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SAN" J D�l+ �� I 1411" Environmental Health Department <br /> COUNTY�l <br /> Small Quantity Hazardous Waste Generator Inspection Report <br /> Facility Name: Facility Address: Date: <br /> DOLLAR TREE#01260 3728 E HAMMER LN STOCKTON May 06 2019 <br /> SUMMARY OF VIOLATIONS <br /> (CLASS I,CLASS II,or MINOR-Notice to Comply) <br /> Item# Remarks <br /> Provide proof of re-training and training materials to the EHD for employees whose responsibilities include hazardous <br /> waste. <br /> This is a repeat violation, Class II. <br /> 109 CCR 66262.23(a)(4) Failed to send generator manifest copies to DTSC within 30 days. <br /> Generator copies of the following manifest numbers were found on site at the facility, but are not on record with DTSC: <br /> -012963016FLE (4/25/19) <br /> -012485892FLE (1/24/19)(IMG 5967) <br /> -012485891 FLE (1/24/19)(IMG 5968) <br /> -012485890FLE (1/24/19)(IMG 5969) <br /> -012118632FLE (10/25/18)(IMG 5970) <br /> -012118631 FLE (10/25/18)(IMG 5972-3) <br /> -010740568FLE (8/7/18)(IMG 5974) <br /> -010740567FLE (8/7/18)(IMG 5976) <br /> -010740566FLE (8/7/18)(IMG 5975) <br /> -008664864FLE (9/15/16)(IMG 5979) <br /> According to Somphon Panyasy, store manager, manifests received by the facility for the disposal of hazardous waste <br /> are kept in a file folder in the facility office, and a copy of the manifests are not sent or mailed anywhere. <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 repeat violation, Class II. <br /> FA0015031 PR0538094 SCO01 05/06/2019 <br /> EHD 22-01 Rev.09/27/2018 Page 8 of 18 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 />