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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 600 East Main Street, Stockton, California 95202-3029 Telephone: (209) 468-3420 Fax. (209) 468-3433 Web: www.siciov.org/ehd/unitiii.html CONTINUATION 'FORM Page: 5 of 6 OFFICIAL INSPECTION REPORT Date: 11104/11 Facility Address: 17000 Hwy 120, Ripon Program: HW SUMMARY OF VIOLATIONS CLASS I, CLASS II, or MINOR -Notice to Comply) Minor - Notice to Comply , 122, 123, and 124. Manifest numbers 008184373JJK (2011), 002286276SKS, 002403763SKS, 003710862FLE, 003710863FLE, 003731224FLE (2010), 000308838CEX, 001551171 SKS, 001633729SKS, 001773748SKS, 001773749SKS, 001773750SKS, 001773795SKS, 001773953SKS, 001876548SKS, 001895462SKS, 002123086SKS, 002709791 FLE, 002709897FLE, 002709949FLE, 0027009950FLE (2009), were not found on site. Hazardous waste generators shall retain copies of all manifests for three years or until a copy signed off by the destination facility is received. The signed off copy shall be retained and made readily available for review for three years. if the generator did not receive a copy of the manifest with the handwritten signature of the owner or operator of the facility to which the generator's waste was submitted within 60 days of the date the waste was accepted by the initial transporter, the generator shall submit a legible copy of the missing manifest, with some indication that the generator has not received confirmation of delivery. This information shall be submitted to: DTSC Report Repository Generator Information Services Section P.G. Box 806 Sacramento, CA 95812-0806 Immediately locate a copy of the missing manifests or prepare and submit the required information to DTSC. Within 30 days of receiving this report, submit to the EHD a copy of the signed off copy of the manifests or a copy of the information submitted to DTSC. 122, 123, and 124. Manifest numbers, 003710605FLE, 003817260FLE, 008183775JJK and 003329282FLE were found without a signed off copy from the destination facility. Hazardous waste generators shall retain copies of all manifests signed off by the destination facility on site for three years and have them readily available for review. If the generator did not receive a copy of the manifest with the handwritten signature of the owner or operator of the facility to which the generator's waste was submitted within 60 days of the date the waste was accepted by the initial transporter, the generator shall submit a legible copy of the missing manifest, with some indication that the generator has not received confirmation of delivery. This information shall be submitted to: DTSC Report Repository Generator Information Services Section P.G. Box 806 Sacramento, CA 95812-0806 Immediately locate a copy of the missing manifest or prepare and submit the required information to DTSC. Within 30 days of receiving this report submit to the EHD a copy of the signed off copy of the manifest or a copy of the information submitted to DTSC. ALL EHD STAFF TIME ASSOCIATED WITH FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL BE BILLED AT THE CURRENT HOURLY RATE. THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. EHD Inspector: Received Ey: Title: Muniappa Naidu (209) 468-3439 EHD 23-02-003 Rev 07112111 CONTINUATION FORM