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0 9 <br />San Joaquin County <br />Environmental Health Department <br />1868 East Hazelton Avenue, Stockton, California 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: www.sjgov.org/ehd <br />Small; Quantity:Hazardous. Waste GeneratorInspection Report <br />Facility Name: <br />Facility Address: <br />Date: <br />NJ MCCUTCHEN INC - PRIMARY <br />345 S MADISON ST STOCKTON <br />November 20 2017 <br />s• SUMMARY OFtV10LAT10NS <br />(CLASS 1, CLASS 11, or' MINOR -Notice to Comply) <br />Item # <br />Remarks <br />110 <br />CCR 66262.40(a) Failed to keep signed copy of manifests from the designated facility for three years. <br />The following manifests were found without a signed off copy from the destination facility: <br />013809602JJK (11/2614) <br />014058228JJK (4/17/15) <br />014058229JJK (4/17/15) <br />014051358JJK (10/21/15) <br />014054358JJK (4/5/16) <br />014054359JJK (4/5/16) <br />014054360JJK (4/5/16) <br />014057764JJK (10/13/16) <br />This facility is incorrectly using the hazardous waste ID number for the facility across the street, at 123 W. Sonora St. <br />It could not be determined which manifest belonged to which facility. <br />Hazardous waste generators shall retain copies of all manifests signed off by the destination facility on site for three <br />years and have them readily available for review. If the generator did not receive a copy of the manifest with the <br />handwritten signature of the owner or operator of the facility to which the generator's waste was submitted within 60 <br />days of the date the waste was accepted by the initial transporter, the generator shall submit a legible copy of the <br />missing manifest, with some indication that the generator has not received confirmation of delivery. This information <br />shall be submitted to: <br />DTSC Report Repository <br />Generator Information Services Section <br />P.O. Box 806 <br />Sacramento, CA 95812-0806 <br />Immediately locate a copy of the missing manifests or prepare and submit the required information to DTSC. Submit <br />to the EHD a copy of the signed off copy of the manifest or a copy of the information submitted to DTSC. <br />This is a repeat violation, Class II. <br />EHD 22-01 Rev. 09/22/16 <br />FA0009024 PR0513589 SCO01 11/20/2017 <br />Page 5 of 8 Small Quantity Hazardous Waste Generator OIR <br />