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SAN J OAQ U I N Environmental Health Department <br /> Small Quantity Hazardous Waste Generator Program Inspection Report <br /> Facility Name: Facility Address: Date: <br /> SGS Lodi 12851 W Harnev LN, Lodi lAuqust 14, 2025 <br /> 75 3045- Release/Leaks/Spills-General Local Ordinance ❑OUT ❑ R ❑COS <br /> 76 CA Health and Safety 3050-Abandon ment/IllegaI Disposal/Unauthorized Treatment-General ❑OUT ❑ R ❑COS <br /> Code 25189.5(c) <br /> 77 3055-Abandon ment/IIlegal Disposal/Unauthorized Treatment-General Local ❑OUT ❑ R ❑COS <br /> Ordinance <br /> SUMMARY OF VIOLATIONS <br /> (CLASS I, CLASS II, or MINOR-Notice to Comply) <br /> Item# Remarks <br /> 4 CA Code of Regulations 66262.23(a) 3010008 - Properly completed all Uniform Hazardous Waste Manifests <br /> OBSERVATION: Some of the facility manifests have been shipped using incorrect/inactivate EPA ID number <br /> (CAD050354810). This number has been inactive since May 15, 2023. This EPA ID number is registered under an <br /> address (2929 W HARNEY LANE LODI, CA 95240)that is different from the actual facility address. The facility generates <br /> Part washer solutions and used oil at this location. Correction letter has not be sent to the Department of Toxic <br /> Substances Control (DTSC). List of manifests have been shipped using this EPA ID number are listed under the DTSC <br /> Hazardous Waste tracking system: https://hwts.dtsc.ca.gov/. <br /> The correct EPA ID number for this site is CAR000352401. <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. Submit a letter <br /> by providing the manifest corrections on company letterhead, and include the following information: the manifest tracking <br /> number(nine numbers followed by three letters); the generator date; the date the generator signed the manifest; the <br /> generator EPA ID number used on the original manifest, even if it was incorrect; the incorrect or incomplete item number <br /> (s)from the manifest; the corrected information and the signature, title, mailing address, and phone number of the person <br /> submitting the correction. Send manifest correction letters to: DTSC Business Operations Unit, Attention: Manifest <br /> Corrections, P.O. Box 806, Sacramento, CA 95812-0806. Also provide a corrective action statement and a copy of <br /> correction letter to the San Joaquin County Environmental Health Department within 30 days. <br /> This is a (Minor)Violation. <br /> Overall Inspection Comments <br /> Conducted a Hazardous Waste inspection. One violation noted during the inspection. Complete and submit a copy of <br /> the Return to Compliance Certification form to the EHD with a statement documenting the corrective actions that <br /> have been or will be taken for each violation, and any supporting paperwork, by 09/13/2025. The report was <br /> emailed to the Site Manager Francisco Maldonado at <francisco.maldonado@sim plot.corn> and EHS Manager via <br /> john.pallen@simplot.com <br /> Wastes generated by this facility: <br /> -Used Oil <br /> -Part Washers Solution <br /> AFTER THE COMPLIANCE DATE, EHD WILL BILL FOR ALL TIME AND ACTIVITIES ASSOCIATED WITH BRINGING THIS <br /> FACILITY BACK INTO COMPLIANCE. <br /> THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br /> Received by: Date: August 14, 2025 Inspector: Inspector Phone: <br /> Printed Name and Title: Haza Saeed, Lead Senior REHS (209) 953-6212 <br /> John Pallen, EH&S Manager <br /> EHD-CUPA Inspection Report IS02 Page 4 of 4 FA0009351 PRO513783 4538046 8/14/2025 <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 />