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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.siqov.orq/ehd <br />Small Quantity Hazardous Waste Generator Inspection Report <br />Facility Name: <br />Facility Address: <br />1 <br />Date <br />BRUGES TIRES EN 1 <br />302 N CHEROKEE LN, L <br />SUMMARY OF VIOLATIONS <br />(CLASS 1, CLASS 11, or MINOR - Notice to Comply) <br />Item # <br />Remarks <br />109 <br />CCR 66262.40(a) Failed to keep signed copy of manifests from the designated facility for three years. <br />Manifest number 004495417SKS was found without a s.. :d off copy from the de ;zardous waste <br />generators shall retain copies of all manifests signed off by the destination facility on site for three years and have <br />them readily available for review. If the generator did not receive a copy of the manifest with the handwritten signatiur <br />of the owner or operator of the facility to which the generator's waste was submitted within 60 days of the date the <br />waste was accepted by the initial transporter, the generator shall submit a legible copy of the missing manifest, with <br />some indication that the generator has not received confirmation of delivery. This 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 manifest or prepare and submit the required information to DTSC. Submit k <br />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 />110 <br />CCR 66262.42 Failed to comply with uniform hazardous waste manifest exception requirements. <br />Manifest number 004495417SKS was found without a signed off copy from the destination facility. Facility tacked <br />documentation of an exception report that was submitted to the Department of Toxic Substances Control for the <br />missing signed manifest. Hazardous waste generators shall retain copies of all manifests signed off by the destination <br />facility on site for three years and have them readily available for review. If the generator did not receive a copy of the <br />manifest with the handwritten signature of the owner or operator of the facility to which the generator's waste was <br />submitted within 60 days of the date the waste was accepted by the initial transporter, the generator shall submit a <br />legible copy of the missing manifest, with some indication that the generator has not received confirmation of delivery <br />This 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 manifest or prepare and submit the required information to DTSC. Submit t <br />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 It violation. <br />Page 4 o16 <br />