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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 /> ESCALON PREMIER BRANDS 1 1905 S MCHENRY AVE, ESCALON August 31, 2021 <br /> SUMMARY OF VIOLATIONS <br /> (CLASS I,CLASS II,or MINOR-Notice to Comply) <br /> Item# Remarks <br /> 111 CCR 66262.42(a)(c)(d) Failed to comply with uniform hazardous waste manifest exception requirements. <br /> OBSERVATION: The facility did not have exception reports on site for Uniform Hazardous Waste Manifests <br /> (UHWM). <br /> Copy of the TSDF signed manifests and exception report not found onsite for the followings: <br /> 1. 006566121 SKS with shipment date: 8/31/2018 <br /> 2. 006391648SKS with shipment date: 9/7/2018 <br /> 3. 006391649SKS with shipment date: 9/7/2018 <br /> 4. 006391650SKS with shipment date: 9/7/2018 <br /> 5. 006391651 SKS with shipment date: 9/7/2018 <br /> 6. 006391751 SKS with shipment date: 9/7/2018 <br /> 7. 006687690SKS with shipment date: 12/7/2018 <br /> 8. 006952905SKS with shipment date: 1/24/2019 <br /> 9. 006953303SKS with shipment date: 3/12/2019 <br /> 10. 007040343SKS with shipment date: 4/23/2019 <br /> 11. 007070157SKS with shipment date: 6/5/2019 <br /> 12. 007380115SKS with shipment date: 2/14/2020 <br /> 13. 007400924SKS with shipment date: 5/6/2020 <br /> 14. 007669937SKS with shipment date: 6/18/2020 <br /> 15. 007684896SKS with shipment date: 7/28/2020 <br /> 16. 007724615SKS with shipment date: 10/28/2020 <br /> 17. 007770162SKS with shipment date: 10/28/2020 <br /> 18. 007770163SKS with shipment date: 10/28/2020 <br /> 19. 007770164SKS with shipment date: 10/28/2020 <br /> 20. 007770166SKS with shipment date: 10/28/2020 <br /> 21. 007964095SKS with shipment date: 7/6/2021 <br /> REGULATION GUIDANCE: <br /> (a)A generator who does not receive a copy of the manifest with the handwritten signature of the owner or <br /> operator of the designated facility within 35 days of the date the waste was accepted by the initial transporter shall <br /> contact the transporter and/or the owner or operator of the designated facility to determine the status of the <br /> hazardous waste. <br /> (c)A hazardous waste generator who does not receive a copy of the manifest with the handwritten signature of the <br /> owner or operator of the facility to which the generator's waste is submitted,within 60 days from the date that the <br /> hazardous waste was accepted by the initial transporter, shall submit to the department a legible copy of the <br /> manifest,with some indication that the generator has not received confirmation of delivery. <br /> (d)Generators shall submit the information to the department at: DTSC Report Repository, Generator Information <br /> Services Section, P.O. Box 806, Sacramento, CA 95812-0806 <br /> CORRECTIVE ACTION: Locate a copy of the destination facility signed manifests and send a copy to the San <br /> Joaquin County Environmental Health Department(EHD). If the destination facility signed manifests cannot be <br /> found then send to DTSC a copy of each generator signed manifest and a statement that the designated facility <br /> signed copy was not received by the generator. DTSC address is DTSC Report Repository, Generator Information <br /> Services Section, PO Box 806, Sacramento, CA 95812-0806. Provide a corrective action statement to the EHD <br /> FA0004254 PRO517881 SCO01 08/31/2021 <br /> EHD 22-01 Rev.9/16/2020 Page 6 of 11 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 />