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SAN J D 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#14130 4115 N ELDORADO ST STOCKTON IJLIIY 19, 2019 <br /> SUMMARY OF VIOLATIONS <br /> (CLASS I,CLASS it,or MINOR-Notice to Comply) <br /> Item# Remarks <br /> 111 CCR 66262.42(a)(c)(d) Failed to comply with uniform hazardous waste manifest exception requirements. <br /> The following manifest numbers were found without a signed off copy from the destination facility: <br /> -01 2120208FLE(10/16/18)(IMG 7611) <br /> -012121142FLE(9/25/18)(IMG 7612) <br /> -012121140FLE(9/25/18)(IMG 7613) <br /> -011386995FLE(3/2/18)(IMG 7614) <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 /> FAC010801 PRO537834 SCO01 07/19/2019 <br /> EHD 22-01 Rev.09/27/2018 Page 10 of 12 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 />