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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 600 East Main Street, Stockton, California 95202-3029 Telephone (209)468-3420 Fax:(209)468-3433 Web:www.sogov.org/ehd/unitiii.html CONTINUATION FORM Page: 4 of 4 OFFICIAL INSPECTION REPORT Date: 06/07/11 Facility Address: 4344 Sl EI Dorado St Stockton CA Program: HW SUMMARY OF VIOLATIONS CLASS I,CLASS II,or MINOR-Notice to Comply) 60, 61, &62. Manifest numbers 901637992SKS and 004336729FLE were found without a signed off copy from the destination facility. Manifest nubers 002440138SKS and 002454253SKS were not found on site. Hazardous waste generators shall retain copies o all manifests signed off by the destination facility on site for three years and have them readily available for review. If the generator did not receive a copy of the manifest with the handwritten signature of the owner or operator of the facility to which the generator's waste was submitted within 60 days of the date the waste was accepted by the initial transporter, the generator shall submit a legible copy of the missing manifest, with some indication that the generator has not received Confirmation of delivery. This information shall be submitted to: DTSC Report Repository Generator Information Sprvices Section P.O. Box 806 Sacramento, CA 95812-0806 Immediately locate a copy of the missing manifests or prepare and submit the required information to DTSC. By July 11, 2011, submit to the EHD a copy of the signed off copy of the manifests or a copy of the information submitted to DTSC. 79. UW lamps storage: At time of inspection: 1-8 ft. used lamp was seen store on a shelf in the maintenance storage container. Facilities must store UW lamps in a closed container and in la manne that prevents breakage and releases to the environment and immediately clean and containerize and broker lamps o� releases to the environment. Immediately properly store UW lamps. 83. Failed to label UW jo identi type of waste: At time of inspection: UW lamps were not labeled ade uately. Universal containers must be labeled at a minimum, "Universal Waste"and the type of waste being stored. Immediately properly label containers of UW. Complete and subit a copy of the Return to Compliance Certification form with a statement of how each violation vy 7rrected, including supporting documentation, by July 11, 2011. Inspection report delivered June 10, 2011. 1 11 ALL EHD STAFF TIME ASS CIATED W TH FAILING TO COMPLY BY TH ABO E NOTED DATES WILL BE BILLED AT THE CURRENT HOURLY RATE($122). THIS FACILITY IS B ECT TO REINSPECT T EHD'S CURRENT HOURLY RATE. EHD Inspector: Re ive By: Titl 1�L /Zlt� EHD 23-02-003 Rev 0 /10/10 CONTINUATION FORM