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S A N J O A Q U I N Environmental Health Department <br /> C_ lJ N1 I Y <br /> Small Quantity Hazardous Waste Generator Inspection Report <br /> Facility Name: Facility Address: Date: <br /> Ross Dress For Less#0826 J10864 Trinity Pkwy, Stockton September 14, 2020 <br /> SUMMARY OF VIOLATIONS <br /> (CLASS I,CLASS II,or MINOR-Notice to Comply) <br /> Item# Remarks <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 and dated copies of Uniform Hazardous Waste Manifests(UHWM) <br /> were not found on-site. The missing manifests are: <br /> -014563066FLE(7/16/2020) <br /> -000862027WAS(3/2/2020) <br /> -002605197PSC (12/12/2019) <br /> -002572159PSC (11/15/2019) <br /> -002544157PSC(10/15/2019) <br /> -00244387OPSC(8/23/2019) <br /> -002360125PSC(7/16/2019) <br /> -002198772PSC(5/1/2019) <br /> -002094292PSC(1/10/2019) <br /> -000223479DAT(12/7/2018) <br /> -002031164PSC(11/14/2018) <br /> -001844549PSC (5/4/2018) <br /> -001702933PSC(11/15/2017) <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 the the destination facility signed manifests listed above and maintain in the facility <br /> file for three years from the date of shipping. Send a copy to the San Joaquin County Environmental Health <br /> Department(EHD). <br /> This is a Class II violation. <br /> FA0016564 PR0539591 SCO01 09/14/2020 <br /> EHD 22-01 Rev.8/11/2020 Page 5 of 8 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.sjgov.org/EHD <br />