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S" A I V J 0 A Q U I N Environmental Health Department <br />—COUNTY— <br />Small Quantity Hazardous Waste Generator Inspection Report <br />Facility Name: <br />SGS Stockton - Carpenter Road <br />Facility Address: <br />4863 CARPENTER RD, Stockton <br />Date: <br />February 26, 2016 <br />SUMMARY OF VIOLATIONS <br />(CLASS I, CLASS II, or MINOR - Notice to Comply) <br />Item # <br />Remarks <br />104 <br />CCR 66262.34(d)(2) No modified contingency plan. <br />An emergency coordinator and modified contingency plan information is incomplete. There must be at least one <br />emergency coordinator on site or on call to coordinate emergency response measures, and the following <br />information must be posted by a phone: the name and phone number of the emergency coordinator; location of fire <br />extinguishers, spill control equipment, and if present, fire alarm; and the phone number of the fire department, <br />unless the facility has a direct alarm. Immediately appoint an emergency coordinator and post the required <br />information by a phone. A form is provided that can be used for this purpose. Submit proof of correction to the <br />EHD. <br />This is a Class II violation. <br />110 <br />CCR 66262.40(a) Failed to keep signed copy of manifests from the designated facility for three years. <br />Manifest number 002500475 GBF (dated 04-16-2015) was found without a signed off copy from the destination <br />facility. Hazardous waste generators shall retain copies of all manifests signed off by the destination facility on site <br />for three years and have them readily available for review. If the generator did not receive a copy of the manifest <br />with the handwritten signature of the owner or operator of the facility to which the generator's waste was submitted <br />within 60 days of the date the waste was accepted by the initial transporter, the generator shall submit a legible copy <br />of the missing manifest, with some indication that the generator has not received confirmation of delivery. This <br />information shall be submitted to: <br />DTSC Report Repository <br />Generator Information Services Section <br />P.O. Box 806 <br />Sacramento, CA 95812-0806 <br />Immediately locate a copy of the missing manifests or prepare and submit the required information to DTSC. <br />Submit to the EHD a copy of the signed off copy of the manifest or a copy of the information submitted to DTSC. <br />This is a Class II violation. <br />111 <br />CCR 66262.42(a)(c)(d) Failed to comply with uniform hazardous waste manifest exception requirements. <br />Manifest number 002500475 GBF (dated 04-16-2015) was found without a signed off copy from the destination <br />facility. Hazardous waste generators shall retain copies of all manifests signed off by the destination facility on site <br />for three years and have them readily available for review. If the generator did not receive a copy of the manifest <br />with the handwritten signature of the owner or operator of the facility to which the generator's waste was submitted <br />within 60 days of the date the waste was accepted by the initial transporter, the generator shall submit a legible copy <br />of the missing manifest, with some indication that the generator has not received confirmation of delivery. This <br />information shall be submitted to: <br />DTSC Report Repository <br />Generator Information Services Section <br />P.O. Box 806 <br />Sacramento, CA 95812-0806 <br />Immediately locate a copy of the missing manifests or prepare and submit the required information to DTSC. <br />Submit to the EHD a copy of the signed off copy of the manifest or a copy of the information submitted to DTSC. <br />This is a Class II violation. <br />FA0005712 PR0539280 SCO01 02/26/2016 <br />EHD 22-01 Rev. 09/27/2018 Page 4 of 6 Small Quantity Hazardous Waste Generator OIR <br />1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />