Laserfiche WebLink
San Joaquin County <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, California95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209) 468-3433 Web:www.Sjoov.orolehd <br /> Hazardous Materials Program Inspection Report <br /> Facility Name: Facility Phone: Date: <br /> CHURCHS CHICKEN #5773 209 475-1547 June 18. 2015 <br /> CERS ID: <br /> Facility Address: =0180989 <br /> 8023 WEST LN, STOCKTON, CA 95210 phone: <br /> Inspection Contact: Title: <br /> Aurora Hernandez Mana er 2C3; 4Y5-1547 <br /> Inspection Type: Program: <br /> ROUTINE INSPECTIOH�ISC <br /> HMo <br /> 1921 - HNSP-Recmar-Pi?Inar Location <br /> Consent For: Given By: <br /> O Ins ection O PhotosHernandez Mana erCR=CardomCode of Regulatns H = eatth and Safety Code CFR=Cade of Federal Regul tions <br /> Violation R=Repeat violation COS=Corrected on site during inspection <br /> Violations <br /> ■V ❑R oCOS <br /> 1 HSC 25507 Failed to establish and implement a hazardous materials business plan <br /> ■V OR ❑COS <br /> 2 HSC 25508(a)(1) Failed to electronically submit a business plan <br /> 3 HSC 25508.2 Failed to annually review and certify that the business plan is complete,accurate,and up to date ■V ❑R oCOS <br /> 4 HSC 25505.1 Failed to notify property owner that facility is subject to and in compliance with the HMBP program ❑V ❑R ❑COS <br /> 5 HSC 25510 Failed to report actual or threatened release to the EHD and/or CaIOES Warning Center ❑V ❑R ❑COS <br /> 6 HSC 25508(a)(1) Failed to complete and/orsubmit the Business Activities or Owner/Operator Identification page ■V ❑R oCOS <br /> 7 HSC 25506(a) Failed to complete and/or submit hazardous materials inventory for all reportable materials on site ■V ❑R ❑COS <br /> L10 <br /> HSC 25508.1(a)-(e) Failed to submit revisions to HMBP within 30 days of change in business info or inventory o V o R oCOS <br /> HSC 25508.1(f) Failed to submit revisions to HMBP within 30 days of substantial change in operations ❑V ❑R oCOS <br /> HSC 25505(a)(2) Failed to complete and/or submit a site map with all required content <br /> ■V OR ❑COS <br /> 11 HSC 25505(a)(3) Failed to establish and/orsubmit emergency response procedures for a release or threatened release ■V ❑R ❑COS <br /> 12 HSC 25505(a)(4) Failed to submit a training program or program is not reasonable or adequate for facility ■V ❑R oCOS <br /> appropriate personnel ■V ❑R ❑COS <br /> 13 HSC 25505(a)(4) Failed to provide or document initial and/or refresher training to <br /> 14 HSC 25507.1 Failed to submit emergency response plan when not meeting Ag handler exemption requirements ❑V ❑R o COS <br /> 15 HSC 25507.1 Failed to submit training Program when not meeting Ag handler exemption requirements <br /> nV OR oCOS <br /> 16 HSC 25507.2 Failed to establish and implement a HMBP when not meeting remote unstaffed facility exemptions ❑V ❑R o COS <br /> 17 HSC 25511 Failed to submit a written response within 30 days of receiving an inspection report <br /> ❑V OR ❑COS <br /> 1010 See below Unlisted Administration/Documentation violation <br /> ❑V OR ❑COS <br /> ❑V OR oCOS <br /> 1040 See below Unlisted Release/Leaks/Spills violation <br /> SUMMARY OF VIOLATIONS <br /> (CLASS I,CLASS II,or MINOR-Notice to Comply) <br /> Item # Remarks <br /> Phone: Date: <br /> Received byn� Inspector: <br /> (initial): NICHOLAS LOEHRER, HM Specialist 1 (209) 468-0623 <br /> Page t of 4 <br />