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S0 JOA U 1 Environmental Health Department U ; i y I AMENDED 3/9/2020 Small Quantity Hazardous Waste Generator Inspection Report Facility Name: Facility Address: Date: Banfield Pet Hospital#1188 10520 Trinity Pkwy, Stockton November 20, 2019 SUMMARY OF VIOLATIONS (CLASS I,CLASS II,or MINOR-Notice to Comply) Item# Remarks 108 CCR 66262.23(a) Failed to complete, sign or date manifest; or obtain dated signature of transporter. OBSERVATION: 1. Uniform Hazardous Waste Manifest(UHWM)000945556WAS with shipment date 4/2/2019 incorrectly lists waste code P042. 2. UHWM 000945790WAS with shipment date 6/26/2019 incorrectly lists waste code P042. 3. UHWM 000861604WAS with shipment date 10/17/2019 incorrectly lists waste code P042. REGULATION GUIDANCE: (a)The generator of any hazardous or extremely hazardous waste to be transported off-site or into California shall: (1)complete the generator and waste section and sign the manifest certification according to the instructions in the Appendix to this chapter; and (2)obtain the handwritten signature of the initial transporter and date of acceptance on the manifest; and (3)retain one copy, in accordance with section 66262.40(a); and (4)within 30 days of each shipment of hazardous waste submit to the Department a legible copy of each manifest used; and (5)on or after September 5, 2006,for hazardous waste that is not regulated as a hazardous waste by the U.S. EPA(non-RCRA waste),describe these wastes in Item 9b of the manifest or Item 27b of the continuation sheet as follows: (A)describe non-RCRA hazardous wastes which do not have a U.S. DOT description indicating a generic name of the waste and the phrase"Non-RCRA Hazardous Waste, Solid"or"Non-RCRA Hazardous Waste, Liquid"for solid or liquid wastes, respectively.When possible,the generic name shall be obtained from chapter 11,Appendix X, subsection (b)of this division. If not listed in chapter 11,Appendix X, subsection (b)of this division, the commonly recognized industrial name of the waste shall be used. (B)describe non-RCRA hazardous wastes which have a U.S. DOT description by the U.S. DOT description, and (6)The EPA hazardous waste number, if applicable, can be found in chapter 11, articles 3 and 4 and the California Hazardous Waste Code Number can be found in chapter 11,Appendix XII. CORRECTIVE ACTION: The violation was corrected on 12/18/2019 by Sean Akers, Banfield Health Safety& Environmental Specialist,who submitted a manifest correction letter to the Department of Toxic Substances Control (DTSC), and provided a corrective action statement and copy of the manifest correction letter to the San Joaquin County Environmental Health Department. No further action is required to correct this violation. This is a Class II violation. FA0024355 PRO542389 SCO01 11/20/2019 EHD 22-01 Rev.9/20/2019 Page 6 of 16 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