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S A N J D AR I N Environmental Health Department <br /> (L)j ;"� 1 y <br /> Small Quantity Hazardous Waste Generator Inspection Report <br /> Facility Name: Facility Address: Date: <br /> MICKE GROVE GOLF COURSE 1 11401 N MICKE GROVE RD, LODI September 30, 2019 <br /> SUMMARY OF VIOLATIONS <br /> (CLASS I,CLASS II,or MINOR-Notice to Comply) <br /> Item# Remarks <br /> 105 CCR 66262.34(d)(2)No emergency coordinator. <br /> OBSERVATION: A complete modified contingency plan with an out dated emergency coordinator was posted at the <br /> facility. <br /> REGULATION GUIDANCE: The emergency coordinator or his designee must respond to any emergencies that <br /> arise. The business operator must post the following information next to telephones or in areas directly involved in <br /> the generation and accumulation of hazardous waste: the name and emergency telephone number of the <br /> emergency coordinator, the location of fire extinguishers and spill control material, and the telephone number of the <br /> fire department unless the facility has a direct alarm. <br /> CORRECTIVE ACTION: The violation was corrected during the inspection by Jovito Garcia. Emergency <br /> coordinator and phone number was added to the posted modified contingency plan. No further action is required to <br /> correct this violation. <br /> This is a repeat violation, Class II. <br /> 110 CCR 66262.40(a) Failed to keep signed copy of manifests from the designated facility for three years. <br /> OBSERVATION: Designated facility signed copies of Uniform Hazardous Waste Manifests(UHWM)from <br /> September 30, 2016-September 30, 2019 were not found on-site. <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 a copy of the manifest <br /> to the California Department of Toxic Substances Control (DTSC)within 60 days if the destination facility signed <br /> manifest copy is not received from the transporter or designated facility. <br /> CORRECTIVE ACTION: Locate a copy of the destination facility signed manifests and send a copy to the San <br /> Joaquin County Environmental Health Department(EHD). If the destination facility signed manifests cannot be <br /> found then send to DTSC a copy of each generator signed manifest and a statement that the designated facility <br /> signed copy was not received by the generator. DTSC address is DTSC Report Repository, Generator Information <br /> Services Section, PO Box 806, Sacramento, CA 95812-0806. Provide a corrective action statement to the EHD <br /> within 30 days. <br /> This is a repeat violation, Class II. <br /> FA0010135 PR0514190 SCO01 09/30/2019 <br /> EHD 22-01 Rev.9/20/2019 Page 4 of 7 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 />