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SAN 10 A Q U I NEn v ironmental Health Department <br /> T� ,—1z/Iq <br /> Large Quantity Hazardous Waste Generator Inspection Report <br /> Facility Name: Facility Address: Date: <br /> WESTERN SQUARE INDUSTRIES INC 1621 N BROADWAY AVE, STOCKTON March 12, 2019 <br /> Universal Waste <br /> 717 CCR 66273.32(b) UWH failed to obtain an ID number from DTSC prior to accumulating>5000kg of non-RCRA UW ❑V ❑R ❑COS <br /> 718 CCR 66273.32(d) Failure of a UW handler to submit a complete annual report to DTSC ❑V ❑R ❑COS <br /> 719 CCR 66273.38 Failure of UW handler to transfer UW to the appropriate destination facility ❑V ❑R ❑COS <br /> 720 CCR 66273.31(a) UW handler caused improper disposal of UW o V ❑R ❑COS <br /> 721 CCR 66273.8(b) Conditionally exempt small quantity UW generator caused improper disposal of UW ❑V ❑R ❑COS <br /> Appliance Recycler <br /> 801 HSC 25211.4 Failure to obtain Certified Appliance Recycler certification(CAR) ❑V ❑R o COS <br /> 802 HSC 25211.2,25211.3 Failure of a CAR to provide docs that materials that require special handling have been removed ❑V ❑R ❑COS <br /> 803 HSC 25212 Failure of a CAR to properly remove and dispose of all materials that require special handling ❑V ❑R ❑COS <br /> Other Violations <br /> 3010 See below Unlisted Administration/Documentation violation ❑V ❑R ❑COS <br /> 3020 See below Unlisted Training violation ❑V o R o COS <br /> 3030 See below Unlisted Operations/Maintenance violation ❑V o R o COS <br /> 3040 See below Unlisted Release/Leaks/Spills violation o V o R ❑COS <br /> 3050 See below Unlisted Abandonment/Illegal Disposal/Unauthorized Treatment violation ❑V ❑R o COS <br /> SUMMARY OF VIOLATIONS <br /> (CLASS I,CLASS II,or MINOR-Notice to Comply) <br /> Item# Remarks <br /> 114 CCR 66262.40(a) Failed to keep signed copy of manifests from the designated facility for three years. <br /> Manifest number 003639851GBF was found without a signed off copy from the destination facility. <br /> Hazardous waste generators shall retain copies of all manifests signed off by the destination facility on site for three <br /> years and have them readily available for review. 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 submitted within 35 <br /> days of the date the waste was accepted by the initial transporter, the generator shall contact the transporter and/or <br /> the owner or operator of the designated facility to determine the status of the waste. If the generator did not receive <br /> a copy of the signed off copy of the manifest within 45 days of the date that the waste was accepted by the initial <br /> transporter, the generator shall submit an Exception Report that includes a legible copy of the missing manifest, and <br /> a cover letter signed by the generator explaining the efforts to locate the hazardous waste and the results of those <br /> efforts. 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 manifests or prepare and submit an exception report to DTSC. By April <br /> 11, 2019, submit to the EHD a copy of the signed off copy of the manifests or a copy of the exception report <br /> submitted to DTSC. <br /> This is a Class II violation. <br /> Overall Inspection Comments: <br /> FA0009733 PR0515048 SCO01 03/12/2019 <br /> EHD 22-02 Rev.09/27/2018 Page 4 of 5 Large Quantity Hazardous Waste Generator OIR <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />