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A N J O A Q U I Environmental Health Department <br />COUNTY—O U N T Y— AMENDED <br />4/20/2022 <br />Large Quantity Hazardous Waste Generator Inspection Report <br />Facility Name: Facility Address: Date: <br />Love's Travel Stop#538 15250 N THORNTON RD, Lodi April 12, 2022 <br />Universal Waste <br />716 CCR 66273.40(a) Universal Waste Handler sending electronic devices to foreign location failed to submit notification V R COS <br />717 CCR 66273.32(b) Universal Waste Handler failed to obtain ID#prior to accumulating non-RCRA waste V R COS <br />718 CCR 66273.32(d)(f)Universal Waste Handler failed to submit a complete annual report to DTSC V R COS <br />719 CCR 66273.38 Universal Waste Handler failed to transfer waste with documentation to an appropriate destination V R COS <br />720 CCR 66273.8(b), Disposed of Universal Waste or failed to transfer Universal Waste to an appropriate destination V R COS <br />66273.31(a) <br />L OEM Appliance Recycler <br />801 HSC 25211.4 Failure to obtain Certified Appliance Recycler(CAR)certification V R COS <br />802 HSC 25211.2,25211.3 Failure of a CAR to provide documentation for removal of materials that require special handling V R COS <br />803 HSC 25212 Failure of a CAR to properly remove and dispose of all materials that require special handling V R COS <br />Other Violations <br />3010 See below Unlisted Administration/Documentation violation V R COS <br />3020 See below Unlisted Training violation V R COS <br />3030 See below Unlisted Operations/Maintenance violation V R COS <br />3040 See below Unlisted Release/Leaks/Spills violation V R COS <br />3050 See below Unlisted Abandonment/Illegal Disposal/Unauthorized Treatment violation V R COS <br />SUMMARY OF VIOLATIONS <br />CLASS I,CLASS II,or MINOR-Notice to Comply) <br />Item# Remarks <br />114 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: <br />030047704WAS shipped 3/11/2022 <br />030042399WAS shipped 9/15/2021 <br />030042336WAS shipped 8/13/2021 <br />030015666WAS shipped 12/6/2019 <br />030005418WAS shipped 9/18/2019 <br />030005402WAS shipped 9/12/20219 <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 an exception report to <br />the California Department of Toxic Substances Control (DTSC)within 45 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 Class II violation. <br />FA0021886 PR0539989 SCO01 04/12/2022 <br />EHD 22-02 Rev.12/06/2021 Page 4 of 9 Large 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