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S A N J 0 A Q I I I Irl Environmental Health Department <br /> CCUNT <br /> Large Quantity Hazardous Waste Generator Inspection Report <br /> Facility Name: Facility Address: Date: <br /> AutoZone#3326 2309 W Hammer Ln, Stockton September 02, 2021 <br /> SUMMARY OF VIOLATIONS <br /> (CLASS I,CLASS II,or MINOR-Notice to Comply) <br /> Item# Remarks <br /> 119 HSC 25160.2(b)(4)Consolidated manifest receipts failed to contain complete information. <br /> OBSERVATION: Consolidated manifest receipts found on-site for disposal of hazardous waste contain incomplete <br /> information. The consolidated manifest receipts are: <br /> -6/18/2021-missing manifest number <br /> -9/4/2020-missing waste code and destination facility ID number <br /> -5/15/2020-missing waste code <br /> -4/3/2020-missing waste code <br /> -4/28/2020-missing waste code <br /> -2/27/2020-missing waste code <br /> -3/5/2020-missing waste code <br /> -2/7/2020-missing waste code <br /> -1/3/2020-missing waste code <br /> -12/19/19-missing waste code <br /> -11/19/19-missing waste code <br /> -11/13/19-missing waste code <br /> -9/20/19-missing waste code <br /> -10/11/19-missing waste code <br /> -10/2/19-missing waste code <br /> REGULATION GUIDANCE: (4)All copies of each receipt shall contain all of the following information: <br /> (A)The name, address, identification number, contact person, and telephone number of the generator, and the <br /> signature of the generator or the generator's representative. <br /> (B)The date of the shipment. <br /> (C)The manifest number. <br /> (D)The volume or quantity of each waste stream received, its California and RCRA waste codes,the wastestream <br /> type listed in subdivision (c), and its proper shipping description, including the hazardous class and United <br /> Nations/North America(UN/NA)identification number, if applicable. <br /> (E)The name, address, and identification number of the authorized facility to which the hazardous waste will be <br /> transported. <br /> (F)The transporter's name, address, and identification number. <br /> (G)The driver's signature. <br /> (H)A statement, signed by the generator, certifying that the generator has established a program to reduce the <br /> volume or quantity and toxicity of the hazardous waste to the degree, as determined by the generator,to be <br /> economically practicable. <br /> CORRECTIVE ACTION: Ensure that future consolidated manifest receipts are complete when signed by facility <br /> personnel. Provide a corrective action statement to the San Joaquin County Environmental Health Department <br /> (EHD)within 30 days. <br /> This is a minor 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 October 1, 2021. <br /> FA0012435 PR0546737 SCO01 09/02/2021 <br /> EHD 22-02 Rev.9/16/2020 Page 5 of 6 Large 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 />