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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 Fax:(209)468-3433 Web:www.sigov.orci/ehd/unitiii.htmi <br /> CONTINUATION FORM Page: 5 of 5 <br /> OFFICIAL INSPECTION REPORT Date: 11/30/10 <br /> Facility Address: 4945 Waterloo Road Program: HW <br /> SUMMARY OF VIOLATIONS <br /> (CLASS 1,CLASS 11,or MINOR-Notice to Comply) <br /> 60, 61, & 62. Manifest number 003235803JJK (dated 2-13-08) was not found on site. Hazardous waste <br /> generators shall retain copies of all manifests for three years or until a copy signed off by the destination <br /> facility is received. The signed off copy shall be retained and made readily available for review for three <br /> years. If the generator did not receive a copy of the manifest with the handwritten signature of the owner <br /> or operator of the facility to which the generator's waste was submitted within 60 days of the date the <br /> waste was accepted by the initial transporter, the generator shall submit a legible copy of the missing <br /> manifest, with some indication that the generator has not received confirmation of delivery. This <br /> information 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 the required information to <br /> ,DTSC. By December 30, 2010, submit to the EHD a copy of the signed off copy of the manifest or a <br /> copy of the information submitted to DTSC. <br /> Notes <br /> 1. Complete and submit a copy of the Return to Compliance Certification form with a statement of how <br /> each violation was corrected, including supporting documentation, by December 30, 2010. <br /> 2. The facility is moving to 1155 Lockeford Street in Lodi by April 2011. Please send a copy of the final <br /> hazardous waste disposal manifest to the EHD when the Waterloo facility is closed. Contact the EHD by <br /> calling Garrett Backus at 468-2986 to schedule a closure inspection to verify removal of all hazardous <br /> waste. Contact the EHD by calling 468-3420 to transfer the hazardous waste generator operating permit <br /> to the new address. <br /> 3. The EHD training schedule, hazardous waste labelling guide, hazardous waste labels and County <br /> Hazardous Waste Disposal Facility brochure were given to the operator. Inspector discussed proper <br /> disposal of universal waste with the operator. <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 ANY TIME AT EHD'S CURRENT HOURLY RATE. <br /> EHD Inspect Received By: Title: <br /> EHD 23- -003 Rev 08/10/10 CONTINUATION FORM <br />