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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 1868 East Hazelton Avenue, Stockton, California 95205-6232 Telephone: (209)468-3420 Fax: (209) 468-3433 Web:www,slaov.org/ehd CONTINUATION FORM Page: 5 of 6 OFFICIAL INSPECTION REPORT Date: 08/08/14 Facility Address: Jiffy Lube 500 E. Kettleman Ln. Lodi, CA 95240 Program: HW SUMMARY OF VIOLATIONS CLASS I,CLASS II,or MINOR-Notice to Comply) 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 an exception report to DTSC. By 9-11-14, submit to the EHD a copy of the signed off copy of the manifests or a copy of the exception report submitted to DTSC. 122, 123, & 124. Manifest numbers 009576323JJK, 010853053JJK, and 010863149JJK, were not found on site. 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 35 days of the date the waste was accepted by the initial transporter, the generator shall contact the transporter and/or the owner or operator of the designated facility to determine the status of the waste. If the generator did not receive a copy of the signed off copy of the manifest within 45 days of the date that the waste was accepted by the initial transporter, the generator shall submit an Exception Report that includes a legible copy of the missing manifest, and a cover letter signed by the generator explaining the efforts to locate the hazardous waste and the results of those efforts. Exception reports 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 an exception report to DTSC. By 9-11-14, submit to the EHD a copy of the signed off copy of the manifests or a copy of the exception report submitted to DTSC. 133. This facility does not have a hazardous waste tank assessment for the used oil tank. Owners or operators of tank systems or components shall ensure that the foundation, structural support, seams, connections, and pressure controls are adequately designed and that the tank system has sufficient structural strength, compatibility with the waste(s) to be transferred, stored or treated, and corrosion protection so that it will not collapse, rupture, or fail. The owner or operator shall obtain a written assessment reviewed and certified by an independent, qualified, professional engineer, registered in California in accordance with section 66270.11(d) attesting that the system has sufficient structural ALL EHD STAFF TIME ASSOCIATED WITH FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL BE BILLED AT THE CURRENT HOURLY RATE. THIS FACILITY IS SUBJECT TOR INSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. EHD Inspector: ` Rece' d B+y1 ± Title: Aris Veloso (209) 468-3453/ \j" VIII IPS EHD 23-02-003 Rev 04/19/12 CONTINUATION FORM