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S A N J 0 A Q I I I Irl Environmental Health Department <br /> CCUN r <br /> Small Quantity Hazardous Waste Generator Inspection Report <br /> Facility Name: Facility Address: Date: <br /> VALLEY PACIFIC LODI PLANT&CARDLOCK 930 E VICTOR RD, LODI January 05, 2022 <br /> SUMMARY OF VIOLATIONS <br /> (CLASS I,CLASS II,or MINOR-Notice to Comply) <br /> Item# Remarks <br /> 108 CCR 66262.23(a) Failed to complete, sign or date manifest; or obtain dated signature of transporter. <br /> OBSERVATION: The 00683018OGBF uniform hazardous waste manifest for 06/11/2021 contained an incorrect <br /> EPA ID number of CAL000147628. The facility's EPA ID number should be CAL000275158. <br /> REGULATION GUIDANCE: Title 22 California Code of Regulations, Division 4.5, Chapter 12,Article 8,Appendix <br /> "Uniform Hazardous Waste Manifest, Continuation Sheet and Instructions" <br /> CORRECTIVE ACTION: A manifest correction letter must be sent to the Department of Toxic Substances Control <br /> (DTSC)whenever hazardous waste manifests submissions contain incorrect or incomplete information. <br /> Submit a letter by providing the manifest corrections on company letterhead, and include the following information: <br /> the manifest tracking number(nine numbers followed by three letters);the generator date;the date the generator <br /> signed the manifest;the generator EPA ID number used on the original manifest, even if it was incorrect;the <br /> incorrect or incomplete item number(s)from the manifest; the corrected information and the signature,title, mailing <br /> address, and phone number of the person submitting the correction. Send manifest correction letters to: DTSC <br /> Business Operations Unit,Attention: Manifest Corrections, P.O. Box 806, Sacramento, CA 95812-0806. <br /> Also provide a corrective action statement and a copy of correction letter to the San Joaquin County Environmental <br /> Health Department within 30 days. <br /> This is a Class II violation. <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: 00683018OGBF(06/11/2021). <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 destination facility signed manifests listed above and maintain in the facility file <br /> 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 repeat violation, Class II. <br /> FA0005584 PR0513645 SCO01 01/05/2022 <br /> EHD 22-01 Rev.12/06/2021 Page 4 of 6 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 />