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!'?kI'1 JOHRIN <br />Small Quantity Hazardous Waste Generator Inspection Report <br />Facility Name: <br />Facility Address: <br />1915 <br />Date: <br />Dollar General #14353 <br />E Yosemite Ave, Manteca <br />Jul 31, 2019 <br />SUMMARY OF VIOLATIONS <br />(CLASS I, CLASS II, or MINOR - Notice to Comply) <br />Item # <br />Remarks <br />111 <br />CCR 66262.42(a)(c)(d) Failed to comply with uniform hazardous waste manifest exception requirements. <br />The following manifests were not found on site: <br />- 013120477FLE (4/22/19) <br />- 013120476FLE (4/22/19) <br />- 005888200FLE (5/25/18) <br />- 011387029FLE (3/14/18) <br />- 00864W55FLE (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 manifest numbers were found without a signed off copy from the destination facility: <br />- 011385113FLE (9/28/18) (IMG 7935) <br />- 011385114FLE (9/28/18) (IMG 7936) <br />- 010789016FLE (1/11/18) (IMG 7932) <br />- 008631527FLE (1/112/17) (IMG 7933) <br />- 008680359FLE (11/16/17) (IMG 7930) <br />- 010168248FLE (7/13/17) (IMG 7931) <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 Class II violation. <br />FA0021712 PRO537831 SCO01 07/31/2019 <br />EHD 22-01 Rev. 09/27/2018 Page 10 of 14 Small Quantity Hazardous Waste Generator OIR <br />