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San Joaquin County <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, California 95205-6232 <br /> Telephone:(209)468-3420 Fax:(209)468-3433 Web:www.sioov.oro/ehd <br /> Hazardous Materials Program Inspection Report <br /> Facility Name: Facility Address: Date: <br /> ROUND TABLE PIZZA 2715 W KETTLEMAN LN LODI Aril 07 2016 <br /> SUMMARY OF VIOLATIONS <br /> (CLASS I,CLASS II,or MINOR-Notice to Comply) <br /> Item# Remarks <br /> 6 HSC 25508(a)(1)Failed to complete and/or submit the Business Activities or Owner/Operator Identification page. <br /> The Business Owner/Operator Identification form was not submitted on CERS website. This information must be <br /> current and submitted as part of the business plan. Immediately log into the California Environmental Reporting <br /> System(CERS)at http://oers.calepa.ca.gov/,enter the correct or updated information, and submit to the EHD for <br /> approval. <br /> This is a minor violation. <br /> 7 HSC 25506(a) Failed to complete and/or submit hazardous materials inventory for all reportable materials on site. <br /> 450 pounds of Carbon Dioxide were found on site that have not been reported. Any material that meets or exceeds <br /> the reportable quantity shall be reported in the facility's business plan. Immediately log into the California <br /> Environmental Reporting System(CERS)at http://oers.calepa.ca.gov/, add the materials to the hazardous material <br /> inventory,and submit to the EHD for approval. <br /> This is a minor violation. <br /> 10 HSC 25505(a)(2)Failed to complete and/or submit a site map with all required content. <br /> A site map was not submitted as part of the business plan. A site map shall contain a north orientation, loading <br /> areas, internal roads,adjacent streets,storm and sewer drains, access and exit points, emergency shutoffs, <br /> evacuation staging areas, hazardous material handling and storage areas, and emergency response equipment. <br /> Immediately log into the California Environmental Reporting System(CERS)at http://oers.calepa.ca.gov/, upload the <br /> correct or updated information, and submit to the EHD for approval. <br /> This is a minor violation. <br /> 1 HSC 25505(a)(3) Failed to establish and/or submit emergency response procedures for a release or threatened <br /> release. <br /> The emergency response procedures were not uploaded on the CERS website. A business plan shall include the <br /> following emergency response procedures for a release or threatened release of hazardous materials, including, but <br /> not limited to,the following: <br /> -immediate notification of local emergency personnel and the Environmental Health Department(EHD) <br /> -procedures for the mitigation of a release or threatened release to minimize any potential harm or damage to <br /> persons,property,or the environment <br /> -evacuation plans and procedures, including immediate notice,for the site <br /> Immediately log into the California Environmental Reporting System(CERS)at http://cers.calepa.ca.gov/, upload the <br /> correct or updated information,and submit to the EHD for approval. <br /> This is a Class II violation. <br /> Page 2 of <br />