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i <br />1 <br />• <br />SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />600 East Main Street, Stockton, California 95202- <br />Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: www. '3029 <br />CONTINUATION FORM P age: of 8 <br />OFFICIAL INSPECTION REPORT 1Date: 06/21/11 <br />Facility Address: 1016 S. Wilson, Stockton Program: HW <br />ENVIRONMENTAL HEALTH <br />SUMMARY OF VIOLATIONSPERMIT/SERVICES <br />1/1, CLASS I, CLASS 11, or MINOR -Notice to Comply) -S-6k <br />60, 61, & 62. Manifest number 003052936FLE and 003924980FLE (both from 2010 were found without <br />a signed off copy from the destination facility. Also, neither the gerIerator no Igned off copy of the <br />,folf inn ma 'fests were found n site: ear 2010 ,J nd .... <br />007415198JJ , (Year 2009nd (Year 2008) nd 004036132JJK. <br />-- Hazard aste generators shall re ain copies of all manifes s re e years or until a copy signed <br />off by the destination facility is received. The signed off copy shall be retained and made readily <br />available for review for three years. If the generator did not receive a copy of the manifest with the <br />handwritten signature of the owner or operator of the facility to which the generator's waste was <br />submitted within 35 days of the date the waste was accepted by the initial transporter, the generator <br />shall contact the transporter and/or the owner or operator of the designated facility to determine the <br />status of the waste. If the generator did not receive a copy of the signed off copy of the manifest within <br />45 days of the date that the waste was accepted by the initial transporter, the generator shall submit an <br />Exception Report that includes a legible copy of the missing manifest, and a cover letter signed by the <br />generator explaining the efforts to locate the hazardous waste and the results of those efforts. <br />Exception reports 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 an exception report to DTSC. <br />By, submit to the EH a copy of the signed off copy of the manifest or a copy of the exception report <br />submitted to DTSC. <br />[8!/).No Universal Waste Disposal Records was available for inspection. <br />-- A copy of the disposal receipts of Universe Waste, including but not limited to lamps, alkaline <br />batteries, mercury containing switches, CRT, and electronic deices, all be retained on site available <br />for inspection. <br />" Submit a copy of the disposal receipt of the UW to EHD by July 23, 2 11, and begin retaining a copy <br />of the UW disposal receipt on site for at least 3 years. <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 I SU ECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br />EMsper V0 <br />Received By: <br />Title: <br />EF1D 23j2 -Z 4/o8/10/10 C/ <br />CONTINUATION FORM <br />