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San Joaquin County <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, California 95205-6232 <br /> Telephone: (209)468-3420 Fax:(209)468-3433 Web:www.sigov.org/ehd <br /> Small Quantity Hazardous Waste Generator Inspection Report <br /> Facility Name: Facility Address: Date: <br /> CHEVRON #92033' 508 W Charter Way, Stockton October 14 2014 <br /> Universal Waste <br /> 710 HSC 25201.16(h)(4) No written operating procedure for aerosol can processing ❑V ❑R ❑COS <br /> 711 HSC 25201.160) Failed to submit or amend notification for aerosol can processing ❑V ❑R ❑COS <br /> 712 CCR 66273.34 Failed to label universal waste to identify type of universal waste ❑V ❑R ❑COS <br /> 713 CCR 66273.35 Stored UW onsite greater than one year or was unable to demonstrate the time UW has been stored ❑V ❑R ❑COS <br /> 714 CCR 66273.36 Failed to train employees and maintain records on UW handling and emergency procedures ❑V ❑R ❑COS <br /> 715 CCR 66273.39 Failed to keep complete records of each shipment of universal waste for three years n V ❑R ❑COS <br /> Other Violations <br /> 3010 See below Unlisted Administration/Documentation violation ❑V n R ❑COS <br /> 3020 See below Unlisted Training violation n V ❑R ❑COS <br /> 3030 See below Unlisted Operations/Maintenance violation ❑V ❑R ❑COS <br /> 3040 See below Unlisted Release/Leaks/Spills violation ❑V ❑R n COS <br /> 3050 See below Unlisted AbandonmenUlllegal DisposallUnauthorized Treatment violation ❑V ❑R o COS <br /> SUMMARY OF VIOLATIONS <br /> (CLASS I.CLASS II,or MINOR-Notice to Comolvl <br /> Item# Remarks <br /> 109 CCR 66262.40(a) Failed to keep signed copy of manifests from the designated facility for three years. <br /> Manifest number 010745538JJK (10/15/12)was not found on site. Hazardous waste generators shall retain copies of a <br /> manifests for three years or until a copy signed off by the destination facility is received. The signed off copy shall be <br /> retained and made readily available for review for three years. If the generator did not receive a copy of the manifest wit <br /> the handwritten signature of the owner or operator of the facility to which the generator's waste was submitted within 60 <br /> days of the date the waste was accepted by the initial transporter, the generator shall submit a legible copy of the missin <br /> manifest, with some indication that the generator has not received confirmation of delivery. This information shall be <br /> 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 to th <br /> EHD a copy of the signed off copy of the manifest or a copy of the information submitted to DTSC. This is a Class II <br /> violation. <br /> Received by(initial): Inspector: Phone: Date: <br /> LSTACY RIVERA, Senior REHS (209)468-3440 10/14/2014 <br />