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SAN J 0 A Q U 1 N Environmental Health Department <br /> U ; i y 1 I ii <br /> Small Quantity Hazardous Waste Generator Inspection Report <br /> Facility Name: Facility Address: Date: <br /> Staples the Office Superstore#1341 249 COMMERCE AVE, MANTECA June 03, 2020 <br /> 1. A bagged bottle of spilled paint was observed in a container labeled as hazardous waste oxidizer and with an <br /> accumulation start date of 11/4/2019. The label was missing the physical state and composition (contents). Rick <br /> Cormier, the store manager, marked the physical state and contents at the time of inspection. <br /> 2. Two bags of alkaline batteries were observed in a container labeled as hazardous waste corrosive base. The <br /> label was missing the accumulation start date and the composition (contents). Rick stated that the alkaline <br /> batteries were left at the store by a customer around the time Rick came back to work from his leave of absence. <br /> Rick removed the batteries from the hazardous waste corrosive container and placed them into a container <br /> labeled as universal waste and with the generator name and address. Rick labeled the universal waste container <br /> with the contents and an accumulation start date of 3/2/2020 at the time of inspection. <br /> REGULATION GUIDANCE: All hazardous waste containers shall be marked with the following information: the <br /> words "Hazardous Waste", name and address of generator, hazardous properties, physical state, composition <br /> (contents), accumulation start date <br /> CORRECTIVE ACTION: Rick labeled the above-mentioned containers with the required information at the time <br /> of inspection. Corrected on-site. <br /> -Complete and submit a copy of the Return to Compliance Certification form to the EHD with a statement <br /> documenting the corrective actions that have been or will be taken for each violation, and any supporting <br /> paperwork, by 7/3/2020. <br /> -To minimize person to person contact EHD is choosing to write the name of person receiving the report instead <br /> of having them sign. Starting September 1, 2018, all in-office CERS help will be provided at EHD hourly rate <br /> ($152). To schedule an appointment, please call (209)468-3420. <br /> - Documents provided during inspection: Modified Contingency Plan template, Hazardous Waste Labeling <br /> Requirements guidance sheet, List of Free CUPA Training Classes, Return to Compliance Certification (RTC), <br /> and Corrective Action Statement (CAS)form. <br /> -Waste streams found: paint/water-based paint, alkaline batteries <br /> AFTER THE COMPLIANCE DATE, EHD WILL BILL FOR ALL TIME AND ACTIVITIES ASSOCIATED WITH BRINGING <br /> THIS FACILITY BACK INTO COMPLIANCE. <br /> THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br /> Received by: Date: June 03, 2020 Inspector: Inspector Phone: <br /> Printed Name and Title: ELIANNA FLORIDO, REHS (209)468-0343 <br /> Rick Cormier, Store Manager <br /> FA0014573 PR0540367 SCO01 06/03/2020 <br /> EHD 22-01 Rev.9/20/2019 Page 6 of 6 Small Quantity Hazardous Waste Generator OIR <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />