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SAN JOAQUIN COUNTY 1"r <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, California 95205-6232 <br /> Telephone:(209)468-3420 Fax:(209)468-3433 Web:www.sjgov.org/ehd <br /> CONTINUATION FORM Page: 6 of <br /> FFICIAL INSPECTION REPORT Date: S-):4-114 <br /> Facility Address: Q V Program: HW <br /> SUMMARY OF VIOLATIONS <br /> CLASS I,CLASS II,or MINOR-Notice to Com I <br /> 812. Copies of universal waste disposal records were not found on site. A generator of universal waste <br /> (batteries, mercury containing equipment, lamps/bulbs, electronic devices, CRTs, CRT glass, aerosol <br /> cans) shall keep a record of each shipment of universal waste on site for at least three years. The <br /> record may take the form of a log, invoice, manifest, bill of lading, or other shipping document, and shall <br /> include the following: <br /> - Name & address of destination facility <br /> - Quantity & type of universal waste <br /> - Date of departure/shipment <br /> Begin this practice immediately. <br /> 112. The contingency plan for this facility is outdated. The contingency plan shall be reviewed, and <br /> immediately amended, if necessary, whenever any of the following occur: <br /> - applicable regulations are revised <br /> - the plan fails in an emergency <br /> - the facility changes in its design, construction, operation, maintenance, or other circumstance in a <br /> way that materially increases the potential for fires, explosions, or releases of hazardous waste or <br /> hazardous waste constituents, or changes the response necessary in an emergency <br /> - the list of emergency coordinators changes <br /> - the list of emergency equipment changes <br /> The contingency plan for this facility was amended onsite at the time of inspection to include the updated <br /> information. CORRECTED. <br /> Complete and submit a copy of the Return to Compliance Certification form with a statement of how <br /> each violation was corrected, including supporting documentation, by April 27, 2014 <br /> Provided: <br /> -Return to Compliance Certification <br /> -Free Schedule of Classes. <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 InspeQor ` Receivetl By: Title: <br /> titer (1'1�1,�t <br /> EHD 23-02-003 Rev 01/19/12 CONTINUATION FORM <br />