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SAN ,dDAQ U I N Environmental Health Department <br /> C01-1 N T <br /> Large Quantity Hazardous Waste Generator Inspection Report <br /> Facility Name: Facility Address: Date: <br /> JIFFY LUBE#3808 3276 GRANT LINE RD,TRACY March 03, 2020 <br /> Universal Waste <br /> 720 CCR 66273.31(a) UW handler caused improper disposal of UW ❑V ❑R ❑COS <br /> 721 CCR 66273.8(b) Conditionally exempt small quantity UW generator caused improper disposal of UW ❑V ❑R ❑COS <br /> Appliance Recycler <br /> 801 HSC 25211.4 Failure to obtain Certified Appliance Recycler certification(CAR) ❑V ❑R ❑COS <br /> 802 HSC 25211.2,25211.3 Failure of a CAR to provide docs that materials that require special handling have been removed ❑V ❑R ❑COS <br /> 803 HSC 25212 Failure of a CAR to properly remove and dispose of all materials that require special handling ❑V ❑R ❑COS <br /> Other Violations <br /> 3010 See below Unlisted Administration/Documentation violation ❑V ❑R ❑COS <br /> 3020 See below Unlisted Training violation ❑V ❑R ❑COS <br /> 3030 See below Unlisted Operations/Maintenance violation ❑V ❑R ❑COS <br /> 3040 See below Unlisted Release/Leaks/Spills violation ❑V ❑R ❑COS <br /> 3050 See below Unlisted Abandon ment/lIlegal Disposal/Unauthorized Treatment violation ❑V ❑R ❑COS <br /> SUMMARY OF VIOLATIONS <br /> (CLASS I,CLASS II,or MINOR-Notice to Comply) <br /> Item# Remarks <br /> 114 CCR 66262.40(a) Failed to keep signed copy of manifests from the designated facility for three years. <br /> OBSERVATION: The following designated facility signed copies of Uniform Hazardous Waste Manifest(UHWM) <br /> numbers were not found on-site: <br /> 2019: <br /> -018530493JJK(9-17-2019) <br /> -018531259JJK(5-8-2019) <br /> REGULATION GUIDANCE: A hazardous waste generator shall keep a copy of each manifest signed in accordance <br /> with section 66262.23(a)for three years or until the generator receives a signed copy from the designated facility <br /> which received the waste. This signed copy shall be retained as a record for at least three years from the date the <br /> waste was accepted by the initial transporter. The hazardous waste generator must submit an exception report to <br /> the California Department of Toxic Substances Control (DTSC)within 45 days if the destination facility signed <br /> manifest copy is not received from the transporter or designated facility. <br /> CORRECTED ON SITE. <br /> This is a repeat violation, Class II. <br /> FA0024908 PR0543805 SCO01 03/03/2020 <br /> EHD 22-02 Rev.9/20/2019 Page 4 of 6 Large 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 />