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SANJ O f� Q U I ` , Environmental Health Department <br /> Small Quantity Hazardous Waste Generator Inspection Report <br /> Facility Name: Facility Address: Date: <br /> Big Lots Stockton 1916 1 2720 COUNTRY CLUB DR. Stockton June 27 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 Lashay Fielder, Store Manager, manifests received by the facility for the disposal of hazardous waste are <br /> kept in a binder in the facility office, and copies of the manifests are not sent or mailed anywhere. <br /> The following manifest was not found on site, and was not sent to DTSC, according to Lashay.- <br /> - <br /> ashay:-002175713PSC(4/2/19) <br /> Copies of the following manifests numbers were observed on site, but were not sent to DTSC, according to Lashay: <br /> -001994704PSC(10/10/19)(IMG 7249-50) <br /> -001913343PSC(7/23/18)(IMG 7253-4) <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 /> FA0002062 PR0538908 SCO01 06/27/2019 <br /> EHD 22-01 Rev.09/27/2018 Page 7 of 13 Small Quantity Hazardous Waste Generator OR <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />