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SAN JDANIN <br />COUNTY <br />Environmental Health Department <br />Small Quantity Hazardous Waste Generator Inspection Report <br />Facility Name: <br />Facility Address: <br />Date: <br />Dollar General #14353 <br />915 E Yosemite Ave Manteca <br />July 31 2019 <br />SUMMARY OF VIOLATIONS <br />(CLASS I, CLASS II, or MINOR - Notice to Comply) <br />Item # <br />Remarks <br />Overall Inspection Comments: <br />Notes: <br />- Due to illegible manifests observed on site, the amount of hazardous waste generated in 2018 could not be <br />determined at the time of inspection. <br />- Steve Bohnak, District Manager, requested the following list of the manifest numbers that were not found on <br />site, and the manifest numbers that were found without a signed off copy from the destination facility, at the time <br />of inspection: <br />The following manifests were not found on site: <br />- 013120477FLE (4/21/19) <br />- 013120476FLE (4/22/19) <br />- 005888200FLE (5/25/18) <br />- 011387029FLE (3/14/18) <br />- 008548655FLE (3/29/17) <br />- 008548865FLE (5/18/17) <br />- 010685552FLE (9/13/17) <br />- 008572425FLE (10/20/16) <br />- 008664889FLE (9/23/16) <br />The following manifests were found without a signed off copy from the destination facility: <br />- 011385113FLE (9/27/18) <br />- 011385114FLE (date and quantity illegible) <br />- 010789016FLE (1/11/18) <br />- 008631527FLE (1/12/17) <br />- 008680359FLE (11/16/17) <br />- 010168248FLE (7/13/17) <br />An inspection checklist was provided to the facility operator at the time of inspection. The EHD will generate and <br />provide a complete report to the facility operator. <br />Complete and submit a copy of the Return to Compliance Certification form to the EHD with a statement <br />documenting the corrective actions that have been or will be taken for each violation, and any supporting <br />paperwork, within 30 days of receiving the complete inspection report. <br />Provided: Hazardous Waste Minimum Labeling Requirements guide sheet, List of Free CUPA Training Classes, <br />Return To Compliance Certification <br />FA0021712 PR0537831 SCO01 07/31/2019 <br />EHD 22-01 Rev. 09/27/2018 Page 4 of 5 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 />