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SAN J O A Q U I N Environmental Health Department <br /> - .-COUN rY - <br /> Small Quantity Hazardous Waste Generator Inspection Report <br /> Facility Name: Facility Address: Date: <br /> Kruger Foods, Inc. 1 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 /> -5/30/2019, missing contact person&phone number and generator signature <br /> -3/18/2019, missing contact person&phone number <br /> -5/6/2019, missing contact person&phone number,generator signature and destination facility <br /> -2/27/2019, missing contact person&phone number <br /> -11/9/2017, missing contact person&phone number <br /> -8/8/2018, missing contact person&phone number <br /> -9/14/2018, 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 generator's 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(UN/NA)identification number, if applicable. <br /> (E)The name, address, and identification number 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 /> FA0022485 PR0544028 SCO01 09/09/2019 <br /> EHD 22-01 Rev.8/22/2019 Page 4 of 6 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 />