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Small Quantity Hazardous Waste Generator Inspection Report Date: March 27, 2019 Facility Address: 2043 JACKSON AVE, ESCALON Facility Name: FAMILY DOLLAR #32181 San Joaquin County Environmental Health Department 1868 East Hazelton Avenue, Stockton, California 95205-6232 Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: www.sjgov.org/ehd SUMMARY OF VIOLATIONS (CLASS I, CLASS II, or MINOR - Notice to Comply) RemarksItem # 110 CCR 66262.40(a) Failed to keep signed copy of manifests from the designated facility for three years. Manifest 011385056FLE (9/11/2018) (IMG 5153) was found without a signed off copy from the destination facility. At the time of inspection, Kassandra Witthoft, store manager, stated that the last hazardous waste pick-up was about 1 week ago, however the generator copy of the manifest was not readily available for review. Hazardous waste generators shall retain copies of all manifests for three years or until a copy signed off by the destination facility is received. The signed off copy shall be retained and made readily available for review for three years. If the generator did not receive a copy of the manifest with the handwritten signature of the owner or operator of the facility to which the generator’s waste was submitted within 60 days of the date the waste was accepted by the initial transporter, the generator shall submit a legible copy of the missing manifest, with some indication that the generator has not received confirmation of delivery. This information shall be submitted to: DTSC Report Repository Generator Information Services Section P.O. Box 806 Sacramento, CA 95812-0806 Immediately locate a copy of the missing manifests or prepare and submit the required information to DTSC. Submit to the EHD a copy of the signed off copy of the manifests or a copy of the information submitted to DTSC. This is a Class II violation. 111 CCR 66262.42(a)(c)(d) Failed to comply with uniform hazardous waste manifest exception requirements. Manifest 011385056FLE (9/11/2018) (IMG 5153) was found without a signed off copy from the destination facility. At the time of inspection, Kassandra Witthoft, store manager, stated that the last hazardous waste pick-up was about 1 week ago, however the generator copy of the manifest was not readily available for review. Hazardous waste generators shall retain copies of all manifests for three years or until a copy signed off by the destination facility is received. The signed off copy shall be retained and made readily available for review for three years. If the generator did not receive a copy of the manifest with the handwritten signature of the owner or operator of the facility to which the generator’s waste was submitted within 60 days of the date the waste was accepted by the initial transporter, the generator shall submit a legible copy of the missing manifest, with some indication that the generator has not received confirmation of delivery. This information shall be submitted to: DTSC Report Repository Generator Information Services Section P.O. Box 806 Sacramento, CA 95812-0806 Immediately locate a copy of the missing manifests or prepare and submit the required information to DTSC. Submit to the EHD a copy of the signed off copy of the manifests or a copy of the information submitted to DTSC. This is a Class II violation. Page 7 of 11 FA0024757 PR0544341 SC001 03/27/2019 EHD 22-01 Rev. 09/22/16 Small Quantity Hazardous Waste Generator OIR