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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) 4.68-3433 Web: www.sigop v.or /q ehd <br />CONTINUATION FORM <br />Page: 5 of 7 <br />OFFICIAL INSPECTION REPORT <br />Date: 11/30/15 <br />Facility Address: 957 E. Church St., Stockton <br />Program: HW <br />SUMMARY OF VIOLATIONS <br />CLASS I, CLASS II, or MINOR -Notice to Comply) <br />103. CCR 66262.34(d)(2) No modified contingency plan. <br />An emergency coordinator and modified contingency plan information is lacking. There must be at least <br />one emergency coordinator on site or on call to coordinate emergency response measures, and the <br />following information must be posted by a phone: the name and phone number of the emergency <br />coordinator; location of fire extinguishers, spill control equipment, and if present, fire alarm; and the <br />phone number of the fire department, unless the facility has a direct alarm. Immediately appoint an <br />emergency coordinator and post the required information by a phone. A form is provided that can be <br />used for this purpose. <br />This is a repeat violation, Class II. <br />109. CCR66262.40(a) Failed to keep signed copy of manifests from the designated facility for three <br />years. <br />Manifest number 013435102JJK (11/21/14) was not found on site. Manifest number 012473066JJK <br />(1/30/14) was found without a signed off copy from the destination facility. Hazardous waste generators <br />shall retain copies of all manifests for three years or until a copy signed off by the destination facility is <br />received. The signed off copy shall be retained and made readily available for review for three years. If <br />the generator did not receive a copy of the manifest with the handwritten signature of the owner or <br />operator of the facility to which the generator's waste was submitted within 60 days of the date the waste <br />was accepted by the initial transporter, the generator shall submit a legible copy of the missing manifest, <br />with some indication that the generator has not received confirmation of delivery. This information shall <br />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 the required information to <br />DTSC. Submit to the EHD a copy of the signed off copy of the manifests or a copy of the information <br />submitted to DTSC. <br />This is a repeat violation, Class Il. <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 END'S CURRENT HOURLY RATE. <br />EHD Inspector: <br />Received By: <br />Title: <br />Stacy Rivera (209) 468-3440 <br />EHD 23-02-003 Rev 04/19/12 CONTINUATION FORM <br />