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SAN ;.JDAQUIN Environmental Health Department <br /> c �a r.� IY <br /> Small Quantity Hazardous Waste Generator Inspection Report <br /> Facility Name; Facility Address: pate: <br /> Kruger Foods, Inc. 18362 E HWY 4 . Stockton September 09, 2019 <br /> SUMMARY OF VIOLATIONS <br /> (CLASS I.CLASS II,or MINOR-Notice to Comply) <br /> Item# Remarks <br /> 114 HSC 25160.2(b)(4)Consolidated manifest receipts failed to contain complete information. <br /> OBSERVATION: Consolidated manifest receipts found on-site for disposal of hazardous waste contained <br /> incomplete information. These are the dates and missing items from used oil consolidated manifests from George <br /> Lowry: <br /> -5130/2019, missing contact person&phone number and generator signature <br /> -3/18/2019, missing contact person &phone number <br /> -51812919, missing contact person&phone number,generator signature and destination facility <br /> -2127/2019, missing contact person &phone number <br /> -1119/2017, missing contact person &phone number <br /> -81812018,missing contact person&phone number <br /> -911412018, missing contact person& phone number <br /> -12/12/2016, missing contact person&phone number <br /> REGULATION GUIDANCE: (4)All copies of each receipt shall contain all of the following information: <br /> (A)The name, address,identification number,contact person, and telephone number of the generator,and the <br /> signature of the generator or the generators representative. <br /> (B)The date of the shipment. <br /> (C)The manifest number. <br /> (D)The volume or quantity of each waste stream received,its California and RCRA waste codes,the wastestream <br /> type listed in subdivision(c),and its proper shipping description, including the hazardous class and United <br /> Nations/North America(U NINA)identification number, if applicable. <br /> (E)The name,address,and identification nurnber of the authorized facility to which the hazardous waste will be <br /> transported. <br /> (F)The transporter's name, address, and identification number. <br /> (G)The driver's signature. <br /> (H)A statement, signed by the generator, certifying that the generator has established a program to reduce the <br /> volume or quantity and toxicity of the hazardous waste to the degree, as determined by the generator, to be <br /> economically practicable. <br /> CORRECTIVE ACTION: Provide a corrective action statement and supporting documentation to the San Joaquin <br /> County Environmental Health Department within 30 days. <br /> This is a minor violation. <br /> FAD022465 PR0544028 SCO01 69(0912919 <br /> EH0 22.01 Rev.812212019 Page 4 of 6 smart Qua nuty Hazardous WasIn Generator 0IR <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />