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SAN <br /> J a A O U I N Environmental Health Department <br /> Small Quantity Hazardous Waste Generator Inspection Report <br /> Facility Name: Facility Address: TDate:Dollar General#14130 4115 N EL DORADO ST STOCKTON ul 19 2019 <br /> SUMMARY OF VIOLATIONS <br /> (CLASS I,CLASS II,or MINOR-Notice to Comply) <br /> Item# Remarks <br /> 109 CCR 66262.23(a)(4) Failed to send generator manifest copies to DTSC within 30 days. <br /> According to Bill Davis, Store Manager, manifests received by the facility for the disposal of hazardous waste are kept <br /> in a file binder in the hazardous waste storage area, and copies of the manifests are not sent or mailed anywhere. <br /> Copies of the following manifests numbers were observed on site, but are not on file with DTSC: <br /> -012497926FLE(1/29/19) <br /> -012963004FLE(4/22/19) <br /> -012120208FLE(10/16/18)(IMG 7611) <br /> -012120207FLE(10/16/18) <br /> -010740498FLE(8/8/18) <br /> -010740499FLE(8/8/18) <br /> -012121141 FLE(9/25/18) <br /> -012121142FLE(9/25/18)(IMG 7612) <br /> -012121140FLE(9/25/18)(IMG 7613) <br /> The generator manifest copy shall be submitted to DTSC for every shipment on a manifest when California is either the <br /> generator state or the destination or consignment state. The generator manifest copy shall be mailed to: <br /> DTSC Generator Manifests <br /> P.O. Box 400 <br /> Sacramento, CA 95812-0400 <br /> Immediately mail a copy of the manifests listed and ensure that copies of all generator manifests are sent to DTSC <br /> within 30 days of shipping hazardous waste. <br /> This is a Class II violation. <br /> FA0010801 PRO537834 SCO01 07/19/2019 <br /> EHD 22-01 Rev,09/27/2018 Page 8 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 />