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• SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />600 East Main Street, Stockton, California 95202-3029 <br />Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: www.sogov.oro/ehd/unitiii.htmi <br />CONTINUATION FORM <br />Page. 3 of 3 <br />OFFICIAL INSPECTION REPORT <br />Date: 07/18/11 <br />Facility Address: 4219 Morada Lane <br />Program: HW <br />SUMMARY OF VIOLATIONS <br />CLASS I, CLASS II, or MINOR -Notice to Comply) <br />Routineazardous <br />Waste Generator Inspection <br />Notice to <br />Comply <br />52. Anemergency <br />coordinator and modified contingency plan information is lacking. There must be at <br />least one <br />emergency coordinator on site or on call to coordinate emergency response measures, and <br />the following <br />information must be posted by a phone: the name and phone number of the emergency <br />coordina <br />r; location of fire extinguishers, spill control equipment, and if present, fire alarm; and the <br />phone nL <br />mber of the fire department, unless the facility has a direct alarm. Immediately appoint an <br />emergen <br />y coordinator and post the required information by a phone. A form is provided that can be <br />used for <br />his purpose. Submit proof of correction to the EHD by August 18, 2011. <br />60, 61, & <br />62. Manifest number 003308907JJK (dated 12-30-2008) was found without a signed off copy <br />from the <br />Jestination facility. Hazardous waste generators shall retain copies of all manifests signed off <br />by the destination <br />facility on site for three years and have them readily available for review. If the <br />generato <br />did not receive a copy of the manifest with the handwritten signature of the owner or operator <br />of the facility <br />to which the generator's waste was submitted within 60 days of the date the waste was <br />acceptec <br />by the initial transporter, the generator shall submit a legible copy of the missing manifest, with <br />some inc <br />ication that the generator has not received confirmation of delivery. This information shall be <br />submitte <br />J to: <br />DTSC <br />Report Repository <br />G <br />nerator Information Services Section <br />P. <br />0 . Box 806 <br />S <br />cramento, CA 95812-0806 <br />Immedia <br />ely locate a copy of the missing manifest or prepare and submit the required information to <br />DTSC. Ely <br />August 18, 2011, submit to the Environmental Health Department (EHD) a copy of the signed <br />off copy <br />f the manifest or a copy of the information submitted to DTSC. <br />Notes <br />1. The facility <br />generated 0.338 tons hazardous waste in 2010. <br />2. Ever <br />reen hauls the separator waste from the facility as nonhazardous waste. <br />ALL EHD STAFF TIME ASSOCIATED WITH FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL BE BILLED AT THE CURRENT HOURLY RATE. <br />THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br />EHD <br />r: <br />Received By: <br />Title: <br />C <br />-11) �2-00 Rev 07N21it N ( , CONTINUATION FORM <br />