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Environmental Health Department <br />Small Quantity Hazardous Waste Generator Inspection Report <br />Date: <br />April 22, 2021 <br /> Facility Address: <br /> 4943 S HWY 99 , STOCKTON <br /> Facility Name: <br /> 7-ELEVEN INC #32190 <br />Other Violations <br /> 3050 □ V □ R □ COSUnlisted Abandonment/Illegal Disposal/Unauthorized Treatment violation See below <br />SUMMARY OF VIOLATIONS <br />(CLASS I, CLASS II, or MINOR - Notice to Comply) <br />RemarksItem # <br /> 110 CCR 66262.40(a) Failed to keep signed copy of manifests from the designated facility for three years. <br />OBSERVATION: According to work orders on site, on 2/11/21 liquid was removed from the spill containers on site <br />and was placed into a waste drum that was 1/4 full. The most recent disposal record for waste liquids was <br />11/10/20. No drum of liquid waste was observed on site. <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. <br />CORRECTIVE ACTION: Provide a copy of disposal records for the liquid waste generated on 2/11/21. Provide <br />these records and a corrective action statement to the EHD within 30 days. <br />This is a Class II violation. <br />Overall Inspection Comments: <br />Complete and submit a copy of the Return to Compliance Certification form to the EHD with a statement <br />documenting the corrective actions that have been or will be taken for each violation, and any supporting <br />paperwork, by May 22, 2021. <br />To minimize person to person contact EHD is choosing to write the name of person receiving the report instead <br />of having them sign. Starting September 1, 2018, all in-office CERS help will be provided at EHD hourly rate <br />($152). To schedule an appointment, please call (209) 468-3420. <br />Documents provided during inspection: Return to Compliance Certification form, Corrective Action Statement <br />worksheet <br />Waste streams found: gasoline contaminated solids (including gasoline filters), gasoline contaminated liquids <br />AFTER THE COMPLIANCE DATE, EHD WILL BILL FOR ALL TIME AND ACTIVITIES ASSOCIATED WITH BRINGING <br />THIS FACILITY BACK INTO COMPLIANCE. <br />THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br /> Received by: Inspector Phone: <br /> () - STACY RIVERA, Lead Senior REHS <br /> Inspector:April 22, 2021 Date: <br />Printed Name and Title: <br />Emailed to Nima Badial, Manager <br />FA0007458 PR0518149 SC001 04/22/2021 <br />EHD 22-01 Rev. 9/20/2019 Small Quantity Hazardous Waste Generator OIRPage 4 of 4 <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjcehd.com