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S0 JOA U 1 Environmental Health Department U ; i y Small Quantity Hazardous Waste Generator Inspection Report Facility Name: Facility Address: Date: TRACY USD-MERRILL WEST HIGH SCHOOL 1 1775 W LOWELL AVE, TRACY January 31, 2020 SUMMARY OF VIOLATIONS (CLASS I,CLASS II,or MINOR-Notice to Comply) Item# Remarks 715 CCR 66273.39 UWH failed to keep complete records of each shipment of universal waste for three years. OBSERVATION: The following copies of universal waste(UW)disposal records from 1-31-2017 to 1-31-2020 were found missing information. -Universal manifest from 1-31-2017 to 1-31-2020 were missing name and address from originating universal waste handler and name and address for the destination facility. REGULATION GUIDANCE: (a)Receipt of shipments.A universal waste handler shall keep a record of each shipment of universal waste received at the universal waste handler's facility. The record may take the form of a log, invoice, manifest, bill of lading, movement document, or other shipping document.The record for each shipment of universal waste received shall include the following information: (1)The name and address of the originating universal waste handler from which the universal waste was sent; (2)The quantity[count or weight, consistent with,for example, section 66273.32, subsection (d)]of each type of universal waste received (e.g., batteries,thermostats, lamps, electronic devices, CRTs, CRT glass); and (3)The date of receipt of the shipment of universal waste. (b)For purposes of compliance with subsection (a)of this section, a universal waste handler who receives universal wastes from household generators and conditionally exempt small quantity universal waste generators, as defined in section 66273.9, may (1)in lieu of the originating universal waste handler's name and address, record"household generator"and/or °CESQUWG", and (2)record the total quantity of each type of universal waste as an aggregate from households and/or conditionally exempt small quantity universal waste generators, as defined in section 66273.9. (c)Shipments offsite.A universal waste handler shall keep a record of each shipment of universal waste sent from the universal waste handler's facility to another facility.The record may take the form of a log, invoice, manifest, bill of lading, movement document,or other shipping document. The record for each shipment of universal waste sent shall include the following information: (1)The name and address of the universal waste handler or destination facility to which the universal waste was sent; (2)The quantity[count or weight, consistent with,for example, section 66273.32, subsection (d)]of each type of universal waste sent(e.g., batteries,thermostats, lamps, electronic devices, CRTs, CRT glass); (3)The date of departure of the shipment of universal waste. (d)Record retention. (1)A universal waste handler shall retain each record described in subsection (a)of this section for at least three years from the date of receipt of the corresponding shipment of universal waste. (2)A universal waste handler shall retain each record described in subsection (c)of this section for at least three years from the date of departure of the corresponding shipment of universal waste. CORRECTIVE ACTION: Immediately provide a corrective action statement and supporting documentation to the San Joaquin County Environmental Health Department(EHD)within 30 days. This is a minor violation. Overall Inspection Comments: Complete and submit a copy of the Return to Compliance Certification form to the EHD with a statement documenting the corrective actions that have been or will be taken for each violation, and any supporting FA0012045 PR0518789 SCO01 01/31/2020 EHD 22-01 Rev.9/20/2019 Page 7 of 8 Small Quantity Hazardous Waste Generator OIR 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com