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S KJ O 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 /> Dollar General#13592 310 W Charter Way, Stockton Jul 24 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 /> The following manifest numbers were found without a signed off copy from the destination facility: <br /> -011434268FLE(8/8/18)(IMG 7686) <br /> -005888175FLE(5/16/18) <br /> -011387034FLE(3/15/18)(IMG 7688) <br /> -008548600FLE(2/20/17)(IMG 7698) <br /> -008680689FLE(12/16/16)(IMG 7689) <br /> -008664683FLE(11/4/16) <br /> -008664884FLE(9/22/16)(IMG 7699) <br /> -008570592FLE(8/9/16)(IMG 7700) <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 manifest or prepare and submit the required information to DTSC. <br /> Submit to the EHD a copy of the signed off copy of the manifest or a copy of the information submitted to DTSC. <br /> This is a repeat violation, Class ll. <br /> FA0002150 PR0537571 SC001 07/24/2019 <br /> EHD 22-01 Rev.09/27/2018 Page 6 of 8 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 />