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San Joaquin County <br />Environmental Health Department <br />1868 East Hazelton Avenue, Stockton, California 95205-6232 <br />Telephone: (209) 468.3420 Fax: (209) 468-3433 Web: www.sicov.om/ehd <br />11111 gglitFi'llell; <br />Facility Name: Facility Address: nate: <br />KIA COUNTRY 1515 N MAIN ST, MANTECA May 17, 2018 <br />Item # <br />WMINa <br />Remarks <br />120 <br />HSC 25160.2(b)(4) Consolidated manifest receipts failed to contain complete Information. <br />NCANNtttG <br />The manager on site stated that he makes a copy of the first page of the consolidated manifest and sends the full <br />manifest off site to his office. As a result, many of the manifests for the used oil and antifreeze were incomplete and <br />the second page was not available for review during the Inspection. <br />All copies of each receipt shall contain all of the following Information: <br />- The name, address, identification number, contact person, and telephone number of the generator, and the <br />signature of the generator or the generator's representative; <br />-The date of the shipment; <br />-The manifest number, <br />- The volume or quantity of each waste stream received, its California and RCRA waste codes, the waste stream <br />type listed In subdivision (c), and its proper shipping description, including the hazardous class and United <br />Nations/North America (UN/NA) identification number, if applicable; <br />-The name, address, and Identification number of the authorized facility to which the hazardous waste will be <br />transported; <br />-The transporter's name, address, and identification number, <br />-The driver's signature; <br />- A statement, signed by the generator, certifying that the generator has established a program to reduce the <br />volume or quantity and toxicity of the hazardous waste to the degree, as determined by the generator, to be <br />economically practicable. <br />Ensure that all future receipts for hazardous waste shipments using a consolidated manifesting procedure contain <br />all required information. <br />Send in copies of the consolidated manifests for the used oil and waste antifreeze for the 2017 year. <br />This is a minor violation. <br />123 <br />SC 25185(c)(3) Failed to submit a written response within 30 days of receiving an Inspection report <br />An inspection was last done on 111912016 and an Inspection report was Issued identifying information to be <br />rmfl <br />submitted to bring this site into compliance. This information was required to be submitted by February 18, 2016. <br />is information has not been received resulting in a non-compliant status for this facility. An operator that receives <br />an Inspection report shall have 30 days to submit a written response that includes a statement documenting <br />corrective actions taken or proposing corrective actions which will be taken. Ensure that a written response <br />documenting corrective actions taken or proposed is submitted within 30 days of receiving an inspection report. <br />This is a Class 11 violation. <br />FA0009865 PR0514W8 SCO01 051IIM019 <br />EHD 22-02 Rev. 09=18 Pages a1`9 Large Quentity Hazardous Waste Generntw OIR <br />