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Environmental Health Department Facility Name: COUNTRY CLUB MOBIL CIRCLE K Facility Address: 2575 COUNTRY CLUB BLVD, STOCKTON, CA 95204 Facility Phone: (209) 932-1307 Program: 2220 - SM HW GEN <5 TONS/YR Inspection Type: ROUTINE INSPECTION - Operating Permit Date: September 05, 2023 CERS ID: 10118074 Inspection Contact: Nick Singh Consent For: Consent Given By: Nick Singh, Manager Title: Manager Phone: (209) 932-1307 T Inspection T Photos £ Samples Small Quantity Hazardous Waste Generator Inspection Report Amount of hazardous waste generated in the last calendar year (Jan-Dec): EPA/State ID: CAD9814604540.00 tons HSC = Health and Safety Code CFR = Code of Federal RegulationsCCR = Title 22 California Code of Regulations R = Repeat violation COS = Corrected on site during inspectionV = Violation EHD = Environmental Health Department Record Keeping/Documentation 101 □ V □ R □ COSManaged a hazardous waste without an identification numberCCR 66262.12 102 □ V □ R □ COSFailed to determine if a waste is a hazardous wasteCCR 66262.11 103 □ V □ R □ COSFailed to retain hazardous waste determination including waste analysis on site for 3 yearsCCR 66262.40(c) 104 □ V □ R □ COSNo modified contingency planCCR 66262.34(d)(2) 105 □ V □ R □ COSNo emergency coordinator available for emergency responseCCR 66262.34(d)(2) 106 □ V □ R □ COSFailed to train employees on waste handling and emergency proceduresCCR 66262.34(d)(2) 107 □ V □ R □ COSFailed to prepare manifests for transportation of hazardous wasteCCR 66262.20 108 □ V □ R □ COSFailed to complete, sign or date manifest; or obtain dated signature of transporterCCR 66262.23(a) 109 □ V □ R □ COSFailed to send paper originated generator manifest copies to DTSC within 30 daysCCR 66262.23(a)(4) 110 ■ V □ R □ COSFailed to keep signed copy of manifests from the designated facility for three yearsCCR 66262.40(a) 111 □ V □ R □ COSFailed to comply with uniform hazardous waste manifest exception requirementsCCR 66262.42(a)(c)(d) 112 □ V □ R □ COSFailed to make determination for land disposalCCR 66268.7(a) 113 □ V □ R □ COSFailed to keep copies of consolidated manifesting receipts for three yearsHSC 25160.2(b)(3) 114 □ V □ R □ COSConsolidated manifest receipts failed to contain complete informationHSC 25160.2(b)(4) 115 □ V □ R □ COSFailed to retain copy of manifest or bill of lading for spent lead acid batteries for 3 yearsCCR 66266.81(a)(4)(B) 116 □ V □ R □ COSFailed to provide recyclable material information to claim the exclusion or exemptionHSC 25143.10 117 □ V □ R □ COSFailed to submit a written response within 30 days of receiving an inspection reportHSC 25185(c)(3) 118 □ V □ R □ COSFailure to annually submit notification of generator intent to remotely consolidate hazardous wasteHSC 25110.10(d) 119 □ V □ R □ COSFailed to report accurate program data in the California Environmental Reporting System (CERS)HSC 25404(e)(4) 120 □ V □ R □ COSFailed to maintain written record for each shipment of recycled or exempted oil for 3 yearsHSC 25250.18, 25250.19 Treatment, Transport and Disposal 201 □ V □ R □ COSFailure to use a DTSC registered transporter to transport hazardous wasteHSC 25163(a) 202 □ V □ R □ COSDisposed or caused disposal of hazardous waste at an unauthorized pointHSC 25189.5(a) 203 □ V □ R □ COSTransported or caused transportation of hazardous waste to an unauthorized pointHSC 25189.5(c) 204 □ V □ R □ COSFailed to obtain appropriate permit to accept, treat, store or dispose of a hazardous wasteHSC 25201(a) 205 □ V □ R □ COSFailed to prevent contamination of used oil with other hazardous wasteHSC 25250.7 FA0006439 PR0514045 SC001 09/05/2023 EHD 22-01 Rev. 12/06/2021 Small Quantity Hazardous Waste Generator OIRPage 1 of 5 1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjgov.org/EHD