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SAN J 0 A Q I I I Irl Environmental Health Department <br /> C C U N T AMENDED <br /> 5/7/2021 <br /> Hazardous Materials Program Inspection Report <br /> Facility Name: Facility Address: Date: <br /> 7 ELEVEN 1 1515 E MAIN ST, STOCKTON May 06, 2021 <br /> SUMMARY OF VIOLATIONS <br /> (CLASS I,CLASS II,or MINOR-Notice to Comply) <br /> Item# Remarks <br /> 12 HSC 25505(c) Failed to have the HMBP readily available to facility or EHD personnel. <br /> OBSERVATION: Personnel at this facility could not provide the emergency response plans and procedures,the <br /> chemical inventory, and the site map upon request. <br /> REGULATION GUIDANCE: Emergency response plans and procedures, chemical inventory, and site map shall be <br /> readily available to personnel of the business or facility with responsibilities for emergency response or training. <br /> CORRECTIVE ACTION: Immediately make all this content available on site, either electronically or in hard copy <br /> format. <br /> This is a minor violation. <br /> Overall Inspection Comments: <br /> Notes: <br /> -An inspection checklist was provided to the facility operator on the day of inspection. The report was written <br /> and amended on 5/7/2021 and replaces the initial checklist. <br /> -Violation 5 was inadvertently marked on the checklist and removed from the inspection report. <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 6/6/2021. <br /> Documents provided with inspection report: Return To Compliance Certification form, Corrective Action <br /> Statement form, inspection photos, Site Map Guidelines, Site Map Template, Sample Site Map, Sample <br /> Employee Training Record form, List of Free CUPA Training Classes <br /> AFTER THE COMPLIANCE DATE, EHD WILL BILL FOR ALL TIME AND ACTIVITIES ASSOCIATED WITH BRINGING <br /> THIS FACILITY BACK INTO COMPLIANCE. <br /> THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br /> Received by: Date: May 07, 2021 Inspector: Inspector Phone: <br /> Printed Name and Title: ELIANNA FLORIDO, REHS (209)616-3050 <br /> Emailed to Gagan Bahad, Franchisee <br /> FA0025876 PR0546298 SCO01 05/06/2021 <br /> EHD 19-01 Rev.9/16/2020 Page 3 of 3 Hazardous Materials Program OIR <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/EHD <br />