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S b N J 0 A Q U I N Environmental Health Department <br /> COUNTY <br /> Small Quantity Hazardous Waste Generator Inspection Report <br /> Facility Name: Facility Address: Date: <br /> MANTECA BULLETIN 276 BUTTON AVE, MANTECA April 23, 2019 <br /> SUMMARY OF VIOLATIONS <br /> (CLASS I,CLASS II,or MINOR-Notice to Comply) <br /> Item# Remarks <br /> 110 CCR 66262.40(a) Failed to keep signed copy of manifests from the designated facility for three years. <br /> Missing disposal receipts for laundered rags: <br /> -2019 <br /> -2018 <br /> Missing signed manifest: <br /> -016636239JJk(6-5-18) <br /> -014374359JJK(4-12-18) <br /> Manifest numbers 016636239JJk, 014374359JJK were 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 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 /> Please provide copies of the missing signed manifest and disposal records to EHD by May, 23rd 2019. <br /> This is a Class II violation. <br /> FA0012753 PR0516718 SCO01 04/23/2019 <br /> EHD 22-01 Rev.09/27/2018 Page 4 of 6 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 />