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Environmental Health Department <br />AMENDED <br />10/18/2019 <br />Small Quantity Hazardous Waste Generator Inspection Report <br />Date: <br />October 11, 2019 <br /> Facility Address: <br /> 2505 W HAMMER LN, STOCKTON <br /> Facility Name: <br /> SUTTER GOULD <br />SUMMARY OF VIOLATIONS <br />(CLASS I, CLASS II, or MINOR - Notice to Comply) <br />RemarksItem # <br /> 110 CCR 66262.40(a) Failed to keep signed copy of manifests from the designated facility for three years. <br />OBSERVATION: Designated facility signed copies of Uniform Hazardous Waste Manifest (UHWM) numbers <br />008905049 FLE ship date 01-12-17, 011058089 FLE ship date 12-07-17, 011058090 FLE ship date 12-07-17, and <br />012218791 FLE ship date 01-18-19 were not found on-site. Uniform Hazardous Waste Manifest (UHWM) numbers <br />012218722 FLE ship date 05-07-19 and 012218721 FLE ship date 05-07-19 were found without a signed copy from <br />the designated facility. <br />REGULATION GUIDANCE: A hazardous waste generator shall keep a copy of each manifest signed in accordance <br />with section 66262.23(a) for three years or until the generator receives a signed copy from the designated facility <br />which received the waste. This signed copy shall be retained as a record for at least three years from the date the <br />waste was accepted by the initial transporter. The hazardous waste generator must submit a copy of the manifest <br />to the California Department of Toxic Substances Control (DTSC) within 60 days if the destination facility signed <br />manifest copy is not received from the transporter or designated facility. <br />CORRECTIVE ACTION: Locate a copy of the destination facility signed manifests and send a copy to the San <br />Joaquin County Environmental Health Department (EHD). If the destination facility signed manifests cannot be <br />found then send to DTSC a copy of each generator signed manifest and a statement that the designated facility <br />signed copy was not received by the generator. DTSC address is DTSC Report Repository, Generator Information <br />Services Section, PO Box 806, Sacramento, CA 95812-0806. Provide a corrective action statement to the EHD <br />within 30 days. <br />This is a Class II violation. <br />FA0018191 PR0541406 SC001 10/11/2019 <br />EHD 22-01 Rev. 9/20/2019 Small Quantity Hazardous Waste Generator OIRPage 5 of 9 <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjcehd.com