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SAN xdDAQI C0L.IJT Environmental Health Department AMENDED 116/2020 Large Quantity Hazardous Waste Generator Inspection Report Facility Name: Facility Address: 1 Date: PEP BOYS #562 1401 S CHEROKEE LN, LODI December 20, 2019 SUMMARY OF VIOLATIONS (CLASS I, CLASS II, or MINOR - Notice to Comply) Item # Remarks the waste was accepted by the initial transporter. The Exception Report shall include: (1) a legible copy of the manifest for which the generator does not have confirmation of delivery; (2) a cover letter signed by the generator or the generator's authorized representative explaining the efforts taken to locate the hazardous waste and the results of those efforts. (d) Generators shall submit the exception report to the department at: DTSC Report Repository, Generator Information Services Section, P.O. Box 806, Sacramento, CA 95812-0806 CORRECTIVE ACTION: Locate a copy of the destination facility signed manifests and send a copy to the San Joaquin County Environmental Health Department (EHD). If the destination facility signed manifests cannot be found then prepare an exception report for each missing manifest as required by Title 22 California Code of Regulations section 66262.42. The exception report shall include a legible copy of the manifest for which the generator does not have confirmation of delivery and a cover letter signed by the generator or the generator's authorized representative explaining the efforts taken to locate the hazardous waste and the results of those efforts. DTSC address is DTSC Report Repository, Generator Information Services Section, PO Box 806, Sacramento, CA 95812-0806. Send a copy of the exception report to DTSC and the EHD. This is a repeat violation, Class II. FA0011020 PR0514495 SCO01 12/20/2019 EHD 22-02 Rev. 9/20/2019 Page 13 of 23 Large 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