LN STOCKTON CA 9521910180889 Inspection Contact: I n1e: Phone: Fredrice Goodwin Manager 209 477-9582 Inspection Type. Program: ROUTINE INSPECTION- O eratiEIP-Regular-Prinnary Location Consent For: Consent Given By: E Ins ecticn ❑ Photos ❑Sam les Fredrice Goodwin Mana er CCR=California Code of Regulations HSG=Health and Salary Code CFR=Code of Federal Regulations V=Violation R=Repeat violation COS=Corrected on site during inspection Violations 1 HSC 25507 Failed to establish and implement a hazardous materials business plan mV ❑R o COS 2 HSC 25508(a)(1) Failed to electronically submit a business plan n V ❑R ❑COS 3 HSC 25508.2 Failed to annually review and certify that the business plan is complete,accurate,and up to date mV ❑ R ❑COS 4 HSC 25505.1 Failed to notify property owner that Facility is subject to and in compliance with the HMBP program ❑V ❑R n COS 5 HSC 25510 Failed to report actual or threatened release to the EHD and/or CaIOES Warning Center ❑V ❑R ❑COS 6 HSC 25508(a)(1) Failed to complete and/or submit the Business Activities or Owner/Operator Identification page ❑V ❑R ❑COS 7 HSC 25506(a) Failed to complete and/or submit hazardous materials inventory for all reportable materials on site o V o R ❑COS 8 HSC 25508.1(a)-(e) Failed to submit revisions to HMBP within 30 days of change in business info or inventory ❑V ❑R ❑COS 9 HSC 25508.1(0 Failed to submit revisions to HMBP within 30 days of substantial change in operations ❑V ❑R o COS 10 HSC 25505(a)(2) Failed to complete and/or submit a site map with all required content ❑V ❑R ❑COS 11 HSC 25505(a)(3) Failed to establish and/or submit emergency response procedures for a release orthreatened release .V o R o COS 12 HSC 25505(a)(4) I Failed to submit a training program or program is not reasonable or adequate for facility I ■V ❑R ❑COS 13 1 HSC 25505(,)(4) Failed to provide or document initial and/or refresher training to appropriate personnel ■V ❑R ❑COS L15 HSC 25507.1 Failed to submit emergency response plan when not meeting Ag handler exemption requirements ❑V o R ❑COS HSC 25507.1 Failed to submit training program when not meeting Ag handler exemption requirements o V oR o COS HSC 25507.2 Failed to establish and implement a HMBP when not meeting remote unstaffed facility exemptions ❑V ❑R ❑COS HSC 25511 Failed to submit a written response within 30 days of receiving an inspection report ❑V ❑R ❑COS See below Unlisted Administration/Documentation violation o V o R o COS 1040 See below Unlisted Release/Leaks/Spilis violation o V ❑R ❑COS SUMMARY OF VIOLATIONS (CLASS I,CLASS 11,or MINOR-Notice to Comply) Item# Remarks Received by Inspector: Phone: Date: (initial): NICHOLAS LOEHRER, HM Specialist I (209) 468-0623 06/02/2015 Page 1 of 3