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SAN J O A Q U I N Environmental Health Department <br /> A <br /> --- CtDU N � � l <br /> Nil Y t it_ <br /> T� yhzl�9 <br /> Large Quantity Hazardous Waste Generator Inspection Report <br /> Facility Name : Facility Address ; Date : <br /> WESTERN SQUARE INDUSTRIES INC 1621 N BROADWAY AVE , STOCKTON March 12 , 2019 <br /> Universal Waste <br /> 717 CCR 66273 . 32(b) UWH failed to obtain an ID number from DTSC prior to accumulating > 5000kg of non-RCRA UW u V u R u COS <br /> 718 CCR 66273 . 32(d ) Failure of a UW handler to submit a complete annual report to DTSC u V u R u COS <br /> 719 CCR 66273 . 38 Failure of UW handler to transfer UW to the appropriate destination facility ❑ V ❑ R u COS <br /> 720 CCR 66273 . 31 (a) UW handler caused improper disposal of UW u V u R u COS <br /> 721 CCR 66273 . 8 (b) Conditionally exempt small quantity UW generator caused improper disposal of UW u V u R u COS <br /> Appliance Recycler <br /> 801 HSC 25211 .4 Failure to obtain Certified Appliance Recycler certification (CAR) u V u R u COS <br /> 802 HSC 25211 . 21 25211 . 3 Failure of a CAR to provide docs that materials that require special handling have been removed u V u R u 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 u V u R u COS <br /> 3020 See below Unlisted Training violation ❑ V u R u COS <br /> 3030 See below Unlisted Operations/Maintenance violation u V ❑ R ❑ COS <br /> 3040 See below Unlisted Release/Leaks/Spills violation u V ❑ R ❑ COS <br /> 3050 See below Unlisted Abandonment/] [legal Disposal/Unauthorized Treatment violation u V u R u 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 /> Manifest number 003639851 GBF was found without a signed off copy from the destination 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 35 <br /> days of the date the waste was accepted by the initial transporter, the generator shall contact the transporter and/or <br /> the owner or operator of the designated facility to determine the status of the waste . If the generator did not receive <br /> a copy of the signed off copy of the manifest within 45 days of the date that the waste was accepted by the initial <br /> transporter, the generator shall submit an Exception Report that includes a legible copy of the missing manifest, and <br /> a cover letter signed by the generator explaining the efforts to locate the hazardous waste and the results of those <br /> efforts . Exception reports 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 an exception report to DTSC . By April <br /> 11 , 2019 , submit to the EHD a copy of the signed off copy of the manifests or a copy of the exception report <br /> submitted to DTSC . <br /> This is a Class II violation . <br /> Overall Inspection Comments : <br /> FA0009733 PR0515048 SCO01 03/12/2019 <br /> EHD 22-02 Rev. 09/27/2018 Page 4 of 5 Large Quantity Hazardous Waste Generator OIR <br /> 1868 E . Hazelton Avenue Stockton , California 952051 T 209 468 -3420 1 F 209 464 -0138 1 www . sjcehd. com <br />