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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.sogov.org/ehd/unitiii.html <br /> CONTINUATION FORM Page: 5 of 6 <br /> OFFICIAL INSPECTION REPORT Date: 03/06/12 <br /> Facility Address: Holz Rubber Company, Inc. 1129 S. Sacramento St. Lodi, CA Program: HW <br /> SUMMARY OF VIOLATIONS <br /> CLASS I,CLASS II or MINOR-Notice to Comply) <br /> hazardous waste. Immediately make a hazardous waste determination for the unknown material and <br /> manage them according to the Title 22 hazardous waste regulations. Submit a statement and supporting <br /> documentation explaining how this waste was managed by 4-6-12. <br /> 122, 123, & 124. Manifest numbers 000277138CEX, 000893172SKS, 001706133SKS, 001876562SKS, <br /> 002079081 SKS, and 002237221 SKS were found without a signed off copy from the destination facility. <br /> Manifest number 001916833SKS was not found on site. Hazardous waste generators shall retain copies <br /> of all manifests signed off by the destination facility on site for three years and have them readily <br /> available for review. If the generator did not receive a copy of the manifest with the handwritten <br /> 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 <br /> copy of the missing manifest, with some indication that the generator has not received confirmation of <br /> 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 <br /> DTSC. By 4-6-12, submit to the EHD a copy of the signed off copy of the manifest or a copy of the <br /> information submitted to DTSC. <br /> 407. Approximately 58 empty 55 gallon drums that used to contain hazardous material were not labeled <br /> empty nor with the date emptied. Containers larger than five gallons that previously held a hazardous <br /> material shall be marked with the date they were emptied and managed within one year of being <br /> emptied. Immediately mark and manage all empty containers per this section. <br /> 605. At the south west outside storage yard there are four red 55 gallon drums of hazardous waste only <br /> labeled as used grit. The most recent manifest indicates this type of waste was picked up on 11-29-11. <br /> All hazardous waste containers shall be marked with the following information: <br /> 1. the words "Hazardous Waste" <br /> 2. name and address of generator <br /> 3. hazardous properties <br /> 4. physical state <br /> 5. composition (contents) <br /> 6. accumulation start date <br /> ALL EHD STAFF TIME ASSOCIATED WITH FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL BE BILLED AT THE CURRENT HOURLY RATE. <br /> THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br /> EHD Inspector: Receiv By: Title <br /> Aris Cacapit (209) 468-3453 <br /> EHD 2302-003 Rev 07/12/11 CONTINUATION FORM <br />