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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.sigov.org/ehd/unitiii.html <br /> CONTINUATION FORM Page: 3 of 4 <br /> OFFICIAL INSPECTION REPORT Date: 04/27/11 <br /> Facility Address: Super Stores Industries 16888 McKinley Ave, Lathrop Program: HW <br /> SUMMARY OF VIOLATIONS <br /> CLASS I,CLASS II,or MINOR-Notice to Comply) <br /> Routine Hazardous Waste Inspection. Inspection conducted 04/25/11. Presented report on 04/27/11. <br /> Minor violation: 58, 65 <br /> Class II violation: 20, 60, 63 <br /> 20. Three 55 gallon black metal drums storing waste antifreeze, waste grease, and waste oily solids <br /> located in the maintenance shop all lacked the hazardous property. All hazardous waste containers <br /> shall be marked with the following information: <br /> 1. the words "Hazardous Waste", 2. name and address of generator, 3. hazardous properties <br /> 4. physical state, 5. composition (contents), 6. accumulation start date <br /> Immediately label these containers and ensure that all hazardous waste containers are marked with all <br /> the required information. <br /> - Corrected on-site. Containers were marked with its hazardous property. <br /> 60 & 63. Copies of hazardous waste disposal records for 003447236FLE (shipped 08/04/10) and <br /> 003930509FLE (shipped 11/15/10) were not found on site. Hazardous waste generators shall retain <br /> copies of all manifests signed off by the disposal facility and all receipts used in a consolidated <br /> manifesting procedure on site for three years and have them readily available for review. Immediately <br /> locate a copy of all manifests and receipts for the last three years, maintain them on site, and submit <br /> copies to the EHD by 05/27/11. fp-�T,tkxj " fuc;,( +q. <br /> 58 & 65. Copies of hazardous waste disposal records transported all by Safety-Kleen have incorrect <br /> generator's EPA ID #. Safety-Kleen lists the generator's EPA ID number as CAL921206016. The last <br /> two digits are incorrect. Ensure all disposal records correctly list the generator's name, address, EPA ID <br /> #, contact person, telephone and signature of generator's representative. It shall correctly list the <br /> shipment date, manifest number, volume/quantity of waste. Correct by reviewing all disposal receipts <br /> prior to signing the document and notifying the correct EPA ID #to your transporter. <br /> Submit to SJC EHD within 30 days (05/27/11): <br /> 1. one copy of the completed "Return to Compliance Certification" form <br /> 2. a written corrective action statement for each of the above violations <br /> 3. requested/ supporting documentations <br /> ALL EHD STAFF TIME ASSOCIATED WITH FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL BE BILLED AT THE CURRENT HOURLY RATE($122). <br /> THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br /> EHD I ector: Receive.By Title: <br /> EHD 23-02-003 Rev 08/10/10 CONTINUATION FORM <br />