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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 Fan:(209)468-3433 Web:www.sogov.org/ehd/unitiii.html <br /> CONTINUATION FORM Page: 4 of 5 <br /> OFFICIAL INSPECTION REPORT Date: 12/01/10 <br /> Facility Address: 4747 West Lane Program: HW <br /> SUMMARY OF VIOLATIONS <br /> CLASS I,CLASS II or MINOR-Notice to Comply) <br /> Manifest Correction Letters <br /> A Manifest Correction Letter must be sent to DTSC whenever hazardous waste manifests are submitted <br /> containing incorrect or incomplete information. Per California Health and Safety Code, Section 25160.5, <br /> DTSC is authorized to charge a $20 manifest correction fee when DTSC discovers the errors and <br /> requests a manifest correction letter. DTSC does not charge the fee if the company submits the manifest <br /> correction letter before being notified by DTSC of the error. <br /> To submit a letter, please provided the manifest corrections on company letterhead, and include the <br /> following information: <br /> 1. Manifest Tracking Number; either 8-digits (pre- Sept. 5, 2006 shipments, DTSC 8022A) or the unique <br /> three- letter suffix preceded by nine numerals which is pre-printed in Item 4 of the manifest (shipments <br /> on or after September 5, 2006, EPA 8700-22, new federal manifest form). <br /> 2. Generator date; the date the generator signed the manifest. <br /> 3. Generator EPA ID number used on the original manifest, even if it was incorrect. <br /> 4. The incorrect or incomplete item number from the manifest. <br /> 5. The corrected information. <br /> 6. Signature, title, mailing address, and phone number of person submitting the correction. <br /> Send Manifest Correction Letters to: <br /> DTSC <br /> Generator Information Services Section <br /> Attention: Manifest Corrections <br /> P.O. Box 806 <br /> Sacramento, CA 95812-0806 <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 ANX TIME HD'S CURRENT HOURLY RATE. <br /> EHD Inspe Received By: Tdle: <br /> EHD 23- -003 Rev 08/10/10 CONTINUATION FORM <br />