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SAN JOAQUIN Environmental Health Department <br /> COUNTY— <br /> Small Quantity Hazardous Waste Generator Program Inspection Report <br /> Facility Name: Facility Address: Date: <br /> KAISER PERMANENTE 12185 W GRANT LINE RD, TRACY Auqust 12, 2026 <br /> SUMMARY OF VIOLATIONS <br /> (CLASS I, CLASS II, or MINOR-Notice to Comply) <br /> Item# Remarks <br /> 6 22 CCR 12 66262.23(a) 3010008-Properly completed all Uniform Hazardous Waste Manifests <br /> OBSERVATION: The Uniform Hazardous Waste Manifest 018609905FLE shipped on March 6, 2024 has the incorrect <br /> "Generator Site Address (if different than mailing address" in Box 5. <br /> The incorrect address is: 2900 Spafford Street EI Macero CA 95618 <br /> REGULATION GUIDANCE: Failure to properly complete the Uniform Hazardous Waste Manifest. <br /> CORRECTIVE ACTION: Contact the DTSC to make necessary corrections to the manifests and submit a copy to the <br /> CUPA. <br /> This is a (Class 2)Violation. <br /> Overall Inspection Comments <br /> An inspection checklist was provided to the facility operator on the day of inspection August 12, 2026. <br /> A complete report was finished on August 12, 2026 and replaces the initial checklist. <br /> Complete and submit a copy of the Return to Compliance Certification form to the email RTC@SJGOV.ORG with a <br /> statement documenting the corrective actions that have been or will be taken for each violation, and any supporting <br /> paperwork, by September 11, 2026. <br /> To minimize person to person contact EHD is choosing to write the name of person receiving the report instead of <br /> having them sign. Starting July 1, 2025, all in-office CERS help will be provided at the EHD hourly rate ($179). To <br /> schedule an appointment, please call (209) 468-3420 <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: 8/12/2026 Inspector: Inspector Phone: <br /> Printed Name and Title: Maria Lopez, EHS (209)616-3064 <br /> Chandra Buchanan, Environmental <br /> Contact <br /> EHD-CUPA Inspection Report IS03 Page 5 of 5 FA0016313 PRO524323 4686068 8/12/2026 <br /> a <br /> CP25-HW SQG g <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 />