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S0 JOA U 1 Environmental Health Department <br /> U ; i y <br /> Small Quantity Hazardous Waste Generator Inspection Report <br /> Facility Name: Facility Address: Date: <br /> VICTORIA SECRET STORE#1144 14950 PACIFIC AVE, STOCKTON November 02, 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 /> 014905175FLE(7/9/2020) <br /> 000306975DAT(3/3/2020) <br /> 014029096FLE(1/8/2020) <br /> 014029011FLE(12/11/2019) <br /> 013123981FLE(11/11/2019) <br /> 012496397FLE(9/10/2019) <br /> 013655943FLE(8/23/2019) <br /> 013120929FLE(7/19/2019) <br /> 013120790FLE(6/25/2019) <br /> 013120646FLE(5/28/2019) <br /> 012953521FLE(5/1/2019) <br /> 012962871 FLE(4/4/2019) <br /> 011386223FLE(3/5/2019) <br /> 012497966FLE(2/5/2019) <br /> 011385923FLE(1/10/2019) <br /> 012495968FLE(12/1/2018) <br /> 012495969FLE(12/1/2018) <br /> 011385186FLE(10/24/2018) <br /> 011392590FLE(7/30/2018) <br /> 011434040FLE(6/22/2018) <br /> 005888127FLE(5/1/2018) <br /> 010868398FLE(4/3/2018) <br /> 010868397FLE(4/3/2018) <br /> 011387012FLE(3/8/2018) <br /> 011386913FLE(2/7/2018) <br /> 010788997FLE(1/9/2018) <br /> 010788850FLE(12/8/2017) <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 /> FA0024097 PR0541986 SCO01 11/02/2020 <br /> EHD 22-01 Rev.9/16/2020 Page 6 of 10 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 />