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S0 JOA U 1 Environmental Health Department U ; i y Small Quantity Hazardous Waste Generator Inspection Report Facility Name: Facility Address: Date: PAQ Inc DBA Rancho San Miguel 1 1409 S AIRPORT WAY, STOCKTON June 24, 2020 SUMMARY OF VIOLATIONS (CLASS I,CLASS II,or MINOR-Notice to Comply) Item# Remarks 715 CCR 66273.39 UWH failed to keep complete records of each shipment of universal waste for three years. OBSERVATION:According to Nick Berndt,the Store Director, a few weeks ago the facility had its florescent lamps replaced, and the used lamps were taken to the San Joaquin County Household Hazardous Waste facility for disposal.A copy of the universal waste(UW)disposal records for the shipment of the florescent lamps from a few weeks ago was not found on site. REGULATION GUIDANCE: (a)Receipt of shipments.A universal waste handler shall keep a record of each shipment of universal waste received at the universal waste handler's facility. The record may take the form of a log, invoice, manifest, bill of lading, movement document, or other shipping document.The record for each shipment of universal waste received shall include the following information: (1)The name and address of the originating universal waste handler from which the universal waste was sent; (2)The quantity[count or weight, consistent with,for example, section 66273.32, subsection (d)]of each type of universal waste received (e.g., batteries,thermostats, lamps, electronic devices, CRTs, CRT glass); and (3)The date of receipt of the shipment of universal waste. (b)For purposes of compliance with subsection (a)of this section, a universal waste handler who receives universal wastes from household generators and conditionally exempt small quantity universal waste generators, as defined in section 66273.9, may (1)in lieu of the originating universal waste handler's name and address, record"household generator"and/or °CESQUWG", and (2)record the total quantity of each type of universal waste as an aggregate from households and/or conditionally exempt small quantity universal waste generators, as defined in section 66273.9. (c)Shipments offsite.A universal waste handler shall keep a record of each shipment of universal waste sent from the universal waste handler's facility to another facility.The record may take the form of a log, invoice, manifest, bill of lading, movement document,or other shipping document. The record for each shipment of universal waste sent shall include the following information: (1)The name and address of the universal waste handler or destination facility to which the universal waste was sent; (2)The quantity[count or weight, consistent with,for example, section 66273.32, subsection (d)]of each type of universal waste sent(e.g., batteries,thermostats, lamps, electronic devices, CRTs, CRT glass); (3)The date of departure of the shipment of universal waste. (d)Record retention. (1)A universal waste handler shall retain each record described in subsection (a)of this section for at least three years from the date of receipt of the corresponding shipment of universal waste. (2)A universal waste handler shall retain each record described in subsection (c)of this section for at least three years from the date of departure of the corresponding shipment of universal waste. CORRECTIVE ACTION: Immediately locate a copy of all UW disposal records for the last three years and maintain them on site. Provide a corrective action statement, a copy of the last three years of UW disposal records and supporting documentation to the San Joaquin County Environmental Health Department(EHD)within 30 days. This is a Class II violation. Overall Inspection Comments: FA0015371 PR0539423 SCO01 06/24/2020 EHD 22-01 Rev.9/20/2019 Page 7 of 8 Small Quantity Hazardous Waste Generator OR 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com