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San Joaquin County <br /> Environmental Health Department <br /> 1868 Ea Hazelton Avenue, Stockton, California 95 6232 <br /> Telephone: (209)468-3420 Fax: (209) 468-3433 Web:www sioov or /c e <br /> Small Quantity Hazardous Waste Generator Inspection Report <br /> Date: <br /> Facility Name: Facility Address: June 08 2015 <br /> Pactiv Packaging Inc 4545 QANTAS LN STOCKTON <br /> SUMMARY OF VIOLATIONS <br /> (CLASS I,CLASS II,or MINOR-Notice to Comply) <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 numbers 000573697VES(8/28/12), 000576215VES(10/29/12), and 000576216VES(10/29/12)were not <br /> found on site. Hazardous waste generators shall retain copies of all <br /> manretifests <br /> for three and made readily r avail a copy signed <br /> ab a for review for <br /> off by the destination facility is received. The signed off copy <br /> three years. If the generator did not receive a copy of the manifest with the handwritten signature of the owner or <br /> ate the waste was <br /> operator of the facility to which the generator's waste was submitted within 600 the missingays of e dmanifest,with some <br /> accepted by the initial transporter, the generator shall subry►it a legible copy <br /> 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 manifests or prepare and submit the required information to DTSC. Submit <br /> to the EHD a copy of the signed off copy of the manifests or a copy of the information submitted to DTSC. <br /> This is a repeat violation, Class II. <br /> 110 CCR 66262.42 Failed to comply with uniform hazardous waste manifest exception requirements. <br /> Manifest numbers 000573697VES(8/28/12), 000576215VES(10/29/12), and 000576216VES(10/29/12)were not <br /> found on site. Hazardous waste generators shall retain copies of all manifests for three years or until a copy signed <br /> off by the destination facility is received. The signed off copy shall be retained and made readily available for review for <br /> three years. If the generator did not receive a copy of the manifest with the handwritten signature of the owner or <br /> operator of the facility to which the generator's waste was submitted within 60 days of the date the waste was <br /> accepted by the initial transporter, the generator shall submit a legible copy of the missing manifest,with some <br /> 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 manifests or <br /> copy submit threquired <br /> submitted infort to DTSC.C. Submit <br /> to the EHD a copy of the signed off copy the manifests o <br /> This is a repeat violation, Class II. <br /> Received by <br /> Inspector: Phone: Date: <br /> (initial): G � STACY RIVERA, Senior REHS (209)468-3440 06/08/2015 <br /> Page 4 of 6 <br />